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Anatomical positioning of the medial patellofemoral ligament in children
45
open physis operative therapy in children is
more challenging. We present a minimal
invasivetechniqueforanatomicalreconstruction
of the MPFL in children considering the
important fact, that the femoral insertion is
distal to the femoral physis. Since the failure to
restore the anatomical femoral insertion is the
main risk factor for failure of MPFL
reconstruction, an insertion proximal to the
physis has to be strictly avoided.
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