Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
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Editorial Comment
Editorial Commentary: As Nature Intended: Will Inclusion of the Medial Patellotibial Ligament Create a Better Medial Patellofemoral Complex Reconstruction?
The medial patellofemoral complex, composed predominantly of the medial patellofemoral ligament, plays an important role in patellar tracking and stability. Medial patellofemoral ligament reconstruction is accordingly one of the most broadly applied surgical techniques for treating patellar instability. ⋯ The medial patellotibial ligament clearly serves an important supporting role in patellar tracking and stability, particularly in early flexion, and its inclusion in medial soft-tissue reconstructions more closely restores native patella tracking. Whether reconstructions incorporating the medial patellotibial ligament will translate to improved outcomes remains unclear.
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To compare the return-to-sport rate, functional outcomes, and complications of the "classic Latarjet" surgery with those of the "congruent arc Latarjet" surgery in athletes with recurrent glenohumeral instability and failed previous stabilization procedures. ⋯ Retrospective comparative study; Level of evidence, 3.
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To investigate the isolated and combined effects of medial patellofemoral ligament (MPFL) and medial patellotibial ligament (MPTL) deficiency and reconstruction on patellofemoral kinematics. ⋯ This study provides further understanding of the role of the MPFL and MPTL on patellofemoral motion with implications for reconstruction to improve stability and optimize patellofemoral tracking.