학술논문

Combining Medial Patellofemoral Ligament Reconstruction With Patellar Tendon Repair Using Biocomposite Swivel Lock Anchors: Surgical Technique and Case Report
Document Type
Academic Journal
Source
Techniques in Orthopaedics. Jun 01, 2023 38(2):96-98
Subject
Language
English
ISSN
0885-9698
Abstract
INTRODUCTION:: Injuries to the medial patellofemoral ligament (MPFL) and patellar tendon in isolation are well-documented entities. There is a paucity of literature describing this combination of injuries and treatment of this concomitant injury pattern. OBJECTIVE:: The intent of this manuscript was to document the combined injury pattern of a concomitant MPFL rupture and patellar tendon disruption. We also aimed to describe a treatment option for this rarely documented injury pattern. MATERIALS AND METHODS:: Our MPFL reconstruction technique utilized a gracilis allograft and 2 biocomposite anchors for the patella. Our patellar tendon repair utilized Ethibond suture in a Krakow stitch fashion, which was subsequently incorporated into the anchors used for the MPFL reconstruction. RESULTS:: Our patient successfully transitioned through a specific postoperative range of motion protocol by increasing knee flexion 30 degrees every 2 weeks, beginning at 0 to 30 degrees at the first postoperative visit. Our patient was able to straight leg raise by 6 weeks, began formal physical therapy at 8 weeks, and resumed all normal activity at 6 months. CONCLUSION:: We demonstrated a novel technique to repair a combined injury of the MPFL and patellar tendon that produced good clinical outcomes through 6 months.