Medial patellofemoral ligament reconstruction with Gracilis tendon in traumatic recurrent dislocation of patella: A prospective clinical study of 30 cases MPFL reconstruction in traumatic recurrent dislocation of patella

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Published Sep 28, 2020
DOI: https://doi.org/10.18103/mra.v8i9.2217

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Main Article Content

Amit lakhani, MS Orthopaedics
Professor, Maharishi Markendeshwar Medical College And Hospital Solan HP
Ena Sharma, MDS Periodontics
Associate Professor Maharishi Markandeshwar college of dental sciences and Hospital Mullana, Ambala Haryana
SM Bhatnagar, MS Orthopaedics
HOD & Prof, Maharishi Markandeshwar medical college and hospital, Solan HP

Abstract

Background


Recurrent dislocation of the patella is a challenging problem due to complex biomechanics of patellar stabilty. Reconstruction of Medial patellofemoral ligament (MPFL) is becoming a common surgical procedure in treating patellar instability.Patella apprehension test, q angle and Insall index are various parameters which helps in deciding the line of treatment..


 


Material and method


MPFL reconstruction was performed using gracilis graft and fixed on patella by making a loop using two tunnels in 30 patients. The femoral side was fixed with bio screw. Patients were evaluated for pain relief, functional improvement and radiographic analysis The patients were followed on an average mean of 28 (16-40) months Patient function measures included:with subjective criteria of Kujala score and Lysholm score.


 


Result


The mean preoperative mean Kujala score was 33.93 and Lysholm score was 36.92. The mean postoperative mean Kujala score was 83.22 and Lysholm score was 84.88. No patient had reported with redislocation till date.


 


Conclusion


There was no episode of recurrent dislocation and range of motion was normal in all cases. This method gives rigid fixation on both sides and provides adequate stability.

Keywords: MPFL, q angle, Insall index, apprehension test

Article Details

How to Cite
LAKHANI, Amit; SHARMA, Ena; BHATNAGAR, SM. Medial patellofemoral ligament reconstruction with Gracilis tendon in traumatic recurrent dislocation of patella: A prospective clinical study of 30 cases. Medical Research Archives, [S.l.], v. 8, n. 9, sep. 2020. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/2217>. Date accessed: 22 dec. 2024. doi: https://doi.org/10.18103/mra.v8i9.2217.
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Issue
Vol 8 No 9 (2020): Vol.8 Issue 9, September, 2020
Section
Research Articles

The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.

 

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