ArticleJournal of experimental orthopaedics2025
Femorotibial rotation does not affect clinical outcomes after patellofemoral stabilizing surgery.
Article in Journal of experimental orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Femorotibial rotation does not affect clinical outcomes after patellofemoral stabilizing surgery.Journal of experimental orthopaedics · 2025Article
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8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Purpose: The role of femorotibial rotation in patellar instability treatment and prognosis remains unclear. This study examines whether increased femorotibial rotation, indicated by a positive winking sign, affects functional outcomes and recurrent instability after patellofemoral stabilizing surgery. Methods: All patients undergoing patellofemoral instability surgery at our institution (2014-2022) with complete rotational imaging (magnetic resonance imaging/computed tomography [MRI/CT]) and functional assessments (Kujala, Tegner) and at least 1-year follow-up were included. Patients were grouped based on the presence of a radiological winking sign. Surgical treatment was tailored to individual deformities, including medial patellofemoral ligament reconstruction, trochleoplasty, derotational osteotomy and tibial tuberosity osteotomy. Results: A total of 121 knees (114 patients, mean age 23.5 years) with a mean follow-up of 2 years were analyzed. Preoperatively, the winking sign was present in 19.8% ( Conclusion: Patients with increased femorotibial rotation achieve similar functional outcome following patellofemoral stabilizing surgery without increased complications or persistent instability. A tendency for less functional improvement in these patients raises questions about the need to assess femorotibial rotation as an independent deformity. Further research is needed to investigate this topic more deeply. Level of Evidence: Level III.
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