Abstract
The etiology of the patellar instability involves multiple factors and it can often be successfully managed with conservative treatment. This is particularly so in cases of primary dislocation. If there is no clinical improvement with nonoperative management, surgery may be considered especially in cases of recurrent patellar dislocation. In these patients, a complete physical examination and some imaging studies are mandatory.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Christiansen S, Jakobsen B, Lund B, et al. Repair of the medial patellofemoral ligament in primary dislocation of the patella: a prospective randomized study. Arthroscopy. 2008;24:881-887.
Fulkerson JP. Anteromedialization of the tibial tuberosity for patellofemoral malalignment. Clin Orthop Relat Res. 1983;177:176-181.
Fulkerson JP, Becker GJ, Meaney JA, et al. Anteromedial tibial tubercle transfer without bone graft. Am J Sports Med. 1990;18:490-496.
Hamner DL, Brown CH Jr, Steiner ME, et al. Hamstring tendon grafts for reconstruction of the ACL: biomechanical evaluation of the use of multiple strands and tensioning techniques. J Bone Joint Surg. 1999;81-A:549-557.
Melegari T, Parks B, Matthews L. Patellofemoral contact area and pressure after medial patellofemoral ligament reconstruction. Am J Sports Med. 2008;36:747-752.
Mountney J, Senavongse W, Amis A, et al. Tensile strength of the medial patellofemoral ligament before and after repair or reconstruction. J Bone Joint Surg. 2005;87-B:36-40.
Nomura E, Inoue M, Osada N. Anatomical analysis of the medial patellofemoral ligament of the knee, especially the femoral attachment. Knee Surg Sports Traumatol Arthrosc. 2005;13:510-515.
Ostermeier S, Holst M, Bohnsack M, et al. In vitro kinematics following reconstruction of the medial patellofemoral ligament. Knee Surg Sports Traumatol Arthrosc. 2007;15:276-285.
Panagopoulos A, van Niekerk L, Triantafillopoulos IK. MPFL reconstruction for recurrent patella dislocation: a new surgical technique and review of the literature. Int J Sports Med. 2008;29:359-365.
Phillippot R, Chouteau J, Wegrzyn J, et al. Medial patellofemoral ligament anatomy: implications for its surgical reconstruction. Knee Surg Sports Traumatol Arthrosc. 2009;17:475-479.
Redziniak D, Diduch D, Mihalko W, et al. Patellar instability. J Bone Joint Surg. 2009;91-A:2264-2275.
Sallay PI, Poggi J, Speer KP, et al. Acute dislocation of the patella; a correlative pathoanatomic study. Am J Sports Med. 1996;24:52-60.
Schöttle P, Fucentese S, Romero J. Clinical and radiological outcome of medial patellofemoral ligament reconstruction with a semitendinosus autograft for patella instability. Knee Surg Sports Traumatol Arthrosc. 2005;13:516-521.
Smirk C, Morris H. The anatomy and reconstruction of the patellofemoral ligament. Knee. 2003;10:221-227.
Thaunat M, Erasmus P. Management of overtight medial patellofemoral ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2009;17:480-483.
Warren L, Marshall J. The supporting and layers on the medial side of the knee. J Bone Joint Surg. 1979;61-A:56-62.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer-Verlag London Limited
About this chapter
Cite this chapter
Monllau, J.C., Pelfort, X., Gelber, P., Tey, M. (2011). Combined Tibial Tubercle Realignment and MPFL Reconstruction. In: Sanchis-Alfonso, V. (eds) Anterior Knee Pain and Patellar Instability. Springer, London. https://doi.org/10.1007/978-0-85729-507-1_39
Download citation
DOI: https://doi.org/10.1007/978-0-85729-507-1_39
Published:
Publisher Name: Springer, London
Print ISBN: 978-0-85729-506-4
Online ISBN: 978-0-85729-507-1
eBook Packages: MedicineMedicine (R0)