LIGAMENT WHICH DESERVES ATTENTION – MEDIAL PATELLOFEMORAL LIGAMENT
Autori:
Ivan Bojanić, Alan Mahnik, Mislav Jelić, Mario Josipović, Tomislav Smoljanović
Sažetak
Istraživanja medijalnoga patelofemoralnog ligamenta (MPFL) došla su u žarište interesa tijekom posljednjih petnaestak godina. Razlog tomu su činjenice što je MPFL primarni medijalni pasivni stabilizator patele i što je gotovo uvijek ozlijeđen nakon primarne luksacije patele. Mehanička su mu svojstva nakon ozljede narušena i nikada se ponovno ne postiže njegova puna funkcija. Brojne kirurške tehnike rekonstrukcije MPFL-a opisane su u literaturi. U ovom članku dan je detaljan pregled suvremenih spoznaja o anatomiji i biomehanici MPFL-a. Prikazane su različite tehnike rekonstrukcije MPFL-a s posebnim osvrtom na metodu rekonstrukcije MPFL-a dijelom tetive kvadricepsa koju i rabimo u svojoj ustanovi.
Summary
There has been increasing interest in investigating the medial patellofemoral ligament (MPFL) during the last fifteen years. This is due to the recognition of the MPFL as the primary static soft-tissue restraint to lateral patellar displacement and the association of MPFL injury with primary traumatic patellar dislocation. The MPFL often heals poorly and thus rarely regains its full function. Numerous surgical techniques have been described for reconstruction of this important structure. This paper reviews the relevant anatomy and biomechanics, published reconstruction options, and describes the surgical technique performed at our institution – that of using a quadriceps autograft to reconstruct the MPFL.
