Evidence map›Paper›PMID 39839991›Full record

ReviewJournal of clinical orthopaedics and trauma2025

Medial patellofemoral ligament reconstruction using synthetic suture tape: A systematic review of biomechanical and clinical outcomes.

Muzammil Akhtar, Sonia Aamer, Mohammad Asad, Daniel Razick, Mustafa Jundi, Trevor Shelton

Erratum issuedAbstract readReview
In one paragraph

Review in Journal of clinical orthopaedics and trauma, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Muzammil AkhtarCalifornia Northstate University College of Medicine, 9700 W Taron Drive, Elk Grove, CA, 95757, USA.
Sonia AamerCalifornia Northstate University College of Medicine, 9700 W Taron Drive, Elk Grove, CA, 95757, USA.
Mohammad AsadCalifornia Northstate University College of Medicine, 9700 W Taron Drive, Elk Grove, CA, 95757, USA.
Daniel RazickCalifornia Northstate University College of Medicine, 9700 W Taron Drive, Elk Grove, CA, 95757, USA.
Mustafa JundiUniversity of California Davis School of Medicine, 4610 X St, Sacramento, CA, 95817, USA.
Trevor SheltonUtah Valley Orthopedics and Sports Medicine, 1157 N 300 W, Provo, UT, 84604, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To review outcomes of medial patellofemoral ligament reconstruction (MPFLR) using synthetic suture tape in biomechanical and clinical studies. Methods: A comprehensive literature search was performed in three databases. Studies reporting biomechanical and/or clinical outcomes of MPFLR using synthetic suture tape were included. For clinical studies, the primary outcome measures included patient-reported outcomes (PROs) and adverse events. Results: Three biomechanical studies were included. One study reported stronger integrity of fixation with suture tape versus semitendinosus autografts. One study reported similar integrity of MPFLR with knotless anchor versus soft tissue fixation. Another study found suture tape fixation between 60° and 90° of knee flexion to avoid excessive medial patellofemoral joint contact pressure after MPFLR. Eight clinical studies with 287 patients and 317 knees (36.1 % male, pooled mean age: 23.2 years old, pooled mean follow-up: 41.6 months) were included. All studies reported significant preoperative to postoperative improvement for all PROs except for the Tegner score in one study. The range of PROs were as follows (preoperative and postoperative): Lysholm (32.8-72.0 and 78.0 to 96.7), Kujala (36.0-75.2 and 78.8 to 97.7), International Knee Documentation Committee (IKDC) (48.6-69.8 and 71.3 to 91.3), and Tegner (1.0-4.6 and 4.0 to 6.5). Two studies comparing suture tape with autografts (quadriceps and gracillis tendons) reported similar postoperative PROs. The pooled rate of adverse postoperative events was 8.2 %. The pooled rate of positive patellar apprehension tests at follow-up was 3.2 %. Conclusions: Patients undergoing MPFLR with suture tape fixation achieved significant improvements in PROs and demonstrated low rates of postoperative complications. Compared to autograft fixation, suture tape fixation provided comparable or superior clinical and biomechanical outcomes.

Indexed as

Biomechanicalmedial patellofemoral ligament reconstructionPatellar dislocationSuture tape

Identifiers

PMID39839991
PMCPMC11743855

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Registered trials

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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.