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Bilateral Medial and Lateral Patellofemoral Ligament Reconstruction in a Patient with Hypermobility Type
Daniel J Shubert1, E Barry McDonough
1Department of Orthopaedics, West Virginia University, Morgantown, West Virginia.
Case:
Medial patellar instability (MPI) is a known sequela of previous lateral retinacular release. Literature on surgical intervention is scarce. We present a case of a 35-year-old woman with hypermobility type Ehlers-Danlos syndrome, with bilateral iatrogenic MPI (IMPI) and lateral patellar instability. This condition led to a marked decrease in quality of life, 10/10 persistent pain, and frequent dislocation events. She was successfully treated surgically, and at 2 years had 0/10 pain and no further dislocations.
Conclusions:
Our technique for medial and lateral patellofemoral ligament reconstruction is a viable intervention for patients with IMPI, even in the setting of underlying collagen disorder.
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