Combined reconstruction of the medial patellofemoral and medial patellotibial ligaments: outcomes and prognostic factors

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Iftach HetsroniMeir Nyska

Abstract

To report outcomes after combined medial patellofemoral ligament (MPFL) and medial patellotibial ligament (MPTL) reconstruction and test associations between prognostic factors and clinical outcomes. It was hypothesised that combined MPFL and MPTL reconstruction would result in significant improvement in function, and that outcomes would be associated with age, sex, Beighton score, concomitant articular lesions, and preoperative function. All combined reconstructions of MPFL and MPTL were reviewed. Inclusion criterion was minimum 2-year follow-up. Exclusion criteria were age at surgery ≥ 35 years and concomitant osteotomies. Kujala, Tegner and Marx scores were completed prospectively. Patients were evaluated at a minimum 2-year follow-up. Associations between potential prognostic factors and Kujala and Tegner scores were tested using bivariate analyses followed by multivariate regression models. Of 22 patients (26 knees), 19 (23 knees) met inclusion criteria, and 16 (20 knees) were available for follow-up. Mean age at surgery was 18 years (range 14.5-23). Mean follow-up was 43 months (range 24-73). Postoperative Kujala score significantly improved compared to before surgery (86.4 ± 12.5 vs. 54.9 ± 15.2, p < 0.01). Postoperative...Continue Reading

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Citations

Apr 30, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Luiz Felipe AmbraAndreas H Gomoll
Mar 16, 2021·The American Journal of Sports Medicine·Brooks N PlattAustin V Stone
Nov 14, 2020·Journal of Orthopaedic Surgery and Research·Rocco Aicale, Nicola Maffulli

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