Partial Quadriceps Tendon Transfer for Revision Medial Patellofemoral Ligament Reconstruction: A New Surgical Technique

Overview

Journal Acta Orthop Traumatol Turc

Specialties Emergency Medicine
Orthopedics

Date 2017 May 2

PMID 28457794

Citations 4

Authors

Joan Leal-Blanquet

Eduard Alentorn-Geli

Raul Torres-Claramunt

Joan Carles Monllau

Affiliations

Soon will be listed here.

Abstract

Medial patellofemoral ligament (MPFL) reconstruction for patellofemoral instability is a common procedure. Although MPFL reconstruction is a successful procedure in terms of return to normal life or sports, revision cases are challenging due to previous holes into the patella or implants placed in the anatomical femoral insertion site. In this technical note, the use of a partial quadriceps tendon transfer to the adductor magnus tendon is presented as a good solution for revision cases to avoid the use of implants, bone drilling, use of allografts, or two-stage surgical procedures. In addition, this procedure could be also used as a primary procedure in skeletally immature patients.

Citing Articles

Through-tunnel reconstruction with Ligament Augmentation and Reconstruction System (LARS) for managing post-arthroplasty patellofemoral instability.

Chang J, Chen C, Li Y BMC Musculoskelet Disord. 2025; 26(1):12.

PMID: 39754104 PMC: 11697844. DOI: 10.1186/s12891-024-08250-y.

Minimal invasive medial patellofemoral ligament reconstruction using quadriceps tendon with de novo technique and arthroscopic guided: A case report.

Dasril D, Randy , Hadi I, Guntara A Int J Surg Case Rep. 2024; 122:110144.

PMID: 39128217 PMC: 11350252. DOI: 10.1016/j.ijscr.2024.110144.

Medial patellofemoral ligament (MPFL) reconstruction using quadriceps tendon autograft provides good clinical, functional and patient-reported outcome measurements (PROM): a 2-year prospective study.

Peter G, Hoser C, Runer A, Abermann E, Wierer G, Fink C Knee Surg Sports Traumatol Arthrosc. 2018; 27(8):2426-2432.

PMID: 30374571 DOI: 10.1007/s00167-018-5226-6.

Quadriceps Tendon Autograft Medial Patellofemoral Ligament Reconstruction.

Fink C, Steensen R, Gfoller P, Lawton R Curr Rev Musculoskelet Med. 2018; 11(2):209-220.

PMID: 29679209 PMC: 5970111. DOI: 10.1007/s12178-018-9476-1.

References

Russ S, Tompkins M, Nuckley D, Macalena J . Biomechanical comparison of patellar fixation techniques in medial patellofemoral ligament reconstruction. Am J Sports Med. 2014; 43(1):195-9. DOI: 10.1177/0363546514550992. View

Nelitz M, Williams S . Anatomic reconstruction of the medial patellofemoral ligament in children and adolescents using a pedicled quadriceps tendon graft. Arthrosc Tech. 2014; 3(2):e303-8. PMC: 4044542. DOI: 10.1016/j.eats.2014.01.005. View

Deie M, Ochi M, Sumen Y, Yasumoto M, Kobayashi K, Kimura H . Reconstruction of the medial patellofemoral ligament for the treatment of habitual or recurrent dislocation of the patella in children. J Bone Joint Surg Br. 2003; 85(6):887-90. View

Steensen R, Dopirak R, Maurus P . A simple technique for reconstruction of the medial patellofemoral ligament using a quadriceps tendon graft. Arthroscopy. 2005; 21(3):365-70. DOI: 10.1016/j.arthro.2004.10.007. View

Legrand A, Greis P, Dobbs R, Burks R . MPFL reconstruction. Sports Med Arthrosc Rev. 2007; 15(2):72-7. DOI: 10.1097/JSA.0b013e31803bb513. View

Smith T, Walker J, Russell N . Outcomes of medial patellofemoral ligament reconstruction for patellar instability: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2007; 15(11):1301-14. DOI: 10.1007/s00167-007-0390-0. View

Goyal D . Medial patellofemoral ligament reconstruction: the superficial quad technique. Am J Sports Med. 2013; 41(5):1022-9. DOI: 10.1177/0363546513477828. View

Herbort M, Hoser C, Domnick C, Raschke M, Lenschow S, Weimann A . MPFL reconstruction using a quadriceps tendon graft: part 1: biomechanical properties of quadriceps tendon MPFL reconstruction in comparison to the Intact MPFL. A human cadaveric study. Knee. 2014; 21(6):1169-74. DOI: 10.1016/j.knee.2014.07.026. View

Avikainen V, Nikku R . Adductor magnus tenodesis for patellar dislocation. Technique and preliminary results. Clin Orthop Relat Res. 1993; (297):12-6. View

10.

Fink C, Veselko M, Herbort M, Hoser C . MPFL reconstruction using a quadriceps tendon graft: part 2: operative technique and short term clinical results. Knee. 2014; 21(6):1175-9. DOI: 10.1016/j.knee.2014.05.006. View

11.

Macura M, Veselko M . Simultaneous reconstruction of ruptured anterior cruciate ligament and medial patellofemoral ligament with ipsilateral quadriceps grafts. Arthroscopy. 2010; 26(9):1258-62. DOI: 10.1016/j.arthro.2010.06.018. View

12.

Koh J, Stewart C . Patellar instability. Clin Sports Med. 2014; 33(3):461-76. DOI: 10.1016/j.csm.2014.03.011. View

13.

Sillanpaa P, Maenpaa H, Mattila V, Visuri T, Pihlajamaki H . A mini-invasive adductor magnus tendon transfer technique for medial patellofemoral ligament reconstruction: a technical note. Knee Surg Sports Traumatol Arthrosc. 2009; 17(5):508-12. DOI: 10.1007/s00167-008-0713-9. View