Simultaneous Reconstruction of Ruptured Anterior Cruciate Ligament and Medial Patellofemoral Ligament With Ipsilateral Quadriceps Grafts.
Summary of "Simultaneous Reconstruction of Ruptured Anterior Cruciate Ligament and Medial Patellofemoral Ligament With Ipsilateral Quadriceps Grafts."
Rupture of the anterior cruciate ligament is a well-known entity and causes anteroposterior and rotational instability of an injured knee. Rupture of the medial patellofemoral ligament is less frequent, and its insufficiency causes patellar instability. Several techniques have been described for the reconstruction of each ligament. The 2 lesions and following instabilities can coexist, and both ligaments can be reconstructed simultaneously. We report on 2 cases, 1 recreational sportswoman and 1 high-level sportswoman, with coexisting lesions treated surgically by a single-step procedure using ipsilateral graft of the quadriceps tendon for reconstruction of medial patellofemoral ligament and anterior cruciate ligament. The advantage of this procedure is that there is only 1 donor site, and thus lower donor-site morbidity, while the strength of either neoligament is not sacrificed. The technique is described here.
Affiliation
Journal Details
This article was published in the following journal.
Name: Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North Ameri
ISSN: 1526-3231
Pages: 1258-1262
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20810082
- DOI: http://dx.doi.org/10.1016/j.arthro.2010.06.018
Medical and Biotech [MESH] Definitions
Bone-patellar Tendon-bone Graft
Fixation of the ANTERIOR CRUCIATE LIGAMENT, during surgical reconstruction, by the use of a bone- patellar tendon autograft.
Posterior Cruciate Ligament
A strong ligament of the knee that originates from the anterolateral surface of the medial condyle of the femur, passes posteriorly and inferiorly between the condyles, and attaches to the posterior intercondylar area of the tibia.
Medial Collateral Ligament, Knee
The ligament that travels from the medial epicondyle of the FEMUR to the medial margin and medial surface of the TIBIA. The medial meniscus is attached to its deep surface.
Anterior Cruciate Ligament
A strong ligament of the knee that originates from the posteromedial portion of the lateral condyle of the femur, passes anteriorly and inferiorly between the condyles, and attaches to the depression in front of the intercondylar eminence of the tibia.
Sprains And Strains
A collective term for muscle and ligament injuries without dislocation or fracture. A sprain is a joint injury in which some of the fibers of a supporting ligament are ruptured but the continuity of the ligament remains intact. A strain is an overstretching or overexertion of some part of the musculature.
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