Volume 27, Issue 132, February 2023

A rare case report of isolated medial patellofemoral ligament reconstruction using autogenous grafting

J Jafer Sareef¹, Syed Nihal A^1♦, Vijay Narasimman Reddy²

¹Post Graduate Resident, Department of Orthopaedics, Sree Balaji Medical College and Hospital, Chromepet, Chennai, India
²Professor and Head of Department, Department of Orthopaedics, Sree Balaji Medical College and Hospital, Chromepet, Chennai, India

^♦Corresponding author
Post Graduate Resident, Department of Orthopaedics, Sree Balaji Medical College and Hospital, Chromepet, Chennai, India

ABSTRACT

Following a patellar dislocation, medial patellofemoral ligament injury is frequently observed. This report describes a case of a female patient, age 31 years experiencing recurrent patellofemoral instability and a post-traumatic tear of the medial patellofemoral ligament (MPFL) without any pathoanatomical risk factors. After her primary patellar dislocation, she was initially given conservative treatment with concentric exercises to bolster the vastus medialis and quadriceps. Even after initial conservative treatment, the patient now presented with a history of repeated occurrences of recurrent dislocations during the previous five years. For isolated medial patellofemoral ligament reconstruction, an autogenous gracilis graft was inserted using suture anchors and an interference screw in a double bundle L shaped fashion. Following a post-operative rehabilitation plan for at least a year revealed outstanding clinical results, as shown by a comparison of the Kujala, Lysholm and Tegner scores post operatively.

Keywords: Medial patella femoral ligament reconstruction, patellofemoral instability, Kujala patellofemoral score, Tegner and Lysholm knee score

Medical Science, 2023, 27, e85ms2700

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DOI: https://doi.org/10.54905/disssi/v27i132/e85ms2700

Published: 11 February 2023