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Medial Patellofemoral Ligament Reconstruction Using Hamstring Autograft in Children and Adolescents

Overview
Journal Arthrosc Tech
Publisher Elsevier
Date 2013 Jul 23
PMID 23875142
Citations 19
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Abstract

We introduce an anatomic reconstruction technique for the medial patellofemoral ligament using a free hamstring autograft in skeletally immature patients. We dock the 2 ends of the graft in the superior-medial patella using sockets and secure the femoral graft attachment in a socket tunnel distal to the physis. This technique minimizes the risk of injury to the growth plate and still enables accurate and successful anatomic positioning of the hamstring autograft.

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References
1.
Shea K, Grimm N, Belzer J, Burks R, Pfeiffer R . The relation of the femoral physis and the medial patellofemoral ligament. Arthroscopy. 2010; 26(8):1083-7. DOI: 10.1016/j.arthro.2009.12.020. View

2.
Nelitz M, Dreyhaupt J, Reichel H, Woelfle J, Lippacher S . Anatomic reconstruction of the medial patellofemoral ligament in children and adolescents with open growth plates: surgical technique and clinical outcome. Am J Sports Med. 2012; 41(1):58-63. DOI: 10.1177/0363546512463683. View

3.
Baldwin J . The anatomy of the medial patellofemoral ligament. Am J Sports Med. 2009; 37(12):2355-61. DOI: 10.1177/0363546509339909. View

4.
Weeks 3rd K, Fabricant P, Ladenhauf H, Green D . Surgical options for patellar stabilization in the skeletally immature patient. Sports Med Arthrosc Rev. 2013; 20(3):194-202. View

5.
Dimeglio A . Growth in pediatric orthopaedics. J Pediatr Orthop. 2001; 21(4):549-55. View