Clark d, walmsley k, schranz p, et al. tibial tuberosity transfer in combination with medial patellofemoral ligament reconstruction: surgical technique. arthrosc tech 2017;6:591 597. hinckel bb, gobbi rg, kaleka cc, et al. medial patellotibial ligament and medial patellomeniscal ligament: anatomy, imaging, biomechanics, and clinical review. Tibial tubercle osteotomy (tto) and reconstruction of the medial patellofemoral ligament (mpfl) have been used successfully as a surgical treatment for lateral patella instability in the native knee [3–5]. typically, patients are young, participate in sports, have not had previous surgery, and have good bone quality . the use of mpflr and.
Medial patellofemoral ligament (mpfl) reconstruction tibial tubercle osteotomy (tto) trochleoplasty . phase 1 (0 6 weeks post op): goals • protect repair • control post operative pain, inflammation, and swelling. The medial patellofemoral ligament (mpfl) is a part of the complex network of soft tissues that stabilize the knee. the mpfl attaches the inside part of the patella (kneecap) to the long bone of the thigh, also called the femur. together, the patella and femur compose the patellofemoral joint. injury to the mpfl can occur when the patella. The following rehabilitation guidelines and protocol are developed for patients who have undergone mpfl (medial patellofemoral ligament) reconstruction with bone realignment procedure (tibial tubercle osteotomy) for patellar (kneecap) instability. this protocol is slower than a ligament only surgery, as we must respect the bone healing process. Isolated medial patellofemoral ligament reconstruction for patellar instability regardless of tibial tubercle–trochlear groove distance and patellar height: outcomes at 1 and 2 years. am j sports med. 2019; 47 :1331–1337. doi: 10.1177 0363546519835800.
The following rehabilitation guidelines and protocol are developed for patients who have undergone mpfl (medial patellofemoral ligament) reconstruction with bone realignment procedure (tibial tubercle osteotomy) for patellar (kneecap) instability. this protocol is slower than a ligament only surgery, as we must respect the bone healing process. Isolated medial patellofemoral ligament reconstruction for patellar instability regardless of tibial tubercle–trochlear groove distance and patellar height: outcomes at 1 and 2 years. am j sports med. 2019; 47 :1331–1337. doi: 10.1177 0363546519835800. Swelling and numbness. are very common after a tibial tubercle osteotomy in combination with a medial patellofemoral ligament reconstruction surgery. swelling may last for prolonged periods following the operation depending on the complexity and degree of correction of the tibial osteotomy. limb elevation and ice therapy can help reduce swelling. The aim of this study was to evaluate the clinical outcomes of patients treated with anatomic medial patellofemoral ligament (mpfl) reconstruction with and without tibial tuberosity osteotomy (tto). correlations between patient's age, gender, pre injury physical activity and the achieved results were investigated as secondary endpoints.
Swelling and numbness. are very common after a tibial tubercle osteotomy in combination with a medial patellofemoral ligament reconstruction surgery. swelling may last for prolonged periods following the operation depending on the complexity and degree of correction of the tibial osteotomy. limb elevation and ice therapy can help reduce swelling. The aim of this study was to evaluate the clinical outcomes of patients treated with anatomic medial patellofemoral ligament (mpfl) reconstruction with and without tibial tuberosity osteotomy (tto). correlations between patient's age, gender, pre injury physical activity and the achieved results were investigated as secondary endpoints.
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