Clinical-radiographic Correlation of the Femoral Insertion Point of the Graft in Reconstruction of the Medial Patellofemoral Ligament

Overview

Journal Rev Bras Ortop

Specialty Orthopedics

Date 2016 May 25

PMID 27218083

Citations 2

Authors

Lucio Flavio Biondi Pinheiro Junior

Marcos Henrique Frauendorf Cenni

Oscar Pinheiro Nicolai

Guilherme Galvao Barreto Carneiro

Rodrigo Cristiano de Andrade

Vinicius Vidigal de Moraes

Affiliations

Soon will be listed here.

Abstract

Objective: To analyze the radiographic positioning of the femoral tunnel and correlate this with the postoperative clinical results among patients undergoing reconstruction of the medial patellofemoral ligament (MPFL) alone.

Method: This was a retrospective study in which 30 knees of 26 patients with recurrent dislocation of the patella that underwent MPFL reconstruction were evaluated. The femoral insertion point of the graft and the postoperative clinical condition were analyzed and correlated using the Kujala and Lysholm scales.

Results: 22 knees presented a femoral tunnel in the anatomical area (group A) and 8 outside of this location (group B). In group A, the mean score on the Kujala scale was 89.68 points and on the Lysholm scale was 92.45 points. In group B, the mean score on the Kujala scale was 84.75 points and on the Lysholm scale was 92 points. The difference between the means was not significant on either of the two scales.

Conclusion: Correlation with the clinical results did not show any difference in relation to the positioning of the femoral insertion of the graft.

Citing Articles

Outcomes of medial patellofemoral ligament reconstruction in patients with patella alta.

Pinheiro Junior L, Cenni M, Nicolai O, Gomes L, Leal R, Coelho D Rev Bras Ortop. 2018; 53(5):570-574.

PMID: 30245996 PMC: 6147778. DOI: 10.1016/j.rboe.2017.06.014.

Single- and double-bundle medial patellofemoral ligament reconstruction procedures result in similar recurrent dislocation rates and improvements in knee function: a systematic review.

Kang H, Zheng R, Dai Y, Lu J, Wang F Knee Surg Sports Traumatol Arthrosc. 2018; 27(3):827-836.

PMID: 30136103 DOI: 10.1007/s00167-018-5112-2.

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