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Stellenwert des MPFL-Bracings in der operativen Therapie der Patellaluxation

Ein Literaturüberblick

Importance of MPFL bracing in the surgical treatment of patellar dislocation

A literature review

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  • Published:
Arthroskopie Aims and scope

Zusammenfassung

Die Rekonstruktion des medialen patellofemoralen Ligaments (MPFL) mittels autologem Sehnentransplantat ist eine häufig durchgeführte operative Prozedur mit sehr guten klinischen Ergebnissen. Eine mögliche Alternative stellen Bracing-Techniken mit nichtresorbierbaren Nahtmaterialen dar, die auf eine Sehnenentnahme verzichten. Auch wenn die bisherige Datenlage hierzu noch gering ist, sind die vorhandenen klinischen und biomechanischen Ergebnisse vielversprechend und vergleichbar mit denen der autologen MPFL-Sehnenrekonstruktion.

Abstract

Reconstruction of the medial patellofemoral ligament (MPFL) using an autologous tendon graft is a frequently performed surgical procedure with very good clinical results. The use of MPFL bracing techniques with non-resorbable sutures represents a possible alternative without the need for tendon harvesting. Although the current evidence is still limited, the available clinical and biomechanical results are promising and comparable to those of MPFL reconstruction using autologous tendons.

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Authors and Affiliations

  1. Arcus Kliniken, Rastatter-Str. 17–19, 75179, Pforzheim, Deutschland

    Peter Balcarek

  2. BG Klinik Ludwigshafen, Ludwig-Guttmann-Str. 13, 67071, Ludwigshafen, Deutschland

    Felix Zimmermann

Authors
  1. Peter Balcarek
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  2. Felix Zimmermann
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Correspondence to Peter Balcarek.

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Interessenkonflikt

P. Balcarek und F. Zimmermann geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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W. Petersen, Berlin

A. Achtnich, München

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Supplementary Information

Video 1: Darstellung einer MPFL-Bracing Technik zur Behandlung einer akuten Patellaerstluxation, mit freundl. Genehmigung, © P. Balcarek/Arcus Sportklinik Pforzheim. Alle Rechte vorbehalten.

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Balcarek, P., Zimmermann, F. Stellenwert des MPFL-Bracings in der operativen Therapie der Patellaluxation. Arthroskopie 36, 321–324 (2023). https://doi.org/10.1007/s00142-023-00627-w

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  • DOI: https://doi.org/10.1007/s00142-023-00627-w

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