Isolated medial patellofemoral ligament reconstruction significantly improved quality of life in patients with recurrent patella dislocation

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Theodoros BourasAndrew Barnett

Abstract

The purpose of this study was to measure the improvement in quality of life (QoL) following isolated anatomical double-bundle medial patellofemoral ligament reconstruction. This is a single-centre, prospective study of 56 consecutive patients (57 knees) who underwent isolated MPFL reconstruction between 2014 and 2017. Functional outcome and QoL were assessed with the Kujala score and the EQ-5D-3L questionnaire, respectively. Objective outcomes were obtained through clinical examination at the latest follow-up assessing redislocation rate, patella apprehension test, patellar tilt, pain and range of motion. The median Kujala score increased from 60 (range 31-96) to 92 (range 34-100) at latest follow-up (p < 0.001). The median EQ-5D index also increased, from 0.69 (range 0.10-1) at baseline to 1 (range 0.16-1) at latest follow-up (p < 0.001), as well as the median EQ-5D VAS from 75 (range 20-95) to 92 (range 40-100) (p < 0.001). Four dimensions of the EQ-5D were significantly improved except for the anxiety/depression scores. Female patients reported lower scores at baseline and at latest follow-up, for all three outcomes (Kujala, EQ-5D index, EQ-5D VAS), however there was no evidence that gender negatively impacted on the benefit...Continue Reading

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Citations

Jul 10, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Laurie Anne HiemstraMark Lafave
Oct 16, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·ZhiJun ZhangHua Feng
May 13, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Ritwik Kejriwal, Peter Annear
Jun 10, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Zijie XuAiguo Zhou
Oct 30, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Patricia M LutzMatthias J Feucht
May 26, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Marc-Daniel AhrendChristoph Ihle
Oct 2, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yanwei CaoHui Zhang

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