Semitendinosus Tendon Transfer Associated With Distal Alignment for Patella Alta in a Patient With Recurrent Dislocations Filippo Calderazzi, M.D., Andrea.

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Semitendinosus Tendon Transfer Associated With Distal Alignment for Patella Alta in a Patient With Recurrent Dislocations Filippo Calderazzi, M.D., Andrea Pellegrini, M.D., Gianluca Coviello, M.D., Giulia Groppi, M.D., Francesco Ceccarelli, M.D. Arthroscopy Techniques Volume 4, Issue 5, Pages e519-e523 (October 2015) DOI: 10.1016/j.eats.2015.05.006 Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 1 (A) Bony avulsion of patella (circle) at insertion of medial patellofemoral ligament. (B) Magnetic resonance imaging, sagittal view. The Caton-Deschamps index (b/a) equals 1.34. Arthroscopy Techniques 2015 4, e519-e523DOI: (10.1016/j.eats.2015.05.006) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 2 Measurements of patellar tendon, tibial tubercle, and distal tibial crest fragment length. Arthroscopy Techniques 2015 4, e519-e523DOI: (10.1016/j.eats.2015.05.006) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 3 (A) Distal transfer of tibial tubercle. (B) Tibial tubercle fixation with two 4.5-mm cortical screws. Arthroscopy Techniques 2015 4, e519-e523DOI: (10.1016/j.eats.2015.05.006) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 4 Two metal suture anchors are seated at the proximal end and distal end of the longitudinal bone sulcus made at the insertion site of the native medial patellofemoral ligament. The whipstitched semitendinosus tendon graft is shown above the leg. Arthroscopy Techniques 2015 4, e519-e523DOI: (10.1016/j.eats.2015.05.006) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 5 The 2 free ends of the graft are passed through the soft-tissue tunnel. Arthroscopy Techniques 2015 4, e519-e523DOI: (10.1016/j.eats.2015.05.006) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 6 Femoral fixation of the graft with one bioabsorbable screw. Arthroscopy Techniques 2015 4, e519-e523DOI: (10.1016/j.eats.2015.05.006) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 7 (A) Anteroposterior radiograph at 3 months postoperatively, showing healing of the osteotomy. (B) Lateral radiograph at 3 months postoperatively, showing healing of the osteotomy and normalization of the Caton-Deschamps index. (C) Axial radiograph at 3 months postoperatively, showing no signs of overmedialization. Arthroscopy Techniques 2015 4, e519-e523DOI: (10.1016/j.eats.2015.05.006) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions