ArticleInternational orthopaedics2025
Clinical outcomes after medial patellofemoral complex reconstruction using allografts in children and adolescents: a preliminary report.
Article in International orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.
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Who cites it
4 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Medial quadriceps tendon-femoral ligament reconstruction for recurrent patellofemoral instability: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Pooled it
- Combined medial patellofemoral ligament and medial quadriceps tendon-femoral ligament reconstruction for patellar instability: a systematic review.Journal of orthopaedic surgery and research · 2026Pooled it
- A Comprehensive Guide to Revision Medial Patellofemoral Ligament Reconstruction in Adolescents.Journal of the Pediatric Orthopaedic Society of North America · 2026Review
- Medial Patellofemoral Complex Reconstruction Using the Rectus Femoris Tendon.Arthroscopy techniques · 2025Article
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Authors and funding
2 authors.
Funding
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Abstract
purposeThis study aimed to evaluate the early outcomes and safety of allograft medial patellofemoral complex reconstruction (MPFC-R) in children and adolescents with patellofemoral instability (PFI).
methodsA retrospective analysis of prospectively collected data was conducted, including patients aged ≤ 18 years who underwent MPFC-R with allograft from January 2018 to December 2021. Preoperative assessment included evaluating patellar tracking and radiographic features, such as trochlear dysplasia, patellar height, and tibial tubercle-trochlear groove distance. Data on patient demographics, PFI type, complications, and patient-reported outcomes (Pedi-IKDC, Kujala Anterior Knee Pain Scale, Lysholm Knee Scoring Scale) were collected. Failure was defined by postoperative patellar dislocation or surgical revision for recurrent patellar instability.
resultsA total of 24 allograft MPFC-R (21 patients) were analyzed with a mean follow-up of 28.8 months (range, 12-60 months). The mean age at surgery was 13.4 years (range, 3-18 years), and 71% were female. The mean Pedi-IKDC, Kujala, and Lysholm scores were 91.2 (± 7.2), 92.8 (± 7.5), and 94.3 (± 6.3) points, respectively. Two patients (8.3%) experienced a single episode of patellofemoral instability without needing surgical revision. No other complications were reported.
conclusionAllograft MPFC reconstruction appears to be a safe and effective surgical option for managing recurrent patellar instability in children and adolescents at a mean follow-up of two years. Further research is needed to confirm its long-term efficacy and safety. LEVEL OF EVIDENCE: IV (Case series).
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