Reconstruction of Medial Patellofemoral Ligament in the Treatment of Recurrent Patellar Instability using Hamstring Autograft by Dual Patella Docking Technique: A Comparative Review

Samir Zahed, Hossam El Begawy, E. Bayomy, Sherif Eltregy, Ahmed Atallah
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Abstract

Background: Recurrent patellar instability is a difficult condition that frequently necessitates surgical treatment for effective management. Reconstruction of the medial patellofemoral ligament (MPFL) has become the standard surgical approach for restoring patellofemoral stability and enhancing functional results. Objective: The purpose of this research is to assess the early outcomes of MPFL reconstruction using hamstring autograft using the dual patella docking technique for the treatment of recurrent patellar instability. Conclusions: In the surgical treatment of recurrent patellar instability, MPFL reconstruction with hamstring autograft via the dual patella docking technique shows promise. The use of hamstring autograft provides sufficient strength and anatomical resemblance to the native MPFL while limiting morbidity at the donor location. The twin patella docking approach offers benefits in terms of graft attachment and tensioning, which contribute to superior outcomes.
使用腘绳肌自体移植物通过双髌骨对接技术重建髌股内侧韧带治疗复发性髌骨不稳:比较综述
背景:复发性髌骨不稳是一种难以治愈的疾病,通常需要通过手术治疗才能有效控制。重建髌股关节内侧韧带(MPFL)已成为恢复髌股关节稳定性和提高功能效果的标准手术方法。研究目的本研究的目的是评估使用腘绳肌自体移植物和双髌骨对接技术重建 MPFL 治疗复发性髌骨不稳的早期疗效。研究结论在复发性髌骨不稳的手术治疗中,通过双髌骨对接技术使用腘绳肌自体移植物进行 MPFL 重建具有良好的前景。使用腘绳肌自体移植物可提供足够的强度,在解剖学上与原生 MPFL 相似,同时限制供体位置的发病率。双髌骨对接方法在移植物附着和张力方面具有优势,有助于取得更好的疗效。
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