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Reconstruction of the Medial Patellofemoral Ligament: A Surgical Technique Perspective from an Orthopedic Surgeon

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Sports Injuries

Abstract

Primary traumatic patellar dislocation is a common injury in young active population. The medial patellofemoral ligament (MPFL) is the primary restraint in preventing lateralization of the patella, and it is injured in most cases. Primary patellofemoral dislocation is usually managed nonoperatively, but recurrent dislocations are relatively common. A tear of the MPFL is the essential lesion of recurrent lateral patellar dislocation in patients without any predisposing factors. Many surgical procedures have been commonly used for treatment of recurrent patellar dislocation. MPFL reconstruction using an autogenous gracilis tendon through a double patellar bony tunnel is a safe and reliable technique in patients without predisposing anatomic factors. This technique does not preclude further surgical procedures when failure occurs. However, long-term studies are needed.

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Author information

Authors and Affiliations

  1. Department of Musculoskeletal Disorders, School of Medicine and Surgery, University of Salerno, Salerno, Italy

    Nicola Maffulli

  2. Department of Orthopaedic and Traumatology, School of Medicine, University of Rome “Tor Vergata”, Viale Oxford 81, Rome, Italy

    Nicola Maffulli

  3. Department of Orthopaedic and Traumatology, University of Rome “Tor Vergata”, Viale Oxford 81, Rome, Italy

    Alessio Giai Via & Francesco Oliva

Authors
  1. Nicola Maffulli
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  2. Alessio Giai Via
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  3. Francesco Oliva
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Corresponding author

Correspondence to Nicola Maffulli .

Editor information

Editors and Affiliations

  1. Department of Orthopaedics and Traumatology and Department of Sports Medicine, Hacettepe University, Istanbul, Turkey

    Mahmut Nedim Doral

  2. Department of Orthopaedic Surgery, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden

    Jon Karlsson

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Maffulli, N., Giai Via, A., Oliva, F. (2015). Reconstruction of the Medial Patellofemoral Ligament: A Surgical Technique Perspective from an Orthopedic Surgeon. In: Doral, M.N., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36569-0_127

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  • DOI: https://doi.org/10.1007/978-3-642-36569-0_127

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-36568-3

  • Online ISBN: 978-3-642-36569-0

  • eBook Packages: MedicineReference Module Medicine

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