Failed medial patellofemoral ligament reconstruction: Causes and surgical strategies
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- dc.contributor.author Sanchis-Alfonso, Vicenteca
- dc.contributor.author Montesinos-Berry, Erikca
- dc.contributor.author Ramirez-Fuentes, Cristinaca
- dc.contributor.author Leal Blanquet, Joanca
- dc.contributor.author Gelber, Pablo-Eduardoca
- dc.contributor.author Monllau García, Juan Carlosca
- dc.date.accessioned 2018-03-12T08:35:11Z
- dc.date.available 2018-03-12T08:35:11Z
- dc.date.issued 2017
- dc.description.abstract Patellar instability is a common clinical problem encountered by orthopedic surgeons specializing in the knee. For patients with chronic lateral patellar instability, the standard surgical approach is to stabilize the patella through a medial patellofemoral ligament (MPFL) reconstruction. Foreseeably, an increasing number of revision surgeries of the reconstructed MPFL will be seen in upcoming years. In this paper, the causes of failed MPFL reconstruction are analyzed: (1) incorrect surgical indication or inappropriate surgical technique/patient selection; (2) a technical error; and (3) an incorrect assessment of the concomitant risk factors for instability. An understanding of the anatomy and biomechanics of the MPFL and cautiousness with the imaging techniques while favoring clinical over radiological findings and the use of common sense to determine the adequate surgical technique for each particular case, are critical to minimizing MPFL surgery failure. Additionally, our approach to dealing with failure after primary MPFL reconstruction is also presented
- dc.format.mimetype application/pdf
- dc.identifier.citation Sanchis-Alfonso V, Montesinos-Berry E, Ramirez-Fuentes C, Leal-Blanquet J, Gelber PE, Monllau JC. Failed medial patellofemoral ligament reconstruction: Causes and surgical strategies. World J Orthop. 2017 Feb 18;8(2):115-129. DOI: 10.5312/wjo.v8.i2.115
- dc.identifier.doi http://dx.doi.org/10.5312/wjo.v8.i2.115
- dc.identifier.issn 2218-5836
- dc.identifier.uri http://hdl.handle.net/10230/34078
- dc.language.iso eng
- dc.publisher Baishideng Publishing Groupca
- dc.relation.ispartof World Journal of Orthopedics. 2017 Feb 18;8(2):115-29
- dc.rights Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/
- dc.subject.keyword 3D-CT in patellofemoral surgery
- dc.subject.keyword Failed medial patellofemoral ligament reconstruction
- dc.subject.keyword Medial patellofemoral ligament
- dc.subject.keyword Trochleoplasty
- dc.subject.other Lligaments -- Cirurgia
- dc.title Failed medial patellofemoral ligament reconstruction: Causes and surgical strategiesca
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion