Medial patellofemoral ligament reconstruction with or without tibial tubercle transfer is an effective treatment for patellofemoral instability

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
T NeriR Philippot

Abstract

The hypotheses were that medial patellofemoral ligament reconstruction (MPFLr) would improve the long-term symptoms of patellofemoral Instability (PFI) and control patellar tilt, based on computed tomography (CT), and that the addition of a TT transfer, when it is necessary, would not deteriorate the outcome. The purpose of this study was to evaluate the long-term clinical and radiographic outcomes of a large series of MPFLr, either isolated or associated with a TT transfer. From 133 MPFLr with a minimum of 4 years postoperatively, three groups were defined: isolated MPFLr, MPFLr with tibial tubercle (TT) medialisation or MPFLr with TT medialisation and distalisation. IKDC and Kujala scores were evaluated. Patellar tilt was evaluated on the patient's preoperative and the last available radiograph, and on CT scan measurements performed preoperatively and at 6-month postoperatively. The mean follow-up was 6.3 ± 1.7 years [4.1-10.3] and four patients reported recurrent patellar dislocation. Between pre and postoperative at last follow-up a significant improvement in IKDC and Kujala functional scores was observed (P < 0.01), with no difference between the three groups. Regarding patellar tilt, there were significant decreases in La...Continue Reading

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Citations

Mar 6, 2019·Current Reviews in Musculoskeletal Medicine·Laurie Anne HiemstraSarah Kerslake
Oct 16, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·ZhiJun ZhangHua Feng
May 13, 2020·Current Reviews in Musculoskeletal Medicine·Mitchell G A WheatleyAllison L Clouthier
Mar 2, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Theodoros BourasAndrew Barnett
Dec 29, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Yi-Fan SongJia-Kuo Yu
Apr 4, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Clara SosJulien Berhouet
May 15, 2021·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Betina B HinckelJack Farr
Oct 2, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yanwei CaoHui Zhang

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