08Mar 2018

MEDIAL PATELLOFEMORAL LIGAMENT RECONSTRUCTION: A COMPREHENSIVE REVIEW.

  • MS ortho PG, Department of Orthopaedics, Sree Balaji Medical College and Hospital, BIHER, No.7, Works Road, New Colony, Chromepet, Chennai- 600044, Tamil Nadu, India.
  • Professor, Department of Orthopaedics, Sree Balaji Medical College and Hospital, BIHER, No.7, Works Road, New Colony, Chromepet, Chennai- 600044, Tamil Nadu, India.
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In the majority of patellar dislocation cases, the medial patellofemoral ligament (MPFL) is disrupted with a high recurrence rate especially in female patients. Although MPFL tear is not the primary cause of instability, MPFL reconstruction is effective for stabilizing the knee and may alone prevent lateral patellar dislocation. There is limited but growing evidence that MPFL reconstruction for patellofemoral instability leads to excellent functional outcomes. Growing awareness of the biomechanical contribution of the MPFL has led to an upsurge in the publication of techniques and trials dealing with reconstructive techniques, warranting a review that includes the most recent evidence. The aim of this article was to review and summarize the recent literatures concerning MPFL reconstruction and provide a comprehensive review of previous studies ranging from basic science to current surgical techniques and results.

  1. Sillanpaa P, Mattila VM, Iivonen T, Visuri T, Pihlajamaki H. Incidence and risk factors of acute traumatic primary patel?lar dislocation. Med Sci Sports Exerc. 2008;40:606-11.
  2. Maenpaa H, Huhtala H, Lehto MU. Recurrence after patellar dislocation: redislocation in 37/75 patients followed for 6-24 years. Acta Orthop Scand. 1997;68:424-6.
  3. Nomura E, Horiuchi Y, Inoue M. Correlation of MR imag?ing findings and open exploration of medial patellofemoral ligament injuries in acute patellar dislocations. Knee. 2002; 9:139-43.
  4. Amis AA, Firer P, Mountney J, Senavongse W, Thomas NP. Anatomy and biomechanics of the medial patellofemoral ligament. Knee. 2003;10:215-20.
  5. Buckens CF, Saris DB. Reconstruction of the medial patello?femoral ligament for treatment of patellofemoral instability: a systematic review. Am J Sports Med. 2010;38:181-8.
  6. Kaplan EB. Factors responsible for the stability of the knee joint. Bull Hosp Joint Dis. 1957;18:51-9.
  7. Warren LF, Marshall JL. The supporting structures and lay?ers on the medial side of the knee: an anatomical analysis. J Bone Joint Surg Am. 1979;61:56-62.
  8. Placella G, Tei M, Sebastiani E, Speziali A, Antinolfi P, Del?cogliano M, Georgoulis A, Cerulli G. Anatomy of the Medial Patello-Femoral Ligament: a systematic review of the last 20 years literature. Musculoskelet Surg. 2014 Jul 6 [Epub]. http://dx.doi.org/10.1007/s12306-014-0335-y.
  9. Nomura E, Inoue M, Osada N. Anatomical analysis of the medial patellofemoral ligament of the knee, especially the femoral attachment. Knee Surg Sports Traumatol Arthrosc. 2005;13:510-5.
  10. Lee HS, Choi JY, Ha JK, Lee YS, Yoo JH, Kim MK, Kim JG. Anatomical reconstruction of the medial patellofemoral liga?ment: development of a novel procedure based on anatomi?cal dissection. J Korean Orthop Assoc. 2011;46:443-50.
  11. Desio SM, Burks RT, Bachus KN. Soft tissue restraints to lateral patellar translation in the human knee. Am J Sports Med. 1998;26:59-65.
  12. Heegaard J, Leyvraz PF, Van Kampen A, Rakotomanana L, Rubin PJ, Blankevoort L. Influence of soft structures on patellar three-dimensional tracking. Clin Orthop Relat Res. 1994;(299):235-43.
  13. Bicos J, Fulkerson JP, Amis A. Current concepts review: the medial patellofemoral ligament. Am J Sports Med. 2007; 35:484-92.
  14. Feller JA, Amis AA, Andrish JT, Arendt EA, Erasmus PJ, Powers CM. Surgical biomechanics of the patellofemoral joint. Arthroscopy. 2007;23:542-53.
  15. Nomura E, Horiuchi Y, Kihara M. Medial patellofemoral ligament restraint in lateral patellar translation and recon?struction. Knee. 2000;7:121-7.
  16. Mountney J, Senavongse W, Amis AA, Thomas NP. Tensile strength of the medial patellofemoral ligament before and after repair or reconstruction. J Bone Joint Surg Br. 2005; 87:36-40.
  17. Burks RT, Desio SM, Bachus KN, Tyson L, Springer K. Bio?mechanical evaluation of lateral patellar dislocations. Am J Knee Surg. 1998;11:24-31.
  18. Arendt EA. MPFL reconstruction for PF instability: the soft (tissue) approach. Orthop Traumatol Surg Res. 2009;95(8 Suppl 1):S97-100.
  19. Christiansen SE, Jacobsen BW, Lund B, Lind M. Reconstruc?tion of the medial patellofemoral ligament with gracilis ten?don autograft in transverse patellar drill holes. Arthroscopy. 2008;24:82-7.
  20. Schottle PB, Romero J, Schmeling A, Weiler A. Technical note: anatomical reconstruction of the medial patellofemoral ligament using a free gracilis autograft. Arch Orthop Trauma Surg. 2008;128:479-84.
  21. Nomura E, Inoue M. Surgical technique and rationale for medial patellofemoral ligament reconstruction for recurrent patellar dislocation. Arthroscopy. 2003;19:E47.
  22. Becher C, Kley K, Lobenhoffer P, Ezechieli M, Smith T, Ostermeier S. Dynamic versus static reconstruction of the medial patellofemoral ligament for recurrent lateral patellar dislocation. Knee Surg Sports Traumatol Arthrosc. 2014; 22:2452-7.
  23. Enderlein D, Nielsen T, Christiansen SE, Fauno P, Lind M. Clinical outcome after reconstruction of the medial patello?femoral ligament in patients with recurrent patella instabil?ity. Knee Surg Sports Traumatol Arthrosc. 2014;22:2458-64.
  24. Schottle PB, Schmeling A, Rosenstiel N, Weiler A. Radio?graphic landmarks for femoral tunnel placement in medial patellofemoral ligament reconstruction. Am J Sports Med. 2007;35:801-4.
  25. Elias JJ, Cosgarea AJ. Technical errors during medial patel?lofemoral ligament reconstruction could overload medial patellofemoral cartilage: a computational analysis. Am J Sports Med. 2006;34:1478-85.
  26. Feller JA, Richmond AK, Wasiak J. Medial patellofemoral ligament reconstruction as an isolated or combined proce?dure for recurrent patellar instability. Knee Surg Sports Trau?matol Arthrosc. 2014;22:2470-6.
  27. Stephen JM, Lumpaopong P, Deehan DJ, Kader D, Amis AA. The medial patellofemoral ligament: location of femo?ral attachment and length change patterns resulting from anatomic and nonanatomic attachments. Am J Sports Med. 2012;40:1871-9.
  28. Servien E, Fritsch B, Lustig S, Demey G, Debarge R, Lapra C, Neyret P. In vivo positioning analysis of medial patellofemo?ral ligament reconstruction. Am J Sports Med. 2011;39:134-9.
  29. Farrow LD, Alentado VJ, Abdulnabi Z, Gilmore A, Liu RW. The relationship of the medial patellofemoral ligament at?tachment to the distal femoral physis. Am J Sports Smith TO, Walker J, Russell N. Outcomes of medial patel?lofemoral ligament reconstruction for patellar instability: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2007;15:1301-14.
  30. Fisher B, Nyland J, Brand E, Curtin B. Medial patellofemoral ligament reconstruction for recurrent patellar dislocation: a systematic review including rehabilitation and return-to-sports efficacy. Arthroscopy. 2010;26:1384-94.
  31. Nomura E, Inoue M, Kobayashi S. Long-term follow-up and knee osteoarthritis change after medial patellofemoral liga?ment reconstruction for recurrent patellar dislocation. Am J Sports Med. 2007;35:1851-8.
  32. Watanabe T, Muneta T, Ikeda H, Tateishi T, Sekiya I. Visual analog scale assessment after medial patellofemoral ligament reconstruction: with or without tibial tubercle transfer. J Or?thop Sci. 2008;13:32-8.
  33. Gomes JE. Comparison between a static and a dynamic technique for medial patellofemoral ligament reconstruc?tion. Arthroscopy. 2008;24:430-5.
  34. Ronga M, Oliva F, Longo UG, Testa V, Capasso G, Maffulli N. Isolated medial patellofemoral ligament reconstruction for recurrent patellar dislocation. Am J Sports Med. 2009; 37:1735-42.
  35. Ahmad CS, Stein BE, Matuz D, Henry JH. Immediate surgi?cal repair of the medial patellar stabilizers for acute patellar dislocation: a review of eight cases. Am J Sports Med. 2000; 28:804-10.
  36. Dainer RD, Barrack RL, Buckley SL, Alexander AH. Ar?throscopic treatment of acute patellar dislocations. Arthros?copy. 1988;4:267-71.
  37. Vainionpaa S, Laasonen E, Silvennoinen T, Vasenius J, Rokkanen P. Acute dislocation of the patella. A prospective review of operative treatment. J Bone Joint Surg Br. 1990;72: 366-9.
  38. Bedi H, Marzo J. The biomechanics of medial patellofemoral ligament repair followed by lateral retinacular release. Am J Sports Med. 2010;38:1462-7.
  39. Nelitz M, Dreyhaupt J, Reichel H, Woelfle J, Lippacher S. Anatomic reconstruction of the medial patellofemoral liga?ment in children and adolescents with open growth plates: surgical technique and clinical outcome. Am J Sports Med. 2013;41:58-????63

[Saravanan and Rajasekar. (2018); MEDIAL PATELLOFEMORAL LIGAMENT RECONSTRUCTION: A COMPREHENSIVE REVIEW. Int. J. of Adv. Res. 6 (Mar). 615-623] (ISSN 2320-5407). www.journalijar.com

Dr. Rajasekar
sree balaji medical college and hospital

DOI:

Article DOI: 10.21474/IJAR01/6710      
DOI URL: https://dx.doi.org/10.21474/IJAR01/6710

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