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BioMed Research International
Volume 2013 (2013), Article ID 637678, 5 pages
http://dx.doi.org/10.1155/2013/637678
Clinical Study

An Isolated Medial Patellofemoral Ligament Reconstruction with Patellar Tendon Autograft

1Department of Reconstructive Surgery and Arthroscopy of the Knee, Medical University of Łódź, 91-002 Łódź, 75 Drewnowska, Poland
2Clinic of Orthopaedics and Paediatric Orthopaedic, Medical University of Łódź, 91-002 Łódź, 75 Drewnowska, Poland

Received 7 May 2013; Accepted 5 September 2013

Academic Editor: René Verdonk

Copyright © 2013 Dariusz Witoński et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The aim of the study was to evaluate the results of the medial patellofemoral ligament reconstruction with a medial strip of patellar tendon autograft after a minimum 2-year followup. Ten patients (10 knees) were operated on by one surgeon, according to the modified technique, described by Camanho, without any bone plug at free graft end. The mean age of the patients was 27.2 years (ranging from 18 to 42 years). The mean follow-up period was 3 years and 7 months. All patients were reviewed prospectively. At the last follow-up visit, all the patients demonstrated a significant improvement in terms of patellofemoral joint stability, all aspects of the KOOS questionnaire, and Kujala et al.’s score (59.7 points preoperatively and 84.4 points at the last followup). No patient revealed recurrent dislocation. The SF-36 score revealed a significant improvement in bodily pain, general health, physical role functioning, social role functioning, and physical functioning domains. The described MPFL reconstruction with the use of the medial 1/3rd of patella tendon is an effective procedure that gives satisfactorily patellofemoral joint functions, improves the quality of life, and provides much pain relief. It is relatively simple, surgically not extensive, and economically cost-effective procedure.