• Knee Surg Sports Traumatol Arthrosc · Aug 2012

    Patellar dislocation in skeletally immature patients: semitendinosous and gracilis augmentation for combined medial patellofemoral and medial patellotibial ligament reconstruction.

    • Marco Giordano, Francesco Falciglia, Angelo Gabriele Aulisa, and Vincenzo Guzzanti.
    • Orthopaedics and Traumatology Division, Bambino Gesù Children's Hospital, Institute of Scientific Research, Piazza San Onofrio 4, 00165, Rome, Italy. marco.giordano@opbg.net
    • Knee Surg Sports Traumatol Arthrosc. 2012 Aug 1; 20 (8): 1594-8.

    PurposePatellar instability is a frequent condition in children and adolescents. The problem can be associated with malalignment resulting from different anatomical abnormalities. Several surgical procedures have been suggested for recurrent patellar dislocation consequent to failed conservative treatment.MethodsWe present an original surgical procedure for reconstructing both the medial patellofemoral (MPFL) and medial patellotibial ligaments (MPTL) by semitendinosus (ST) tendon with gracilis (G) autograft augmentation in skeletally immature patients with recurrent patellar dislocation.ResultsThis technique is effective and permits satisfactory patellar congruency documented by static and dynamic CT.ConclusionsThe operation is associated with optimal functional results and is minimally invasive, causing no growth disturbance.Level Of EvidenceExpert opinion, Level V.

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