Combined Reconstruction of the Medial Patellofemoral Ligament With Quadricipital Tendon and the Medial Patellotibial Ligament With Patellar Tendon

Betina Bremer Hinckel; Riccardo Gomes Gobbi; Marco Kawamura Demange; Marcelo Batista Bonadio; José Ricardo Pécora; Gilberto Luis Camanho

doi:10.1016/j.eats.2015.10.004

Combined Reconstruction of the Medial Patellofemoral Ligament With Quadricipital Tendon and the Medial Patellotibial Ligament With Patellar Tendon

Arthrosc Tech. 2016 Jan 25;5(1):e79-84. doi: 10.1016/j.eats.2015.10.004. eCollection 2016 Feb.

Authors

Betina Bremer Hinckel¹, Riccardo Gomes Gobbi¹, Marco Kawamura Demange¹, Marcelo Batista Bonadio¹, José Ricardo Pécora¹, Gilberto Luis Camanho¹

Affiliation

¹ Institute of Orthopedics and Traumatology, Clinical Hospital, Medical School, University of São Paulo, São Paulo, Brazil.

Abstract

Although the medial patellotibial ligament (MPTL) has been neglected regarding its function in patellar stability, recently, its importance in terminal extension and during flexion has been recognized. Indications for reconstruction of the medial patellofemoral ligament combined with the MPTL are extension subluxation, flexion instability, children with anatomic risk factors for patellar instability, and knee hyperextension associated with generalized laxity. We describe a combined reconstruction of the medial patellofemoral ligament with quadricipital tendon and reconstruction of the MPTL with patellar tendon autografts.