Multi Anatomical reconstruction of the medial patellofemoral ligament (MPFL)

[rayman]

Anatomical reconstruction of the medial patellofemoral ligament (MPFL)

DVD5 | 2010 | DVD video | MPEG2 | 720?576 | 25 fps | AC3, 192 kbps
Language: English, German, Spanish, Portuguese | Run Time: 25 minutes | 1.49 GB
Genre: Elearning

Several biomechanical studies have shown that the medial patellofemoral ligament (MPFL) is the main restraint against lateral patella displacement. Therefore reconstruction of the MPFL has become an accepted surgical technique to restore patellofemoral stability. Recently, various procedures have been described addressing the reconstruction of the medial patellofemoral complex. The authors present a minimal invasive surgical technique, where the MPFL is reconstructed anatomically to restore physiological kinematics and stability using a free gracilis tendon autograft. Following principles are accentuated: - examination and indication; - anatomical landmarks; - routine arthroscopy; - graft harvest of a free gracilis tendon autograft; - anatomical patellar insertion with biodegradable suture anchors; - anatomical femoral insertion emphasizing the importance of intraoperative fluoroscopy for correct tunnel placement. The presented technique allows anatomical reconstruction of the medial patellofemoral ligament, in order to restore normal patellar tracking. Also, tips and tricks are shown, allowing optimal arthroscopic orientation, graft harvest, preparation and graft fixation.

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