Medial patellofemoral ligament reconstruction with hanger lifting procedure

Shinichi Maeno, Daijo Hashimoto, Toshiro Otani, Ko Masumoto, Yasuyuki Fukui, Makoto Nishiyama, Masayuki Ishikawa, Nobuyuki Fujita, Hiroya Kanagawa

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Medial patellofemoral ligament (MPFL) reconstruction has become a common surgical procedure in the treatment of recurrent dislocation of the patella. A technique of MPFL reconstruction with the "hanger lifting procedure" using extra-articular arthroscopy is presented. After conventional intra-articular arthroscopy, an incision about 1 cm long is made at the superomedial edge of the patella. A bone tunnel is created with a guide pin and overdrilling method, from this portal to the subcutaneous surface of the patella. Using a semi-loop-shaped hanger, the harvested Gracillis tendon is passed through the bone tunnel using a passing pin. Under extra-articular arthroscopy with the "hanger lifting procedure", this tendon is then led back to the superomedial portal. Both ends of the Gracillis tendon are then led to the femoral fixation site posterosuperior to the medial epicondyle with a tendon passer, and fixed by an absorbable interference screw. This procedure can be performed under a minimum incision using a hanger, but control radiographs should be taken to confirm appropriate placement of bone tunnels.

Original languageEnglish
Pages (from-to)157-160
Number of pages4
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume18
Issue number2
DOIs
Publication statusPublished - 2010 Feb 1

Keywords

  • Hanger lifting procedure
  • MPFL reconstruction
  • Minimum invasive surgery
  • Outside the joint
  • Patellar dislocation

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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  • Cite this

    Maeno, S., Hashimoto, D., Otani, T., Masumoto, K., Fukui, Y., Nishiyama, M., Ishikawa, M., Fujita, N., & Kanagawa, H. (2010). Medial patellofemoral ligament reconstruction with hanger lifting procedure. Knee Surgery, Sports Traumatology, Arthroscopy, 18(2), 157-160. https://doi.org/10.1007/s00167-009-0936-4