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©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Feb 18, 2017; 8(2): 115-129
Published online Feb 18, 2017. doi: 10.5312/wjo.v8.i2.115
Published online Feb 18, 2017. doi: 10.5312/wjo.v8.i2.115
Failed medial patellofemoral ligament reconstruction: Causes and surgical strategies
Vicente Sanchis-Alfonso, Department of Orthopaedic Surgery, Hospital Arnau de Vilanova Valencia and Hospital 9 de Octubre, 46015 Valencia, Spain
Erik Montesinos-Berry, Agoriaz Orthopaedic Center, 1632 Riaz and Clinique CIC, 1815 Clarens, Montreux, Switzerland
Cristina Ramirez-Fuentes, Department of Radiology, Hospital Universitario y Politécnico La Fe and GIBI230 IIS La Fe Research Group, 46026 Valencia, Spain
Joan Leal-Blanquet, Joan Carles Monllau, Department of Orthopaedic Surgery, Hospital del Mar, Universitat Autònoma de Barcelona, 08003 Barcelona, Spain
Pablo E Gelber, Department of Orthopaedic Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, 08026 Barcelona, Spain
Author contributions: Sanchis-Alfonso V wrote sections 1, 2, 3, 4 and 7 of the paper; Ramírez-Fuentes C wrote section 5; Leal-Blanquet J wrote section 6; Montesinos-Berry E, Gelber PE and Monllau JC edited and corrected the paper; all of the authors have reviewed the final manuscript and have given their approval.
Conflict-of-interest statement: Authors declare no conflict of interests for this article.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Vicente Sanchis-Alfonso, MD, PhD, Department of Orthopedic Surgery, Hospital Arnau de Vilanova Valencia and Hospital 9 de Octubre, C/Valle de la Ballestera, 59, 46015 Valencia, Spain. vicente.sanchis.alfonso@gmail.com
Telephone: +34-96-3179200 Fax: +34-96-3460033
Received: April 27, 2016
Peer-review started: April 28, 2016
First decision: July 5, 2016
Revised: October 31, 2016
Accepted: November 21, 2016
Article in press: November 22, 2016
Published online: February 18, 2017
Peer-review started: April 28, 2016
First decision: July 5, 2016
Revised: October 31, 2016
Accepted: November 21, 2016
Article in press: November 22, 2016
Published online: February 18, 2017
Core Tip
Core tip: An increasing number of revision surgeries of the reconstructed medial patellofemoral ligament (MPFL) will be seen in the foreseeable future. There are several reasons for this trend: (1) The increasing number of primary MPFL reconstructions; (2) The fact that more and more orthopedic surgeons perform this surgical technique; and (3) The high percentage of patients returning to sport after this type of surgery and thereby put the reconstructed ligament at risk. Our paper tries to answer a crucial question: What must we do to reduce the number of failed MPFL reconstructions? Furthermore, we analyze our approach to dealing with failure after MPFL reconstruction.