SciELO - Scientific Electronic Library Online

vol.7 número2 índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados



Links relacionados

  • En proceso de indezaciónCitado por Google
  • En proceso de indezaciónSimilares en Google


SA Orthopaedic Journal

versión On-line ISSN 2309-8309
versión impresa ISSN 1681-150X

SA orthop. j. vol.7 no.2 Centurion abr./jun. 2008




A philosophy and technique for reconstruction of the medial patellofemoral ligament



Dr PJ Erasmus; Dr M Thaunat

Department of Orthopaedic Surgery, Knee Clinic, Tygerberg Hospital, University of Stellenbosch





Our philosophy is to restore the patella to its original position and stability prior to dislocation and rupture of the medial patellofemoral ligament (MPFL). This approach is based on the established principle that "form follows function''.



“Full text available only in PDF format”




1. Eckhoff DG, Brown AW, Kilcoyne RF, Stamm ER. Torsion of the knee associated with anterior knee pain. CORR 1997;339:152-5.         [ Links ]

2. Tardieu C, Dupont J-Y. Origine des dysplasies de la trochlea femorale. Revue Dechirurgie Orthopedique 2001; 87:373-83.         [ Links ]

3. Fucentese SF, von Roll A, Koch PP, Epari DR, Fuchs B, Schottle S. The patella morphology in trochlea dysplasia - a comparative study. Knee 2006;13(2):145-50.         [ Links ]

4. Staeubli HU, Bosshard C, Porcellini P, Rauschning W. Magnetic resonance imaging for articular cartilage: cartilage-bone mismatch. Clin Sports Med 2002;21:417-33.         [ Links ]

5. Shih YF, Bull AM, Amis AA. The cartilaginous and osseous geometry of the femoral trochlea groove. Knee Surg Sports Traumatol Arthrosc 2004;12:300-6.         [ Links ]

6. Heegard J, Leyvraz PF, Van Kampen A, Rakotomanana L, Rubin PJ, Blankevoort L. Influence of soft tissue structure on patella three-dimensional tracking. CORR 1994;299:235-43.         [ Links ]

7. Hautmaa PV , Fithian DC, Kaufman KR, Daniel DM. Medial soft tissue restraints in lateral patellar instability and repair. Clinical Orthopedics and Related Research 1998;349:174-82.         [ Links ]

8. Desio SM, Burks RT, Bachus KN. Soft tissue restraints to lateral patellar translation in the human knee. The American Journal of Sports Medicine 1998;26(1):59-65.         [ Links ]

9. Steensen RN, Dopirak RM, McDonald WG 3rd.The anatomy and isometry of the medial patellofemoral ligament. The American Journal of Sport Medicine 2004;32(6):1509-13.         [ Links ]

10. Smirk C, Morris H. The anatomy and reconstruction of the medial patellofemoral ligament. Knee 2003;10:221-7.         [ Links ]

11. Erasmus PJ. Reconstruction of the medial patellofemoral ligament in recurrent dislocation of the patella. ISAKOS Buenos Aires May 1997. Arthroscopy Suppl 1998;14:42.         [ Links ]

12. Elias JJ, Cosgarea AJ. Technical errors during medial patellofemoral ligament reconstruction could overload the medial patellofemoral cartilage: a computational analysis. AJSM 2006;34(9):1478-85.         [ Links ]

13. Thaunat M, Erasmus PJ. Favourable anisometry: An original concept for MPFL reconstruction. Knee 2007;14:424-8.         [ Links ]

14. Luo ZP, Sakai N, Rand JA, An KN. Tensile stress of the lateral patellofemoral ligament during knee motion. The American Journal of Knee Surgery 1997;10(3):139-44.         [ Links ]

15. Ishibashi Y, Okamura Y, Otsuka H, Tsuda E, Toh S. Lateral patellar retinaculum tension in patella instability. Clinical Orthopedics and related research 2002; 397:362-9.         [ Links ]

16. Sallay PI, Poggi J, Speer KP, Garrett WE. Acute dislocation of the patella: A correlative patho-anatomic study. The American Journal of Sports Medicine 1996;24:52-60.         [ Links ]

17. Garth WP. Delayed proximal repair of the medial patellofemoral ligament in patients with recurrent patellar instability. Clin Orth 2000;377:132-44.         [ Links ]

18. Neyret P. Patella tendon length: the factor in patellar instability? Knee 2002;9(1):3-6.         [ Links ]

19. Nikku R. Operative versus closed treatment of primary dislocation of the patella. Acta Orthopedica Scandinavia 1997;68(5):419- 23.         [ Links ]

20. Mountney J, Senavongse W, Amis AA, Thomas NP. Tensile strength of the medial patellofemoral ligament before and after repair or reconstruction. JBJS 2005;87b(1):36-40.         [ Links ]

21. Hamner DL, Brown CH, Steiner ME, Hecker AT, Hayes WC. Hamstring tendon grafts for reconstruction of the anterior cruciate ligament: Biomechanical evaluation of the use of multiple strands and tensioning techniques. JBJS 1999;81(A):549-57.         [ Links ]

22. Bernageau J, Goutallier D. Examin radiologique de l'articulation femoro-patellaire: Actualités rheumatologiques. Expansion scientifique francaise 1984:105-10.         [ Links ]

23. Biedert RM, Albrecht S. The patello trochlear index: a new index for assessing patellar height. Knee Surg Sports Traumatol Arthroscopy 2006;14:707-12.         [ Links ]

24. Thaunat M, Erasmus PJ. Recurrent patellar dislocation after medial patellofemoral ligament reconstruction. Knee Surg Sports Traumatol Arthroscopy 2008;16:40-3.         [ Links ]



Dr PJ Erasmus
Tel: (021) 882-8210; Fax: (021) 882-9915

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons