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Fig. 1 | BMC Musculoskeletal Disorders

Fig. 1

From: The remaining parameters of patellar instability could be affected for osteoarthritic change after medial patellofemoral ligament reconstruction with or without anteromedialization of the tibial tubercle osteotomy for patellar instability: a retrospective cohort study

Fig. 1

a A free autologous semitendinosus graft with medial patellofemoral ligament reconstruction. The semitendinosus tendon was double-looped over the Endobutton CL and graft ends were sutured with No. 3 sutures in Krackow stitch fashion. b Fluoroscopic finding of the tunnel position. The femoral tunnel was located using the medial epicondyle and adductor tubercle as anatomical landmarks and fluoroscopy was used as confirmation for appropriate positioning on the lateral image by Schöttle. c Anteromedialization of the tibial tubercle osteotomy. A longitudinal incision was made starting from the tibial tubercle to the distal 7 cm. After marking the medial side of the tibia, Kirschner wires were used from medial to lateral, angling posteriorly as the osteotomy guide

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BMC Musculoskeletal Disorders

ISSN: 1471-2474

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