Evidence map›Paper›PMID 33259964›Full record

SynthesisJournal of sport and health science2022

Interference screws vs. suture anchors for isolated medial patellofemoral ligament femoral fixation: A systematic review.

Filippo Migliorini, Alice Baroncini, Jörg Eschweiler, Markus Tingart, Nicola Maffulli

Open access · diamondAbstract readSystematic Review
In one paragraph

Synthesis in Journal of sport and health science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 7 pooled it
0.9field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 7 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Medial quadriceps tendon-femoral ligament reconstruction for recurrent patellofemoral instability: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
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  5. Synthetic graft for medial patellofemoral ligament reconstruction: a systematic review.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 3 countries.

Filippo MiglioriniDepartment of Orthopaedics, University Clinic Aachen, Rheinisch-Westfälische Technische Hochschule (RWTH) Aachen University Clinic, Aachen 52074, Germany. Electronic address: migliorini.md@gmail.com.
Alice BaronciniDepartment of Orthopaedics, University Clinic Aachen, Rheinisch-Westfälische Technische Hochschule (RWTH) Aachen University Clinic, Aachen 52074, Germany.
Jörg EschweilerDepartment of Orthopaedics, University Clinic Aachen, Rheinisch-Westfälische Technische Hochschule (RWTH) Aachen University Clinic, Aachen 52074, Germany.
Markus TingartDepartment of Orthopaedics, University Clinic Aachen, Rheinisch-Westfälische Technische Hochschule (RWTH) Aachen University Clinic, Aachen 52074, Germany.
Nicola MaffulliDepartment of Medicine, Surgery and Dentistry, University of Salerno, Baronissi 84081, Italy; School of Pharmacy and Bioengineering, School of Medicine, Keele University, Stoke on Trent ST4 7QB, UK; Centre for Sports and Exercise Medicine, Barts and the London School of Medicine and Dentistry, Mile End Hospital, Queen Mary University of London, London E1 4DG, UK.
RWTH Aachen University · DEQueen Mary University of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe present study aimed to systematically review and compare 2 femoral autograft fixation techniques, namely, interference screws and suture anchors, for isolated medial patellofemoral ligament reconstruction in patients with recurrent patellofemoral instability at mid- to long-term follow-up.

methodsA literature search was performed in September 2020. All studies reporting the outcomes of primary isolated medial patellofemoral ligament reconstruction for recurrent patellofemoral instability were considered for inclusion. Only studies reporting the type of femoral autograft fixation under examination were considered. Studies reporting data from patients with elevated tibial tuberosity-tibial groove, patella alta, and/or Dejour's trochlear dysplasia types C and D, were not included. Only articles reporting data with a minimum follow-up period of 18 months were considered.

resultsData from 19 studies (615 patients) were retrieved. The overall age was 24.4 ± 6.7 years (mean ± SD). The mean follow-up was 46.5 ± 20.9 months. There were 76 patients in the anchor group and 539 in the screw group. Comparability was found with regard to age and follow-up duration between the 2 study groups. There was comparability between the Kujala, Lysholm, and Tegner scores at baseline. At the last follow-up, no worthy differences were found in terms of mean Kujala (+2.1%; p = 0.04), Lysholm (+1.7%; p = 0.05), and Tegner (+15.8%; p = 0.05) scores. Although complications occurred almost exclusively in the screw cohort, no statistically significant difference was found.

conclusionFemoral autograft fixation through interference screws or suture anchors report similar clinical scores and rate of apprehension test, persistent joint instability, re-dislocations, and revisions. These results must be interpreted within the limitations of the present study.

Indexed as

Patellar DislocationPatellofemoral JointAdolescentAdultBone ScrewsHumansLigaments, ArticularSuture AnchorsYoung AdultFemoral fixationMedial patellofemoral ligament reconstructionPatellofemoral instability

Identifiers

PMID33259964
PMCPMC8847917
OpenAlexW3110150527

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.