ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
Isolated reconstruction of medial patellofemoral ligament with an elastic femoral fixation leads to excellent clinical results.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Medial patellofemoral ligament reconstruction with and without trochleoplasty for patients with patella instability-correlation of trochlear dysplasia and patient outcome, classification and outcome measure in the past decade-a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Pooled it
- Comparable outcome for autografts and allografts in primary medial patellofemoral ligament reconstruction for patellofemoral instability: systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- Hardware-free MPFL reconstruction in patients with recurrent patellofemoral instability is safe and effective.Journal of orthopaedic surgery and research · 2022Pooled it
- Comparable clinical and functional outcomes between biological and synthetic grafts for medial patellofemoral ligament reconstruction: A systematic review and meta-analysis.Journal of experimental orthopaedics · 2026Review
- Comparable outcomes between quadriceps and hamstring tendon autografts for isolated medial patellofemoral ligament reconstruction: A systematic review of studies with minimum 2-year follow-up.Journal of experimental orthopaedics · 2025Review
- Stiffness and Instability After MPFL Reconstruction Using a Fluoroscopic Versus Open Technique to Localize the Femoral Attachment Site: A Systematic Review and Meta-analysis.Orthopaedic journal of sports medicine · 2023Review
- Allografts for Medial Patellofemoral Ligament (MPFL) Reconstruction in Adolescent Patients with Recurrent Patellofemoral Instability: A Systematic Review.Children (Basel, Switzerland) · 2023Review
- Are Patellofemoral Ligaments and Retinacula Distinct Structures of the Knee Joint? An Anatomic, Histological and Magnetic Resonance Imaging Study.International journal of environmental research and public health · 2022Article
- Simultaneous Reconstruction of Medial Patellofemoral and Medial Patellotibial Ligaments.Video journal of sports medicineArticle
- Lateral Retinaculum Lengthening and Medial Patellofemoral Ligament Reconstruction With Adductor Sling Technique.Video journal of sports medicineArticle
Corrections and comments
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Authors and funding
7 authors at 7 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe primary objective was to compare the functional outcomes after an isolated MPFL reconstruction using either a quasi-anatomical technique (group A) or an anatomical MPFL reconstruction (group B). The secondary objectives were to compare the rates of redislocation, range-of-motion and subjective patellar instability (Smillie test).
methodsA multicenter longitudinal prospective comparative study was performed. Group A had 29 patients and 28 were included in Group B. Patients with trochlear dysplasia types C and D and patients who had undergone a trochleoplasty, a distal realignment or patella distalization concurrently with MPFL reconstruction were excluded. The main evaluation criterion was the Kujala functional score.
resultsThe mean postoperative Kujala was 90.4 (89.4 in group A and 92.1 in group B). Upon comparing the mean difference between pre- and post-operative values, no differences were detected between the two groups (n.s).
conclusionsIsolated quasi-anatomical MPFL reconstruction using a gracilis tendon autograft for recurrent patellar dislocation provides outcomes as good as the isolated anatomical MPFL reconstruction in patients with no trochlear dysplasia up to those with trochlear dysplasia type A and B at the 2-5 years follow-up. LEVEL OF EVIDENCE: Level IV.
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