ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023
Patellofemoral articular cartilage damage is associated with poorer patient-reported outcomes following isolated medial patellofemoral ligament reconstruction.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 19 citations in OpenAlex.
- Age at the time of surgery does not compromise the outcome of deepening trochleoplasty: Results from under and over 30 years old.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Chondroplasty for isolated medial patellar facet cartilage lesions demonstrates no difference in clinical outcomes compared to a matched cohort of patients without patellofemoral chondral pathology in the setting of medial patellofemoral ligament reconstruction.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Effect of Cartilage Injuries on Medial Patellofemoral Ligament Reconstruction Outcomes at Midterm Follow-up.Orthopaedic journal of sports medicine · 2025Article
- Does Patient Age Matter for Medial Patellofemoral Ligament Reconstruction? Patients ≥30 Years of Age Compared With Younger Patients.Orthopaedic journal of sports medicine · 2025Article
- Difference in Characteristics of Patients Undergoing Revision MPFL Reconstruction and Those Undergoing Primary MPFL Reconstruction.Orthopaedic journal of sports medicine · 2025Article
- [Conservative and surgical treatment of femoropatellar osteoarthritis].Orthopadie (Heidelberg, Germany) · 2025Article
- The Effect of Body Mass Index on Outcomes of Isolated Medial Patellofemoral Ligament Reconstruction.Orthopaedic journal of sports medicine · 2025Article
- Preoperative subjective assessment of disease-specific quality of life significantly influenced the likelihood of achieving the minimal clinically important difference after surgical stabilization for recurrent lateral patellar instability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Comparison of Clinical and Radiological Outcomes With Body Mass Index After Medial Patellofemoral Ligament Reconstruction.Orthopaedic journal of sports medicine · 2024Article
- Outcomes of Particulated Juvenile Articular Cartilage and Association With Defect Fill in Patients With Full-Thickness Patellar Chondral Lesions.Orthopaedic journal of sports medicine · 2024Article
- Patients With First-Time or Recurrent Patellar Dislocation Have a Similar High Rate and Extent of Articular Cartilage Injury Observed on Magnetic Resonance Imaging.Arthroscopy, sports medicine, and rehabilitation · 2024Article
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to investigate the impact of articular cartilage damage on outcomes following medial patellofemoral ligament (MPFL) reconstruction.
methodsRecord review identified 160 patients who underwent isolated MPFL reconstruction at a single institution between 2008 and 2016. Patient demographics, patellofemoral articular cartilage status at surgery, and patient anatomical measures from imaging were obtained via chart review. Patients were contacted and outcomes assessed through collection of Norwich Patellar Instability (NPI) score, Knee injury and Osteoarthritis Outcome Score (KOOS), and Marx activity score as well as an assessment for recurrent patellar dislocation. Outcomes of patients with grade 0-II patellofemoral cartilage damage were compared to those of patients with grade III-IV cartilage damage.
resultsOne hundred twenty-two patients (76%) with a minimum of one year follow-up were contacted at a mean of 4.8 years post-operatively. A total of 63 patients (52%) had grade III or IV patellofemoral chondral damage at the time of surgery. The majority of the defects was on the medial patella (46 patients-72%) and the mean patellar defect size was 2.8 cm
conclusionPatients with grade III or IV articular cartilage damage of the patellofemoral joint at the time of MPFL reconstruction demonstrated poorer KOOS knee-related quality of life than patients without grade III or IV articular cartilage damage at a mean of 4.8 years following isolated MPFL reconstruction. LEVEL OF EVIDENCE: Level II.
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