6 semaines initialement en appui bipodal
puis en appui monopodal en l’absence de
phénomènes douloureux.
- Le retour au sport est progressif entre le 3
e
et le 6
e
mois, en fonction de la récupération
musculaire du quadriceps, des ischio-jam-
biers et des amplitudes articulaires.
Cette prise en charge doit être ajustée en cas
de techniques de fixation par sutures, plus
fragiles, ou lors de gestes associés à la
reconstruction du MPFL. Ces gestes associés
deviennent alors dominants dans le principe
de la rééducation.
QUELLE RÉÉDUCATION APRÈS UNE PLASTIE DU LIGAMENT FÉMORO-PATELLAIRE MÉDIAL ?
57
BIBLIOGRAPHIE
[1] AMIS A.A., FIRER P., MOUNTNEY J., SENAVONGSE
W., THOMAS N.P. 2003. Anatomy and biomechanics of the
medial patellofemoral ligament.
Knee, 10(3): 215-20, 2003.
[2] ANDRISH J.T. 2006. Surgical reconstruction of the
medial patellofemoral ligament.
Techniques in Knee
Surgery, 5(2): 121-27.
[3] CAMANHO G.L., BITAR A.C., HERNANDEZ A.J.,
OLIVI R. 2007. Medial patellofemoral ligament recons-
truction: a novel technique using the patellar ligament.
Arthroscopy, Jan; 23(1): 108-14.
[4] CHASSAING V., TRÉMOULET J. 2005. Plastie du liga-
ment fémoro-patellaire médial avec le tendon du gracile
pour stabilisation de la patella.
Rev Chir Orthop
Reparatrice Appar Mot, Jun;91(4): 335-40.
[5] CHRISTIANSEN S.E., JACOBSEN B.W., LUND B.,
LIND M. 2008. Reconstruction of the medial patellofe-
moral ligament with gracilis tendon autograft in trans-
verse patellar drill holes.
Arthroscopy, 24(1): 82-7.
[6] DEIE M., OCHI M., SUMEN Y., ADACHI N.,
KOBAYASHI K., YASUMOTO M. 2005. A long-term fol-
low-up study after medial patellofemoral ligament
reconstruction using the transferred semitendinosus ten-
don for patellar dislocation.
Knee Surg Sports Traumatol
Arthrosc, 13(7): 522-8.
[7] DOBBS R.E., GREIS P.E., BURKS R.T. 2007. Medial
patellofemoral ligament reconstruction.
Techniques in
Knee Surgery, 6(1): 29-36.
[8] DREZ D.J., EDWARDS T.B., WILLIAMS C.S. 2001.
Results of medial patellofemoral ligament reconstruction
in the treatment or patellar dislocation.
Arthroscopy,
Mar;17(3): 298-306.
[9] EBINGER T.P., BOEZAART A., ALBRIGHT J.P. 2007.
Modifications of the Fulkerson osteotomy: a pilot study
assessment of a novel technique of dynamic intraoperati-
ve determination of the adequacy of tubercle transfer.
Iowa Orthop J, 27: 61-4.
[10] ELLERA-GOMES J.L., STIGLER-MARCZYK L.R.,
CÉSAR DE CÉSAR P., JUNGBLUT C.F. 2004. Medial
patellofemoral ligament reconstruction with semitendi-
nosus autograft for chronic patellar instability: a follow-
up study.
Arthroscopy, Feb;20(2): 147-51.
[11] FARR J., SCHEPSIS A.A. 2006. Reconstuction of the
medial patellofemoral ligament for recurrent patellar
instability.
J Knee Surg, Oct; 19(4): 307-16.
[12] FITHIAN D.C., PAXTON E.W., COHEN A.B. 2004.
Indications in the treatment of patellar instability.
J Knee
Surg, Jan;17(1): 47-56.
[13] LEGRAND A.B., GREIS P.E., DOBBS R.E., BURKS
R.T. 2007. MPFL reconstruction.
Sports Med Arthrosc,
15(2): 72-7.
[14] MOUNTNEY J., SENAVONGSE W., AMIS A.A.,
THOMAS N.P. 2005. Tensile strength of the medial patel-
lofemoral ligament before and after repair or reconstruc-
tion.
J Bone Joint Surg Br, 87(1): 36-40.
[15] NOMURA E., INOUE M. 2006. Hybrid medial patel-
lofemoral ligament reconstruction using the semitendi-
nous tendon for recurrent patellar dislocation: minimum
3 years’ follow-up.
Arthroscopy, 22(7): 787-93.
[16] NOMURA E., INOUE M. 2003. Surgical technique
and rationale for medial patellofemoral ligament recons-
truction for recurrent patellar dislocation.
Arthroscopy,
19(5): E47.
[17] NOYES F.R., ALBRIGHT J.C. 2006. Reconstruction
of the medial patellofemoral ligament with autologous
quadriceps tendon.
Arthroscopy, Aug;22(8): 904-17.
[18] NOYES F.R., BUTLER D.L., GROOD E.S. 1984.
Biomechanical analysis of human ligament grafts used in
knee ligament repair and reconstruction.
J Bone Joint
Surg Am, 66: 334-352.
[19] SCHOTTLE P.B., FUCENTESE S.F., ROMERO J.
2005. Clinical and radiological outcome of medial patel-
lofemoral ligament reconstruction with a semitendinosus
autograft for patella instability.
Knee Surg Sports
Traumatol Arthrosc, 13(7): 516-21.
[20] SCHOTTLE P.B., ROMERO J., SCHMELING A.,
WEILER A. 2008. Technical note: anatomical reconstruc-
tion of the medial patellofemoral ligament using a free gra-
cilis autograft.
Arch Orthop Trauma Surg, 128(5): 479-84.
[21] STEENSEN R.N., DOPIRAK R.M., MAURUS P.B.
2005. A simple technique for reconstruction of the medial
patellofemoral ligament using a quadriceps tendon graft.
Arthroscopy, 21(3): 365-70.
[22] THAUNAT M., ERASMUS P.J. 2008. Recurrent patel-
lar dislocation after medial patellofemoral ligament
reconstruction.
Knee Surg Sports Traumatol Arthrosc,
16(1): 40-3.
[23] THAUNAT M., ERASMUS P.J. 2007. The favourable
anisometry: An original concept for medial patellofemo-
ral ligament reconstruction.
Knee, 14(6): 424-8.
[24] WOO S.L., HOLLIS J.M., ADAMS D.J., LYON R.M.,
TAKAI S. 1991. Tensile properties of the human femur-
anterior cruciate ligament-tibia complex. The effects of
specimen age and orientation.
Am J Sports Med, 19(3):
217-25.