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MPFL Reconstruction for Recurrent Patellar Dislocation with Cadaver's Allograft

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MPFL Reconstruction for Recurrent Patellar Dislocation with Cadaver's Allograft
Lukasz Matuszewski and Andrzej Ciszewski, Pediatric Orthopedic and Rehabilitation Department, Medical University, Lublin Poland

Objective:
Background: Patellar instability is a common clinical problem affecting child and adolescents. Reconstruction of the patellofemoral ligament (MPFL), has become increasingly popular. Since now numerous surgical procedures have been described in the literature. The aim of this presentation was to present and determine the effectiveness of MPFL reconstruction for patellar dislocation with allograft. Hypothesis: MPFL reconstruction with allograft for patellar dislocation leads to a low redislocation rate with good or very good outcome. Methods and
Results: We present the clinical results in a case series of 15 medial patellofemoral ligament reconstructions in 14 patients with up to 36 months follow-up (mean: 8,2). Reconstruction was performed using allograft. Conclusion: Analysis of 15 case series shows that MPFL reconstruction with allograft for recurrent patellar dislocation results in a significant improvement in Kujala scores, a low redislocation rate, and no serious complication. Described techniquw provided good post-operative stability restoring the primary soft tissue restraint with no complications of post-operative patellar fracture. Keywords: medial patellofemoral ligament (MPFL) reconstruction; patellar dislocation.
Objective: Discuss and demonstrate.Objective Content: Review; Level of evidence, 4.


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