Arthroscopy Techniques (Feb 2016)

Combined Reconstruction of the Medial Patellofemoral Ligament With Quadricipital Tendon and the Medial Patellotibial Ligament With Patellar Tendon

  • Betina Bremer Hinckel, M.D.,
  • Riccardo Gomes Gobbi, Ph.D.,
  • Marco Kawamura Demange, Ph.D.,
  • Marcelo Batista Bonadio, M.D.,
  • José Ricardo Pécora, Ph.D.,
  • Gilberto Luis Camanho, Ph.D.

DOI
https://doi.org/10.1016/j.eats.2015.10.004
Journal volume & issue
Vol. 5, no. 1
pp. e79 – e84

Abstract

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Although the medial patellotibial ligament (MPTL) has been neglected regarding its function in patellar stability, recently, its importance in terminal extension and during flexion has been recognized. Indications for reconstruction of the medial patellofemoral ligament combined with the MPTL are extension subluxation, flexion instability, children with anatomic risk factors for patellar instability, and knee hyperextension associated with generalized laxity. We describe a combined reconstruction of the medial patellofemoral ligament with quadricipital tendon and reconstruction of the MPTL with patellar tendon autografts.