|
KMID : 0828620060100020214
|
|
Journal of Korean Arthroscopy Society
2006 Volume.10 No. 2 p.214 ~ p.218
|
|
|
Arthroscopic Medial Plication using Pull-out Suture for the Treatment of Acute or Recurrent Patellar Dislocation -Technical Note-
|
|
Ahn Jin-Hwan
Ha Hae-Chan
Kim Jae-Hoon
|
|
|
Abstract
|
|
|
Purpose:We describe a new technique of arthroscopic medial plication using pull-out suture with consideration of anatomical location of medial patellofemoral ligament for the treatment of acute or recurrent patellar dislocation.
Operative technique:Under arthroscopic examination, sutures are passed through the medial capsule, at which medial patellofemoral ligament is located, from outside to inside of knee joint. Three guide wires are inserted from anterior surface of the patella to upper half of its medial border. Intraarticular portions of sutures are pulled out toward anterior surface of the patella through bony tunnels. Under appropriate tension, the sutures are tied after performing lateral retinacular release.
Conclusions:As suturing medial patellofemoral ligament, this technique can maximize the effect of medial plication and can correct subluxation and tilt of the patella. It seems to be a minimally invasive, easy and effective method for the treatment of acute or recurrent patellar dislocation.
|
|
|
KEYWORD
|
|
|
Patellar dislocation, Medial patellofemoral ligament, Pull-out suture, Arthroscopic medial plication
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|