Macedonian Journal of Medical Sciences. 2012 Dec
15;
5(4):444-452.
http://dx.doi.org/10.3889/MJMS.1957-5773.2012.0259
Review Article
Patelar Instability: Medial Patellofemoral
Ligament Reefing Versus Medial Patellofemoral Ligament Reconstruction
Alan Andonovski
University Clinic for Orthopaedic Surgery, Faculty of Medicine, Ss. Cyril
and Methodius University Skopje, Republic of Macedonia
Although more than 100 operative procedures have been described for the
treatment of patellar instability, there is no single universally successful
procedure. Careful physical and imaging examination should be performed
before the most appropriate operative treatment is chosen. For the patients
with patellar instability, who have normal tibial tubercle-trochlear groove
(TT-TG) distance, normal patellar height and no marked trochlear dysplasia
medial patellofemoral ligament (MPFL) reefing or reconstruction is
recomended. In patients who have an increased TT-TG distance or patella alta,
distal realignment procedures are used. Because studies have shown that MPFL
is the most significant passive stabilizer of the patella, and because they
have shown that MPFL is disrupted in majority of patellar dislocation cases
most of the authors recommend reefing or reconstruction of the MPFL for the
treatment of patellar instability. The purpose of this review is to give an
overview of the etiology, diagnosis and treatment of patellar instability
determining whether MPFL reefing or MPFL reconstruction is a suitable
procedure for the most patients with patellar instability.
..................
Citation: Andonovski A. Patelar Instability: Medial Patellofemoral
Ligament Reefing Versus Medial Patellofemoral Ligament Reconstruction. Maced
J Med Sci. 2012 Dec 15; 5(4):444-452. http://dx.doi.org/10.3889/MJMS.1857-5773.2012.0259.
Key words: patellar instability; operative procedures; tibial
tubercle-trochlear groove (TT-TG) distance; marked trochlear dysplasia;
medial patellofemoral ligament (MPFL); review.
Correspondence: Alan Andonovski, MD. University Clinic for
Orthopaedic Surgery, Faculty of Medicine, University “Ss. Cyril and
Methodius”, Skopje, Republic of Macedonia. Tel.: +389 70 261624. E-mail:
alanandonovski@t-home.mk
Received: 19-Jun-2012; Revised: 29-Jun-2012; Accepted: 26-Aug-2012; Online
first: 26-Oct-2012
Copyright: © 2012 Andonovski A. This is an open access article
distributed under the terms of the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any
medium, provided the original author and source are credited.
Competing Interests: The authors have declared that no competing
interests exist.
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