ArticleJournal of experimental orthopaedics2024
Anatomic physeal-sparing MPFL reconstruction in skeletally immature patients shows favourable outcomes at a minimum of 24-month follow-up.
Article in Journal of experimental orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The incidence and epidemiology of patellar fractures following medial patellofemoral ligament reconstruction: a systematic review and meta-analysis.Archives of orthopaedic and trauma surgery · 2026Pooled it
- Primary Lateral Patellar Dislocation Associated with an Increased Sulcus Angle in an African Child: A Case Report of Synthetic Graft-Assisted Medial Patellofemoral Ligament Reconstruction.Reports (MDPI) · 2026Article
- Increased sagittal patellar height and reduced trochlear engagement on MRI are associated with recurrent patellar instability in skeletally immature knees: A comparative study.Journal of experimental orthopaedics · 2026Article
- Patellar tilt correction magnitude, rather than residual tilt, predicts functional outcome after isolated medial femoropatellar ligament reconstruction.Journal of experimental orthopaedics · 2026Article
- Midterm Outcomes of Medial Patellofemoral Ligament Reconstruction in Adolescent Athletes: Comparison Between Acute and Recurrent Patella Dislocation.Journal of clinical medicine · 2025Article
- Two-dimensional robot-assisted physeal-sparing medial patellofemoral ligament reconstruction can achieve favourable clinical outcomes for skeletally immature patients with recurrent patellar dislocation.Journal of experimental orthopaedics · 2025Article
- Medial Quadriceps Tendon Femoral Ligament Reconstruction for Recurrent Patellar Instability in Skeletal Immature Patients Using Anterior Tibialis Tendon Allograft.Arthroscopy techniques · 2025Article
- Anatomic physeal-sparing MPFL reconstruction in skeletally immature patients shows favourable outcomes at a minimum of 24-month follow-up.Journal of experimental orthopaedics · 2024Article
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Abstract
Purpose: Recurrent patellar dislocation is a prevalent orthopaedic issue among active paediatric and adolescent populations. Bony surgical procedures are not recommended in growing patients; therefore, the focus of surgery is on restoring the medial patellar ligaments, with different reconstructive techniques available. This retrospective case series focuses on the 2-year outcomes of medial patellofemoral ligament (MPFL) reconstruction in skeletally immature patients with open physis. Methods: Twenty-four consecutive patients with patellofemoral instability and open growth plates underwent anatomic MPFL reconstruction with a physeal-sparing technique. All subjects have had more than three episodes of true patellar dislocations. Preoperative radiographic examination included anteroposterior and lateral views to assess patella alta and limb alignment. Magnetic resonance imaging was performed to evaluate trochlear dysplasia and tibial tubercle-trochlear groove (TT-TG) distance. The patients were questioned regarding complications and clinical outcomes using the visual analogue scale (VAS), Kujala and Paediatric International Knee Documentation Committee (Pedi-IKDC) score. Variables were evaluated using paired Results: The mean age at the time of operation was 13.04 years (9-16 years). The cohort was followed for a mean duration of 38.66 months (24-86 months). The mean time from injury to surgery was 50.45 days (16-80 days). No growth arrest, limb-length discrepancies or angular deformities were observed post-operatively during the whole follow-up period. No patellar re-dislocations were recorded throughout the study period. The VAS score improved significantly from 5.67 (4-8) to 1.88 (0-4) ( Conclusion: Physeal-sparing MPFL reconstruction in children and adolescents yields excellent midterm results and allows patients to return to sports without redislocation of the patella. Boys scored better than girls in VAS, Pedi-IKDC and Kujala score post-operatively, but these differences were not statistically significant. Level of Evidence: IV: case series with no comparative group.
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