Nels E. Sampatacos, M.D., Mark H. Getelman, M.D.

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Presentation transcript:

Medial Patellofemoral Ligament Reconstruction Using a Modified “Reverse-Loop” Technique Nels E. Sampatacos, M.D., Mark H. Getelman, M.D. Arthroscopy Techniques Volume 2, Issue 2, Pages e175-e181 (May 2013) DOI: 10.1016/j.eats.2013.01.011 Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 1 Examination under anesthesia of left knee with patient in supine position showing a lateral patellar dislocation during assessment of lateral patellar glide. Arthroscopy Techniques 2013 2, e175-e181DOI: (10.1016/j.eats.2013.01.011) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 2 Metal anchor: 2.9-mm Super QuickAnchor Plus DS. Arthroscopy Techniques 2013 2, e175-e181DOI: (10.1016/j.eats.2013.01.011) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 3 Graft fixation to femoral Super QuickAnchor Plus DS. (A) One suture limb from the first femoral anchor suture is passed around the graft. (B) Secured graft after tying of first suture from femoral anchor. (C) Both suture limbs from the second suture are passed in the same direction through both graft limbs and tied together. Arthroscopy Techniques 2013 2, e175-e181DOI: (10.1016/j.eats.2013.01.011) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 4 Preparation of patellar anchors (Super QuickAnchor Plus DS) with high-strength No. 2 Orthocord suture. (A) Anchor with single suture after removal of 1 suture. (B) Placement of suture threader (ConMed Linvatec) through eyelet of anchor. (C) Passing of looped end of suture through suture threader. (D) Pulling suture threader with new suture through eyelet of anchor. (E) Appearance of anchor and suture after shuttling looped end of new suture through eyelet of anchor. (F) Finished anchor construct with sutures taped to driver handle. Arthroscopy Techniques 2013 2, e175-e181DOI: (10.1016/j.eats.2013.01.011) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions

Fig 5 Graft fixation to patellar anchors (Super QuickAnchor Plus DS). (A) Proximal limb of graft as it is placed through looped suture of proximal anchor. (B) Assessment of lateral patellar glide after provisional fixation. (C) Definitive fixation of graft with second suture from each patellar anchor. Arthroscopy Techniques 2013 2, e175-e181DOI: (10.1016/j.eats.2013.01.011) Copyright © 2013 Arthroscopy Association of North America Terms and Conditions