Skip to main content
SpringerLink
Log in

Reconstruction of the Medial Patellofemoral Ligament: Complications After Medial Patellofemoral Ligament Reconstruction

  • Chapter
  • First Online:
Patellar Instability Surgery in Clinical Practice

  • 750 Accesses

Abstract

Similar to other ligamentous reconstructions around the knee, medial patellofemoral ligament (MPFL) reconstructions can lead to complications. These complications relate to a lack of understanding of the biomechanics of the MPFL ligament and technical errors made during the reconstruction.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Barnett A, Prentice M, Mandalia V. The patellotrochlear index: a more clinically relevant measurement of patella height? J Bone Joint Surg. 2009;91-B:413.

    Google Scholar 

  2. Beck P, Brown NA, Greis PE, et al. Patellofemoral contact pressures and lateral patellar translation after medial patellofemoral ligament reconstruction. Am J Sports Med. 2007;35:1557-63.

    Article  PubMed  Google Scholar 

  3. Bernageau J, Goutallier D. Exam radiologique de l’articulation femorale-patellaire.L’actualite rhumatologique. Paris: Expansion Scientifique Francaise; 1984.

    Google Scholar 

  4. Biedert R, Albrecht S. The patellotrochlear index: a new index for assessing patellar height. Knee Surg Sports Traumatol Arthrosc. 2006;14:707-12.

    Article  PubMed  Google Scholar 

  5. Christiansen SE, Jacobsen BW, Lund B, et al. Reconstruction of the medial patellofemoral ligament with gracilis tendon autograft in transverse patellar drill holes. Arthroscopy. 2008;24:82-7.

    Article  PubMed  Google Scholar 

  6. Deie M, Ochi Y, Sumen M, et al. Reconstruction of the medial patellofemoral ligament for the treatment of habitual or recurrent dislocation of the patella in children. J Bone Joint Surg. 2003;85:887-90.

    CAS  Google Scholar 

  7. Drez D, Edwards TB, Williams CS. Results of medial patellofemoral ligament reconstruction in the treatment of patella dislocation. Arthroscopy. 2001;17:298-306.

    Article  PubMed  Google Scholar 

  8. Elias JJ, Cosgarea AJ. Technical errors during MPFL reconstruction could overload the medial patello femoral cartilage. Am J Sports Med. 2006;34:1478-85.

    Article  PubMed  Google Scholar 

  9. Erasmus PJ (1998) Reconstruction of the medial patellofemoral ligament in recurrent dislocation of the patella. ISAKOS Buenos Aires May 1997 [abstract]. Arthroscopy. 1998;14(Suppl):S42.

    Google Scholar 

  10. Erasmus PJ. Long term follow-up of MPFL reconstruction. Washington: American Orthopedic Society for Sport Medicine (AOSS); 2005.

    Google Scholar 

  11. Erasmus PJ. Influence of patella height on the results of MPFL reconstruction. Florence: ISAKOS; 2007.

    Google Scholar 

  12. Fithian DC, Gupta N. Patellar instability: principles of soft tissue repair and reconstruction. Tech Knee Surg. 2006;5:19-26.

    Article  Google Scholar 

  13. Gomes EJ, Marczyk LS, de Cesar PC, et al. Medial patellofemoral ligament reconstruction with semitendinosus autograft for chronic patellar instability: follow-up study. Arthroscopy. 2004;20:147-51.

    Article  Google Scholar 

  14. Heegaard J, Leyvraz PF, Van Kampen A, et al. Influence of soft tissue structure on patella three dimensional tracking. Clin Orthop Relat Res. 1996;299:235-43.

    Google Scholar 

  15. Hvid I, Andersen L, Schmidt H. Patellar height and femoral trochlea development. Acta Orthop Scand. 1983;54:91-3.

    Article  PubMed  CAS  Google Scholar 

  16. Johnson JJ, van Dyk EG, Green JR, et al. Clinical assessment of asymptomatic knees: comparison of men and women. Arthroscopy. 1998;22:787-93.

    Google Scholar 

  17. Mikashima Y, Kimura M, Komayashi Y, et al. Clinical results of isolated reconstruction of the medial patellofemoral ligament for recurrent dislocation and subluxation of the patella. Acta Orthop Belg. 2006;72:65-71.

    PubMed  Google Scholar 

  18. Mountney J, Senavongse W, Amis AA, et al. Tensile strength of the medial patellofemoral ligament before and after repair or reconstruction. J Bone Joint Surg. 2005;87:36-40.

    CAS  Google Scholar 

  19. Nomura E, Inoue M. Hybrid medial patellofemoral ligament reconstruction using semitendinosis tendon for recurrent patellar dislocation: minimum 3 years follow up. Arthro­scopy. 2006;22:787-93.

    Article  PubMed  Google Scholar 

  20. Nomura E, Motoyasu I, Kobayashi S. Long-term follow-up and knee osteoarthritis change after medial patellofemoral ligament reconstruction for recurrent patellar dislocation. Am J Sports Med. 2007;35:1851-8.

    Article  PubMed  Google Scholar 

  21. Neyret P, Robinson AH, Le Coultre B, et al. Patella tendon length – the factor in patella instability? Knee. 2002;9:3-6.

    Article  PubMed  Google Scholar 

  22. Parker DA, Alexander JW, Conditt MA, et al. Comparison of isometric and anatomic reconstruction of the medial patellofemoral ligament: a cadaveric study. Orthopedics. 2008;31:339-43.

    Article  PubMed  Google Scholar 

  23. Sillanpää PJ, Mäempää H, Matilla W, et al. A mini-invasive adductor magnus tendon transfer technique for medial ­patellofemoral ligament reconstruction: a technical note. Knee Surg Sports Traumatol Arthrosc. 2009;17:508-12.

    Article  PubMed  Google Scholar 

  24. Schöttle PB, Fucentese SF, Romero J. Clinical and radiological outcome of medial patellofemoral ligament reconstruction with a semitendinosis autograft for patella instability. Knee Surg Sports Traumatol Arthrosc. 2005;13:516-21.

    Article  PubMed  Google Scholar 

  25. Smirk C, Morris H. The anatomy and reconstruction of the medial patellofemoral ligament. Knee. 2003;10:221-7.

    Article  PubMed  Google Scholar 

  26. Smith TO, Walker J, Russel N. Outcomes of medial patellofemoral ligament reconstruction for patellar instability: a systemic review. Knee Surg Sports Traumatol Arthrosc. 2007;15:1301-14.

    Article  PubMed  Google Scholar 

  27. Steensen RN, Dopirak RM, McDonald WG. The anatomy and isometry of the medial patello femoral joint. Am J Sports Med. 2004;32:1509-13.

    Article  PubMed  Google Scholar 

  28. Steiner TM, Torga-Spak R, Teitge RA. Medial patellofemoral ligament reconstruction in patients with lateral patella instability and trochlear dysplasia. Am J Sports Med. 2006;34:1254-61.

    Article  PubMed  Google Scholar 

  29. Thaunat M, Erasmus PJ. The favourable anisometry: an original concept for medial patellofemoral ligament reconstruction. Knee. 2007;9:3-6.

    Google Scholar 

  30. Thaunat M, Erasmus PJ. Recurrent patella dislocation after medial patellofemoral reconstruction. Knee Surg Sports Traumatol Arthrosc. 2008;16:40-3.

    Article  PubMed  Google Scholar 

  31. Thaunat M, Erasmus PJ. Management of overtight medial patellofemoral ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2009;17:480-3.

    Article  PubMed  Google Scholar 

  32. Toritsuka Y, Horibe S, Hiro-Oka A, et al. Medial marginal fracture of the patella following patellar dislocation. Knee. 2007;14:429-33.

    Article  PubMed  Google Scholar 

  33. Victor J, Wong P, Witvrouw E, et al. How isometric are the medial patellofemoral, superficial medial collateral, and lateral collateral ligaments of the knee? Am J Sports Med. 2009;37:2028-36.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. University of Stellenbosch, Mediclinic, Die Boord, Stellenbosch, South Africa

    Pieter J. Erasmus

Authors
  1. Pieter J. Erasmus
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mathieu Thaunat
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Pieter J. Erasmus .

Editor information

Editors and Affiliations

  1. Depto. Cirugia Ortopédica, Hospital Arnau de Vilanova, c/San Clemente 12, Valencia, 46015, Spain

    Vicente Sanchis-Alfonso

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag London

About this chapter

Cite this chapter

Erasmus, P.J., Thaunat, M. (2013). Reconstruction of the Medial Patellofemoral Ligament: Complications After Medial Patellofemoral Ligament Reconstruction. In: Sanchis-Alfonso, V. (eds) Patellar Instability Surgery in Clinical Practice. Springer, London. https://doi.org/10.1007/978-1-4471-4501-1_1

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-4501-1_1

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4500-4

  • Online ISBN: 978-1-4471-4501-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation