Concomitant Patellar Tendon Reconstruction With Hamstring Autografts and Medial Patellofemoral Ligament Reconstruction With Quadriceps Autograft in the Setting of Severe Patellar Tendinopathy With Recurrent Lateral Patellar Instability
Chronic injuries to the extensor mechanism present unique challenges to physicians because of their complex nature and the need for a multifactorial treatment approach. When conservative treatment is unsuccessful in the setting of patellar tendinopathy, surgical intervention may be required to impro...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-07-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628725002130 |
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| author | Evan P. Shoemaker, B.A. Luke V. Tollefson, B.S. Dustin R. Lee, M.D. Matthew T. Rasmussen, M.D. Riccardo Cristiani, M.D., Ph.D. Robert F. LaPrade, M.D., Ph.D. |
| author_facet | Evan P. Shoemaker, B.A. Luke V. Tollefson, B.S. Dustin R. Lee, M.D. Matthew T. Rasmussen, M.D. Riccardo Cristiani, M.D., Ph.D. Robert F. LaPrade, M.D., Ph.D. |
| author_sort | Evan P. Shoemaker, B.A. |
| collection | DOAJ |
| description | Chronic injuries to the extensor mechanism present unique challenges to physicians because of their complex nature and the need for a multifactorial treatment approach. When conservative treatment is unsuccessful in the setting of patellar tendinopathy, surgical intervention may be required to improve symptoms. For patients with concomitant lateral patellar instability, surgical treatment is also indicated to prevent future dislocations and worsening patellofemoral symptoms. Current literature presents numerous patellar tendon and medial patellofemoral ligament arthroscopic and open reconstruction techniques with varying short- and long-term outcomes. Known risk factors must be considered preoperatively when addressing patellofemoral pathology. The purpose of this Technical Note is to describe a technically challenging procedure to treat concomitant severe patellar tendinopathy with concurrent lateral patellar instability. |
| format | Article |
| id | doaj-art-2bf0df0231ff42c9b267851de014dfb3 |
| institution | Kabale University |
| issn | 2212-6287 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-2bf0df0231ff42c9b267851de014dfb32025-08-20T03:40:54ZengElsevierArthroscopy Techniques2212-62872025-07-0114710364410.1016/j.eats.2025.103644Concomitant Patellar Tendon Reconstruction With Hamstring Autografts and Medial Patellofemoral Ligament Reconstruction With Quadriceps Autograft in the Setting of Severe Patellar Tendinopathy With Recurrent Lateral Patellar InstabilityEvan P. Shoemaker, B.A.0Luke V. Tollefson, B.S.1Dustin R. Lee, M.D.2Matthew T. Rasmussen, M.D.3Riccardo Cristiani, M.D., Ph.D.4Robert F. LaPrade, M.D., Ph.D.5Twin Cities Orthopedics, Edina, Minnesota, U.S.A.Twin Cities Orthopedics, Edina, Minnesota, U.S.A.Twin Cities Orthopedics, Edina, Minnesota, U.S.A.Twin Cities Orthopedics, Edina, Minnesota, U.S.A.Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institute, Stockholm, Sweden; Capio Artro Clinic, FIFA Medical Centre of Excellence, Sophiahemmet Hospital, Stockholm, SwedenTwin Cities Orthopedics, Edina, Minnesota, U.S.A.; Address correspondence to Robert F. LaPrade, M.D., Ph.D., Twin Cities Orthopedics, 4010 W. 65th St., Edina, MN 55435, U.S.A.Chronic injuries to the extensor mechanism present unique challenges to physicians because of their complex nature and the need for a multifactorial treatment approach. When conservative treatment is unsuccessful in the setting of patellar tendinopathy, surgical intervention may be required to improve symptoms. For patients with concomitant lateral patellar instability, surgical treatment is also indicated to prevent future dislocations and worsening patellofemoral symptoms. Current literature presents numerous patellar tendon and medial patellofemoral ligament arthroscopic and open reconstruction techniques with varying short- and long-term outcomes. Known risk factors must be considered preoperatively when addressing patellofemoral pathology. The purpose of this Technical Note is to describe a technically challenging procedure to treat concomitant severe patellar tendinopathy with concurrent lateral patellar instability.http://www.sciencedirect.com/science/article/pii/S2212628725002130 |
| spellingShingle | Evan P. Shoemaker, B.A. Luke V. Tollefson, B.S. Dustin R. Lee, M.D. Matthew T. Rasmussen, M.D. Riccardo Cristiani, M.D., Ph.D. Robert F. LaPrade, M.D., Ph.D. Concomitant Patellar Tendon Reconstruction With Hamstring Autografts and Medial Patellofemoral Ligament Reconstruction With Quadriceps Autograft in the Setting of Severe Patellar Tendinopathy With Recurrent Lateral Patellar Instability Arthroscopy Techniques |
| title | Concomitant Patellar Tendon Reconstruction With Hamstring Autografts and Medial Patellofemoral Ligament Reconstruction With Quadriceps Autograft in the Setting of Severe Patellar Tendinopathy With Recurrent Lateral Patellar Instability |
| title_full | Concomitant Patellar Tendon Reconstruction With Hamstring Autografts and Medial Patellofemoral Ligament Reconstruction With Quadriceps Autograft in the Setting of Severe Patellar Tendinopathy With Recurrent Lateral Patellar Instability |
| title_fullStr | Concomitant Patellar Tendon Reconstruction With Hamstring Autografts and Medial Patellofemoral Ligament Reconstruction With Quadriceps Autograft in the Setting of Severe Patellar Tendinopathy With Recurrent Lateral Patellar Instability |
| title_full_unstemmed | Concomitant Patellar Tendon Reconstruction With Hamstring Autografts and Medial Patellofemoral Ligament Reconstruction With Quadriceps Autograft in the Setting of Severe Patellar Tendinopathy With Recurrent Lateral Patellar Instability |
| title_short | Concomitant Patellar Tendon Reconstruction With Hamstring Autografts and Medial Patellofemoral Ligament Reconstruction With Quadriceps Autograft in the Setting of Severe Patellar Tendinopathy With Recurrent Lateral Patellar Instability |
| title_sort | concomitant patellar tendon reconstruction with hamstring autografts and medial patellofemoral ligament reconstruction with quadriceps autograft in the setting of severe patellar tendinopathy with recurrent lateral patellar instability |
| url | http://www.sciencedirect.com/science/article/pii/S2212628725002130 |
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