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Minimal invasive medial patellofemoral ligament reconstruction using quadriceps tendon with de novo technique and arthroscopic guided: A case report.
Dasril, Demy Faheem; Hadi, Ivana Ariella Nita; Guntara, Aswin.
Afiliación
  • Dasril DF; Sport and Arthroscopy Division, Department of Orthopaedic and Traumatology, Mayapada Hospital Kuningan, Jakarta, Indonesia.
  • Randy; General Practitioner, Orthopaedic Intern, Department of Orthopaedic and Traumatology, Mayapada Hospital Kuningan, Jakarta, Indonesia. Electronic address: dr.randysamsul@gmail.com.
  • Hadi IAN; General Practitioner, Orthopaedic Intern, Department of Orthopaedic and Traumatology, Mayapada Hospital Kuningan, Jakarta, Indonesia.
  • Guntara A; General Practitioner, Orthopaedic Intern, Department of Orthopaedic and Traumatology, Mayapada Hospital Kuningan, Jakarta, Indonesia.
Int J Surg Case Rep ; 122: 110144, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39128217
ABSTRACT

INTRODUCTION:

Medial Patellofemoral ligament (MPFL) reconstruction, the primary procedure for restoring patellar stability and preventing further dislocation, has seen numerous methods and grafts. However, a consensus on the technique and graft remains elusive. This study introduces a novel approach to MPFL reconstruction, utilizing a unique combination of minimal invasiveness, de novo method, and arthroscopic guidance to harvest a quadriceps tendon (QT) graft without the need for a harvesting tool. CASE ILLUSTRATION A 37-year-old female presented to the emergency room with the chief complaints of left knee pain and swelling following the third spontaneous dislocation of the patella. The patient had a few episodes of locking sensation and instability of the left knee while walking, especially while climbing stairs. A knee MRI revealed MPFL tear in the left knee. A modified minimal invasive MPFL reconstruction technique was performed. The IKDC, Lysholm, and Modified Cincinnati scores improved significantly from preoperatively 48.3 %, 49 %, and 51 % to 89.7 %, 90 %, and 95 % consecutively. No recurrent patellar dislocations or swelling were reported during follow-up.

DISCUSSION:

While quadriceps graft harvesting for MPFL reconstruction is typically highly invasive, using quadriceps tendons has consistently shown excellent outcomes. This study, however, takes it a step further by demonstrating that a minimally invasive procedure for harvesting quadriceps tendons, even without specialized instrumentation, can also yield excellent results.

CONCLUSION:

MPFL reconstruction using superficial quadriceps tendon autograft can be achieved using a minimally invasive technique without the use of specialized instrumentation and has shown excellent knee functional improvement.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Surg Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Indonesia Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Surg Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Indonesia Pais de publicación: Países Bajos