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Open Access Highly Accessed Technical advance

Medial patellofemoral ligament reconstruction: a new technique

Michael R Carmont and Nicola Maffulli*

Author Affiliations

Department of Trauma and Orthopaedics, University Hospital of North Staffordshire, Keele University School of Medicine, Stoke on Trent, ST7 4QG UK

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BMC Musculoskeletal Disorders 2007, 8:22  doi:10.1186/1471-2474-8-22

Published: 28 February 2007

Abstract

Background

Primary patellofemoral dislocations are common. In most patients, non-operative management produces satisfactory outcome. If the dislocation recurs after a trial of rehabilitation, operative intervention is considered, with the aim of restoring the soft tissue anatomy to normal. Ninety four percent of patients suffer a tear to the medial patellofemoral ligament (MPFL) following a patellar dislocation.

Results

We describe our transverse patella double tunnel technique to reconstruct the medial patellofemoral ligament using a free autologous gracilis or semitendinous graft.