OBJECTIVE: Stabilization of the patella by medial patellofemoral ligament (MPFL) reconstruction. INDICATIONS: Recurrent lateral patella instability with chronic weakening of the MPFL. CONTRAINDICATIONS: Femoropatellar cartilage defects ICRS grade  3   or higher. Tuberositas Tibiae Trochlear Groove Index (TTTG)  >20  mm. Lateral @entity12352 without instability. SURGICAL TECHNIQUE: A 3  cm transverse skin incision at the superomedial edge of the patella in 90   of flexion. Longitudinal incision of the prepatellar bursa and exposure of the @entity121 tendon. Preparation of a flat tendon strip with a length of 8  cm, a width of 10  mm, and a thickness of 3  mm, leaving the attachment at the patella intact. Flipping of the tendon strip and passing of the graft through a tunnel underneath the prepatellar tissue at the medial edge of the patella. Passing of the graft in layer two of the medial joint capsule just below the fascia (layer  1) and the vastus medialis. Fixation of the graft in a bone tunnel, drilled in the femoral insertion site of the native MPFL using a biodegradable interference screw. POSTOPERATIVE MANAGEMENT: Patella centralizing brace for 4  weeks with range of motion (ROM)  0/0/90  , 20  kg of partial weight bearing for 3  weeks. Full weight-bearing according to @entity158 starting from week  4 postoperatively. ROM up to 90    of flexion directly postoperatively. Free ROM starting from week  6 postoperatively. Stationary cycling 6  weeks postoperatively. Swimming and running after 10  months. Return to pivoting sports after 4-5  months. RESULTS: A total of 17  @entity1 (7  @entity1 and 10  @entity1 ; average age 21.5  years   3.9  years, average BMI 22.6    3.9) were treated using this technique between March  2011 and November  2012. Only @entity1 with at least one recurrent @entity12351 following conservative treatment were included. @entity1 satisfaction 12  months postoperatively was very high. Overall, 94.1   % would undergo the procedure again and 94.1   % were very satisfied with the cosmetic result. Significant improvement in Lysholm score 6, 12, and 24  months postoperatively (p  <  0.05). Free ROM in 94.1   % of cases 12  months postoperatively. The Kujala score was reported to be 89  (  7.1) 12  months following surgery. No redislocation occurred during the 24  months following surgery.

[Medial patellofemoral ligament reconstruction using XXXX tendon].

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'Patient', 'men'] @entity12351 :: ('MESH:C538081', 'Disease') :: ['patella dislocation'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity12352 :: ('MESH:C535568', 'Disease') :: ['hypercompression of the patella'] @entity121 :: ('MESH:D009135', 'Disease') :: ['quadriceps']
@entity121 :: (MESH:D009135,Disease) :: ['quadriceps']
