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Year : 2014  |  Volume : 48  |  Issue : 5  |  Page : 505-506

Cartilage, Arthroscopy and Knee Surgeon

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Date of Web Publication2-Sep-2014

How to cite this article:
Goyal D. Commentary. Indian J Orthop 2014;48:505-6

How to cite this URL:
Goyal D. Commentary. Indian J Orthop [serial online] 2014 [cited 2019 Dec 6];48:505-6. Available from:
MPFL reconstruction has gained popularity in recent years, mainly because of a very high success rate over previously prevalent realignment procedures. However as with any new method, several techniques of doing MPFL reconstruction have been advocated. These techniques use different graft material like quadriceps, hamstrings or adductor magnus tendons.[1],[2] There is also difference in methods depending on patellar and femoral bony procedure and hardware used.[2] Almost all the technique in literature give satisfactory results as far as redislcoation is concerned. However there is little discussion on complication rates of various procedures. Also there is a very thin subjective line between persistent apprehension and persistent maltracking. A maltracking patella can lead to gradual subluxation and then dislocation[3] or on the other hand can cause patellofemoral arthritis.[3] Surgeon must choose a technique that is user friendly, anatomical and biomechanical compatible and with minimum or no complications.[4],[5] Long term results are still awaited in world literature to confirm the best method.

   References Top

1.Christiansen SE, Jacobsen BW, Lund B, Lind M. Reconstruction of the medial patellofemoral ligament with gracilis tendon autograft in transverse patellar drill holes. Arthroscopy 2008;24:82-7.   Back to cited text no. 1
2.Goyal D. Medial patellofemoral ligament reconstrcutiion: The Superficial Quad Technique. Am J Sports Med 2013;41:1022-9.   Back to cited text no. 2
3.Fukushima K, Horaguchi T, Okano T, Yoshimatsu T, Saito A, Ryu J. Patellar dislocation: Arthroscopic patellar stabilization with anchor sutures. Arthroscopy 2004;20:761-4.   Back to cited text no. 3
4.Thaunat M, Erasmus PJ. Recurrent patellar dislocation after medial patellofemoral ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 2008;16:40-3.   Back to cited text no. 4
5.Thaunat M, Erasmus PJ. Management of overtight medial patellofemoral ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 2009;17:480-3.  Back to cited text no. 5

Correspondence Address:
Deepak Goyal
Cartilage, Arthroscopy and Knee Surgeon

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Source of Support: None, Conflict of Interest: None

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