Reconstruction of the Medial Patellofemoral Ligament With Arthroscopic Control of Patellofemoral Congruence Using Electrical Stimulation of the Quadriceps

Overview

Journal Arthrosc Tech

Publisher Elsevier

Date 2016 Sep 23

PMID 27656392

Authors

Jun Suganuma

Ryuta Mochizuki

Reo Shibata

Tadashi Sugiki

Kazuya Kitamura

Hideaki Tani

Masaki Hasegawa

Affiliations

Soon will be listed here.

Abstract

Reconstruction of the medial patellofemoral ligament (MPFL) for recurrent patellar dislocation provides significant improvements in knee function. However, various complications have been reported, with most attributed to incorrect positioning of anchoring sites for the reconstructed MPFL and inappropriate graft tension. Patellofemoral congruence at 30° of flexion on arthroscopy was therefore controlled using devices able to modify the length of the reconstructed MPFL. This was done under circumstances of external rotation of the knee joint and electrical stimulation of the quadriceps with the purpose of maintaining the patella in a lateral shift. Advantages of this technique include completely controllable correction on arthroscopy under the worst patellofemoral congruence induced by external rotation of the knee joint and electrical stimulation of the quadriceps at 30° of flexion of the knee joint; in other words, voluntary determination of lateral shift during arthroscopy.

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