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Category Sports Medicine

Lateral patellofemoral ligament reconstruction for medial patellar iatrogenic instability

OVERVIEW Chapter synopsis Important points Indications Patients with medial patellar subluxation or dislocations Patients with excessive lateral patellar laxity undergoing medial patellofemoral ligament reconstruction Relative contraindications Unaddressed symptomatic patellofemoral chondral damage Surgical technique Soft tissue-based reconstruction with a semi-tendinosis allograft…

Medial patellofemoral ligament reconstruction and repair for lateral patellar instability

OVERVIEW Chapter synopsis The medial patellofemoral ligament (MPFL) is the primary soft tissue restraint to lateral patellar translation. The MPFL is often injured with a first-time lateral patellar dislocation. Rehabilitation is the mainstay of treatment for first-time patellar dislocation; however…

Multiligament knee reconstruction: Avoiding tunnel convergence and optimal graft fixation order

OVERVIEW Chapter synopsis When reconstructing several knee ligaments, there is an increased risk of reconstruction tunnel convergence on both the tibia and femur; therefore, planning tunnel position and orientation is crucial. Tunnel convergence can compromise ligament reconstructions and fixation, ultimately…