ArticleArthroscopy, sports medicine, and rehabilitation2024
Combined Medial Patellofemoral Ligament Reconstruction and Tibial Tubercle Osteotomy Has a Lower Risk of Recurrent Instability Requiring Revision Stabilization at 2 Years Than Either Procedure Alone.
Article in Arthroscopy, sports medicine, and rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
7 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
- Short-term clinical and radiographic outcomes after isolated medial patellofemoral ligament reconstruction for recurrent and first-time traumatic patellar dislocation with severe trochlear dysplasia, increased tibial tuberosity-trochlear groove distance, patella alta and lower extremity torsion deformities.BMC musculoskeletal disorders · 2026Article
- National Trends in the Surgical Management of Pediatric Patellofemoral Instability: A Retrospective Analysis From 2010 to 2022.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- Major risk factors do not influence the outcomes of isolated medial patellofemoral ligament reconstruction in athletes with patellar instability: a prospective cohort study.Knee surgery & related research · 2026Article
- Single-Stage Combined Technique of Lateral Release, Quadriceps Lengthening, Semitendinosus Tenodesis and Anteromedial Tibial Tubercle Transfer in Adult Obligatory Patellar Dislocation: A Case Report.Orthopedic reviews · 2026Article
- Surgical Techniques to Address Patellofemoral Instability: An Individualized Approach.Arthroscopy techniques · 2025Article
- Medial Quadriceps Tendon Femoral Ligament Reconstruction for Recurrent Patellar Instability in Skeletal Immature Patients Using Anterior Tibialis Tendon Allograft.Arthroscopy techniques · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
Purpose: To use a large nationwide administrative database to directly compare usage, complications, and need for revision stabilization surgery after medial patellofemoral ligament reconstruction (MPLFR), tibial tubercle osteotomy (TTO), and combined MPFLR and TTO (MPFLRTTO). Methods: The PearlDiver Mariner database was queried for all reported cases of MPLFR, TTO, and combined MPFLRTTO performed between 2010 and 2020 using Current Procedural Terminology codes. Subsets from those cohorts with laterality-specific Results: A total of 70,070 patients were identified. MPFLR was found to be the most common procedure (73.1%), followed by TTO (19.2%) and then MPFLRTTO (7.6%). MPLFR was observed to have the lowest overall complication rate (5.4%), whereas both TTO (7.5%) and MPFLRTTO (7.1%) had greater complication rates ( Conclusions: Isolated MPFLR is the most common modality used for patellar instability, with increasing prevalence and the lowest 2-year complication rate. Isolated TTO was unchanged in its use and had the greatest overall complication rate. Combined MPFLRTTO increased the overall complication rate but had a lower 2-year rate of recurrent instability requiring revision than MPFLR alone. Level of Evidence: Level III, retrospective cohort study.
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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.