ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022
Medial patellofemoral ligament reconstruction for recurrent patellar dislocation allows a good rate to return to sport.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Operative Versus Nonoperative Treatment of Medial Patellofemoral Ligament Injuries: A Systematic Review and Meta-analysis of Randomized Controlled Trials With Trial Sequential Analysis.The American journal of sports medicine · 2026Pooled it
- Factors affecting patellofemoral contact pressure during medial patellofemoral ligament reconstruction. A systematic review of cadaveric biomechanical testing.Journal of orthopaedic surgery and research · 2025Pooled it
- Arthroscopic Management of Patellar Instability in Skeletally Immature Patients: Current Concepts and Future Directions.Journal of clinical medicine · 2025Review
- Postoperative Knee Extensor Strength After Medial Patellofemoral Ligament Reconstruction Using Superficial Slip of the Quadriceps Tendon and the Factors That Affect Strength Recovery.Orthopaedic journal of sports medicine · 2025Article
- Isokinetic Strength Profiles Among Youth after Medial Patellofemoral Ligament Reconstruction.International journal of sports physical therapy · 2025Article
- Recurrent patellar dislocation: treatments and challenges.Frontiers in surgery · 2025Review
- Current Concept Review: Medial Patellofemoral Ligament Reconstruction: From Rehabilitation to Return to Sport.International journal of sports physical therapy · 2025Article
- Research Progress on Return to Sport After Surgery for Lateral Patellar Dislocation.Orthopedic reviews · 2025Article
- Predicting two-year return-to-sport failure after medial patellofemoral ligament reconstruction in patellar dislocation patients with bone abnormalities.Journal of orthopaedic surgery and research · 2024Article
- Anatomical medial patellofemoral ligament reconstruction improves sport participation and activity levels in adolescents with recurrent patellar dislocation.Joint diseases and related surgery · 2024Article
- Midterm Outcomes of Isolated Medial Patellofemoral Ligament Reconstruction for Patellar Instability in Ehlers-Danlos Syndrome.Orthopaedic journal of sports medicine · 2024Article
- Comparison of Failure Rates at Long-term Follow-up Between MPFL Repair and Reconstruction for Recurrent Lateral Patellar Instability.Orthopaedic journal of sports medicine · 2024Article
- Patients who undergo bilateral medial patellofemoral ligament reconstruction return to sport at a similar rate as those that undergo unilateral reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Clinical Insights into the Treatment of Patellofemoral Instability with Medial Patellofemoral Ligament Reconstruction: Pearls and Pitfalls-Lessons Learned from 20 Years.Journal of personalized medicine · 2023Article
- Femoral anteversion measured by the surgical transepicondylar axis is a reliable parameter for evaluating femoral rotational deformities in patients with patellar dislocation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- The coronal alignment technique impacts deviation from native knee anatomy after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Landmarks Used in Medial Patellofemoral Ligament Reconstruction Have Variable Topography.Arthroscopy, sports medicine, and rehabilitation · 2022Article
- Change of the cross-sectional area of vastus medialis oblique in patients with recurrent patellar dislocation treated by tibial tubercle transfer combined with medial patellofemoral ligament reconstruction on axial CT.Journal of orthopaedic surgery and research · 2022Article
- The severity of patellar and trochlear dysplasia are correlated.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRecurrent patellar dislocation is a frequent knee disorders in young, active patients. Medial patellofemoral ligament reconstruction (MPFLR) can restore knee stability and function, but the rate of return to sports is less clear. The aim of this study was to evaluate rate of return to sport following treatment of recurrent patellar dislocation with isolated MPFLR.
methodsBetween 2011 and 2018, 113 patients with recurrent patellar dislocation were treated with isolated MPFLR at an academic center. Pre-injury sports participation and Tegner score, pre-operative subjective IKDC score, time to return to sports, and post-operative Tegner and subjective IKDC scores were collected, with a minimum of follow-up of 2 years.
resultsOne hundred and three patients (91%) were evaluated at a mean of 4.5 ± 2.5-year post-operative. 92 patients (89%) participated in sports prior to onset of patellar instability. At final follow-up, 84 of these 92 patients (91%) were able to return to sports. The mean time from surgery to return to sports was 10.4 ± 8.6 months (range: 2-48 months). 62 patients (67%) returned to the same (50 patients) or higher (12 patients) level. 22 patients (26%) returned at a lower level. 19 of these patients attributed this decreased participation to ongoing knee problems. The median Tegner score was noted to decrease from 5 pre-injury to 4 post-operatively (p = 0.02).
conclusionIsolated MPFL reconstruction allowed return to pre-injury sports in 91% of patients, with 67% of patients returning to the same or higher level than pre-injury. Mean time to return to sports was 10 months and post-operative Tegner score was noted to be modestly decreased from pre-injury level. LEVEL OF EVIDENCE: IV.
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Registered trials
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.