Operative Orthopadie und Traumatologie · 2025
[Synthetic medial patellofemoral ligament reconstruction in the surgical management of patellar instability].
Аннотация на английскомСтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Balcarek Peter, Milinkovic Danko Dan, Zimmermann Felix
Аннотация
OBJECTIVE: Restoration of passive medial stability of the patella by reconstruction/augmentation of the medial patellofemoral ligament complex.
INDICATIONS: Treatment of first-time patellar dislocation requiring surgery and recurrent dislocation as an isolated procedure or in combination with concomitant osseous intervention.
CONTRAINDICATIONS: Patellofemoral pain without objective instability/dislocation of the patella; known material intolerance.
SURGICAL TECHNIQUE: A synthetic ligament is inserted in a V-shaped fashion into the second layer of the medial retinaculum via a 2-incision technique after soft tissue fixation in the area of the patellar medial patellofemoral complex (MPFC) and fixed at the femoral insertion using an interference screw.
POSTOPERATIVE MANAGEMENT: Partial weight-bearing for 2-3 weeks as tolerated; active and passive exercises without restriction of range of motion; immediate exercises for quadriceps muscle control, and coordinative exercises as well as stabilization of the functional pelvis-leg axis after full weight-bearing is achieved.
RESULTS: The clinical results in the literature consistently show significant improvements in the patient-reported outcome measures and are so far-along with the biomechanical data-comparable with those of autologous tendon reconstruction.
INDICATIONS: Treatment of first-time patellar dislocation requiring surgery and recurrent dislocation as an isolated procedure or in combination with concomitant osseous intervention.
CONTRAINDICATIONS: Patellofemoral pain without objective instability/dislocation of the patella; known material intolerance.
SURGICAL TECHNIQUE: A synthetic ligament is inserted in a V-shaped fashion into the second layer of the medial retinaculum via a 2-incision technique after soft tissue fixation in the area of the patellar medial patellofemoral complex (MPFC) and fixed at the femoral insertion using an interference screw.
POSTOPERATIVE MANAGEMENT: Partial weight-bearing for 2-3 weeks as tolerated; active and passive exercises without restriction of range of motion; immediate exercises for quadriceps muscle control, and coordinative exercises as well as stabilization of the functional pelvis-leg axis after full weight-bearing is achieved.
RESULTS: The clinical results in the literature consistently show significant improvements in the patient-reported outcome measures and are so far-along with the biomechanical data-comparable with those of autologous tendon reconstruction.