Michael G. Saper, D.O., A.T.C., C.S.C.S., David A. Shneider, M.D.

Slides:

Advertisements

Similar presentations

Open Repair of Quadriceps Tendon With Suture Anchors and Semitendinosus Tendon Allograft Augmentation Jorge Chahla, M.D., Ph.D., Nicholas N. DePhillipo,

Advertisements

Reconstruction of the Medial Patellofemoral Ligament

Free Bone Plug Quadriceps Tendon Harvest and Suspensory Button Attachment for Anterior Cruciate Ligament Reconstruction Adrian Todor, M.D., Ph.D., Sergiu.

Gregory A. Sawyer, M. D. , Tyler Cram, M. A. , A. T. C. , O. T. C

Combined Reconstruction of the Medial Collateral Ligament and Anterior Cruciate Ligament Using Ipsilateral Quadriceps Tendon–Bone and Bone–Patellar Tendon–Bone.

Associated Anterior Cruciate Ligament and Fibular Collateral Ligament Reconstruction With Single Femoral Tunnel and Asymmetric Hamstring Tendon Graft

“The Superficial Quad Technique” for Medial Patellofemoral Ligament Reconstruction: The Surgical Video Technique Deepak Goyal, M.B.B.S., M.S.(Orthop),

Basic Knee Arthroscopy Part 2: Surface Anatomy and Portal Placement

Quadriceps Tendon Repair Using Knotless Anchors and Suture Tape

A Modified Osteotomy for Anteromedialization of the Tibial Tubercle

James H. Lubowitz, M.D., Gordon MacKay, M.D., Brian Gilmer, M.D.

Justin L. Makovicka, M. D. , David E. Hartigan, M. D. , Karan A

Diagnosis and Treatment of Lateral Patellar Compression Syndrome

Pranjal S. Kodkani, M.S.(Ortho), D.(Ortho), M.B.B.S.

A Novel Graft Preparation Technique of the Quadriceps Tendon for Arthroscopic Double- Bundle Anterior Cruciate Ligament Reconstruction Sang Eun Park,

Use of the Quadriceps Tendon in Arthroscopic Acetabular Labral Reconstruction: Potential and Benefits as an Autograft Option Sang Eun Park, M.D., Yujin.

Nelson Ponzo, M. D. , Juan Del Castillo, M. D. , José Fregeiro, M. D

Combined Reconstruction of the Medial Patellofemoral Ligament With Quadricipital Tendon and the Medial Patellotibial Ligament With Patellar Tendon Betina.

Ahmad M. Wagih, M.D., M.R.C.S., F.E.O.B., Ahmed M.F. Elguindy, M.D.

Anatomic Medial Patellofemoral Ligament Reconstruction Without Bone Tunnels or Anchors in the Patella Yehia H. Bedeir, M.B.B.Ch., M.Ch.(Orth), Melissa.

Sheeba M. Joseph, M.D., M.S., John P. Fulkerson, M.D.

Anterior Cruciate Ligament Reconstruction Using a Bone–Patellar Tendon–Bone Autograft to Avoid Harvest-Site Morbidity in Knee Arthroscopy Eitaku Koh,

Jung Ho Noh, M. D. , Ph. D. , Kyoung Ho Yoon, M. D. , Ph. D

A Surgical Trick for Adjusting an Inaccurate Guide Pin to the Center of the Tibial Footprint in Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction

Avoiding Graft-Tunnel Length Mismatch in Anterior Cruciate Ligament Reconstruction: The Single–Bone Plug Technique Brian Grawe, M.D., Amber Smerina,

Arthroscopic Chondral Debridement Using Radiofrequency Ablation for Patellofemoral Compartment Pathology Matthew G. Liptak, B.M.B.S., F.R.A.C.S.(Ortho),

Anatomic Fibular Collateral Ligament Reconstruction

Medial Patellofemoral Ligament Reconstruction With a Looped Semitendinosus Tendon, Using Knotless Anchor Fixation on the Patella and Hybrid Fixation on.

Hip Arthroscopic Portal Bridge Retraction Technique for Improved Peripheral Compartment Visualization Brian E. McGrath, M.D., Joseph B. Kuechle, M.D.,

Gregory A. Sawyer, M. D. , Michael J. Hulstyn, M. D. , Brett C

The Quad Link Technique for an All-Soft-Tissue Quadriceps Graft in Minimally Invasive, All-Inside Anterior Cruciate Ligament Reconstruction Gregory R.

Medial Patellofemoral Ligament Repair With Suture Tape Augmentation

Jonathan A. Godin, M. D. , M. B. A. , Vasili Karas, M. D. , M. S

Combined Anterior Cruciate Ligament, Medial Collateral Ligament, and Posterior Oblique Ligament Reconstruction Through Single Tibial Tunnel Using Hamstring.

Riaz Ahmad, F. R. C. S. (Tr&Orth), Narlaka Jayasekera, F. R. C. S

Jefferson Brand, M. D. , Richard Hardy, Ed. D. , A. T. C

Pranjal S. Kodkani, M.S.(Ortho), D.(Ortho), M.B.B.S.

Soft-Tissue Loop for Medial Patellofemoral Ligament Reconstruction

Shuji Nakagawa, M. D. , Ph. D. , Yuji Arai, M. D. , Ph. D

James D. Wylie, M.D., M.H.S., Robert T. Burks, M.D.

Medial Patellofemoral Ligament Reconstruction in a Revision Setting: Anchor and Interference Screw Fixation Marcio B. Ferrari, M.D., George Sanchez,

Masato Takao, M. D. , Ph. D. , Mark Glazebrook, M. D. , M. Sc. , Ph. D

Medial Patellofemoral Ligament Reconstruction: A New Technique for Graft Fixation at the Patella Without Implants Sven Shafizadeh, M.D., Maurice Balke,

Timothy S. Crall, M.D., Brian B. Gilmer, M.D. Arthroscopy Techniques

Primary Repair of the Medial Collateral Ligament With Internal Bracing

Pierre Imbert, M. D. , Philippe D'Ingrado, M. D. , Maxime Cavalier, M

Combined Particulated Juvenile Cartilage Allograft Transplantation and Medial Patellofemoral Ligament Reconstruction for Symptomatic Chondral Defects.

Frontal Tendon Lengthening Plasty for Treatment of Structural Patella Baja Valentino F. Bruhin, M.D., Stefan Preiss, M.D., Gian M. Salzmann, M.D., Laurent.

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

Arthroscopic Medial Retinacular Plication With a Needle-Hole Technique

Arthroscopic Iliac Crest Bone Block for Reconstruction of the Glenoid: A Fixation Technique Using an Adjustable-Length Loop Cortical Suspensory Fixation.

Anatomic Reconstruction of the Medial Patellofemoral Ligament in Children and Adolescents Using a Pedicled Quadriceps Tendon Graft Manfred Nelitz, M.D.,

Anterolateral Ligament Reconstruction Technique: An Anatomic-Based Approach Jorge Chahla, M.D., Travis J. Menge, M.D., Justin J. Mitchell, M.D., Chase.

Michael Saper, D.O. Arthroscopy Techniques

The Fascia Lata Anterolateral Tenodesis Technique

Augmentation of Anterior Cruciate Ligament Reconstruction With Bone Marrow Concentrate and a Suture Tape Chad Lavender, M.D., Brock Johnson, M.D., Adam.

Simultaneous Medial and Lateral Patellofemoral Ligament Reconstruction for Combined Medial and Lateral Patellar Subluxation Michael G. Saper, D.O., David.

Giacomo Zanon, M.D., Matteo Marullo, M.D., Francesco Benazzo, M.D.

Hassan Azimi, M.D., Oke Anakwenze, M.D. Arthroscopy Techniques

Combined Reconstruction of the Medial Patellofemoral Ligament With Quadricipital Tendon and the Medial Patellotibial Ligament With Patellar Tendon Betina.

Anterolateral Ligament Repair Augmented With Suture Tape in Acute Anterior Cruciate Ligament Reconstruction Edoardo Monaco, M.D., Daniele Mazza, M.D.,

Superficial and Deep Medial Collateral Ligament Reconstruction for Chronic Medial Instability of the Knee Man Soo Kim, M.D., In Jun Koh, M.D., Ph.D.,

Combined Soft Tissue Reconstruction of the Medial Patellofemoral Ligament and Medial Quadriceps Tendon–Femoral Ligament João Espregueira-Mendes, M.D.,

Arthroscopic Medial Retinacular Plication With a Needle-Hole Technique

Medial Patellofemoral Ligament Reconstruction With a Looped Semitendinosus Tendon, Using Knotless Anchor Fixation on the Patella and Hybrid Fixation on.

Diagnosis and Treatment of Lateral Patellar Compression Syndrome

Combined Reconstruction of the Medial Collateral Ligament and Anterior Cruciate Ligament Using Ipsilateral Quadriceps Tendon–Bone and Bone–Patellar Tendon–Bone.

Justin L. Makovicka, M. D. , David E. Hartigan, M. D. , Karan A

“The Superficial Quad Technique” for Medial Patellofemoral Ligament Reconstruction: The Surgical Video Technique Deepak Goyal, M.B.B.S., M.S.(Orthop),

Arthroscopic Iliac Crest Bone Block for Reconstruction of the Glenoid: A Fixation Technique Using an Adjustable-Length Loop Cortical Suspensory Fixation.

Presentation transcript:

Lateral Patellofemoral Ligament Reconstruction Using a Quadriceps Tendon Graft Michael G. Saper, D.O., A.T.C., C.S.C.S., David A. Shneider, M.D. Arthroscopy Techniques Volume 3, Issue 4, Pages e445-e448 (August 2014) DOI: 10.1016/j.eats.2014.04.007 Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 1 Preoperative arthroscopic images of patellofemoral compartment (left knee) viewed from anterolateral portal showing 2+ lateral patellar laxity at (A) full knee extension and (B) MPS at 30° of knee flexion. Arthroscopy Techniques 2014 3, e445-e448DOI: (10.1016/j.eats.2014.04.007) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 2 View of left knee after midline skin incision. A partial-thickness graft, taken from the most superficial layer of the tendon, is harvested from the central third of the quadriceps tendon, leaving its patellar insertion intact. Dissection is carried proximally enough to ensure that the graft is of sufficient length. Arthroscopy Techniques 2014 3, e445-e448DOI: (10.1016/j.eats.2014.04.007) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 3 A subfascial tunnel is created in the lateral retinaculum with a clamp from the edge of the quadriceps tendon to the LPFL attachment site at the lateral epicondyle. Arthroscopy Techniques 2014 3, e445-e448DOI: (10.1016/j.eats.2014.04.007) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 4 The end of the graft is secured with a No. 2 loop suture. The graft is then turned 90° laterally, twisted 180°, and passed through the subfascial tunnel with a passing suture. Arthroscopy Techniques 2014 3, e445-e448DOI: (10.1016/j.eats.2014.04.007) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 5 The graft is fixed to the LPFL attachment at the lateral epicondyle with a knotless anchor. Arthroscopy Techniques 2014 3, e445-e448DOI: (10.1016/j.eats.2014.04.007) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 6 Postoperative arthroscopic image of the patellofemoral articulation, viewed from the lateral portal (left knee), showing a stable patella, centered in the trochlea. Arthroscopy Techniques 2014 3, e445-e448DOI: (10.1016/j.eats.2014.04.007) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions