Combining Medial Patellofemoral Ligament Reconstruction With Patellar Tendon Repair Using Biocomposite Swivel Lock Anchors: Surgical Technique and Case Report

被引:0
作者
Falbo, Ryan A. [1 ,2 ]
Simmons, Elizabeth [1 ]
Singleton, Amy [1 ]
Stegelmann, Samuel D. [1 ]
Miller, Richard M. [1 ]
机构
[1] Mercy Hlth St Vincent Med Ctr, Dept Orthoped, Toledo, OH 43608 USA
[2] Mercy Hlth St Vincent Med Ctr, Orthoped Surg Dept, 2409 Cherry St 10, Toledo, OH 43608 USA
关键词
medial patellofemoral ligament; patellar tendon; biocomposite anchor; rupture; reconstruction; extensor disruption;
D O I
10.1097/BTO.0000000000000617
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
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.
引用
收藏
页码:96 / 98
页数:3
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