I.S.Mu.L.T. first-time patellar dislocation guidelines

Vetrano, Mario; Oliva, Francesco; Bisicchia, Salvatore; Bossa, M.; Carli, Angelo De; Lorenzo, Luigi Di; Erroi, Davide; Forte, Aldo Lo; Foti, C; Frizziero, Antonio; Gasparre, Giuseppe; VIa, Arion; Innocenti, Bernardo; Longo, Umile Giuseppe; Mahmoud, Ahmed Abdelaal Ahmed; Masiero, Stefano; Mazza, Daniele; Natali, Simone; Notarangelo, Christian; Osti, Leonardo; Padulo, Johnny; Pellicciari, Leonardo; Perroni, Fabrizio; Piccirilli, Eleonora; Ramponi, C; Salvatore, Giuseppe; Panni, Alfredo Schiavone; Suarez, Tania; Tarantino, Umberto; Vittadini, Filippo; Vulpiani, Maria Chiara; Ferretti, Andrea; Maffulli, Nicola

doi:10.32098/mltj.01.2017.01

Cited by 14 publications

(15 citation statements)

References 92 publications

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“…The structure of this type of article is very formulaic, and follows a fairly standard mode: title, abstract, introduction, materials and methods, results, discussion/conclusions, reference; sometimes are present acknowledgements. Furthermore, they can be structured in the form of guidelines 36 or perspective 37 . Most of the published articles report only positive results.…”

Section: Original Articlesmentioning

confidence: 99%

I performed experiments and I have results. Wow, and now?

Padulo

Giorgio

Oliva

et al. 2019

Muscle Ligaments and Tendons J

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Writing a scientific article is not an easy task, but it is definitely a great satisfaction to be able to conclude and publish it. Indeed, each publication is a service we make to the entire scientific community and to the advancement of science even before our personal career. There is and there will not be a final book/article for writing a scientific paper. Therefore, some knowledge is a decisive factor to increase the chances of our work being accepted by a specialized scientific journal. The purpose of this editorial is to trace an ideal path, based on our personal experience, useful to properly structure a scientific article, from bibliographic research to cover letter. Articles should not be written in a polished way to gratify one's own ego, but they must be written for anyone who can read and understand them.

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Section: Original Articlesmentioning

confidence: 99%

I performed experiments and I have results. Wow, and now?

Padulo

Giorgio

Oliva

et al. 2019

Muscle Ligaments and Tendons J

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“…Therefore, injury or deficiency of MPFL is one of the predisposing factors for RPD. In most cases, an acute traumatic patellar dislocation leads to MPFL rupture [8,11]. Therefore, an anatomical repair MPFL is necessary to prevent redislocation of patella [11].…”

Section: Introductionmentioning

confidence: 99%

Quality of life following medial patellofemoral ligament reconstruction combined with medial tibial tubercle transfer in patients with recurrent patellar dislocation: a retrospective comparative study

et al. 2022

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Background Because the patients undergoing medial patellofemoral ligament reconstruction (MPFLr) combined with medial tibial tubercle transfer (TTT) procedure are usually young and active, the quality of life (QoL) is also an important prognostic factor for patients with recurrent patellar dislocation. Assessing QoL can provide more useful and accurate evidence for the effects of this procedure. This study aimed to evaluate QoL following MPFLr combined with TTT, compared with isolated MPFLr (iMPFLr). Methods Fifty-one patients who underwent iMPFLr + TTT and 48 patients who underwent iMPFLr were included. Clinical evaluation included QoL (EQ-5D-5L and EQ-5D VAS), functional outcomes (Kujala, Lysholm and Tegner activity scores), physical examinations (patellar apprehension test and range of motion) and redislocation rates. Radiological evaluation included patellar tilt angle and bisect offset. These preoperative and postoperative results were compared between groups at baseline and the final follow-up. The paired and independent t tests were used for the data following a normal distribution. Otherwise, the Wilcoxon and Mann–Whitney U tests were used to analyze the differences. Categorical variables were compared by chi-square or Fisher’s exact test. Results All of the QoL (EQ-5D-5L and EQ-5D VAS), clinical results and radiological outcomes significantly improved in both groups at the final follow-up, with no significant differences between groups. There was no significant difference in five dimensions of EQ-5D at the final follow-up, although percentages of people with problems of mobility and pain/discomfort were higher in the MPFLr + TTT group. Female patients had lower EQ-5D index and EQ-5D VAS compared with male patients in both groups at the final follow-up, but there was only a significant difference in the EQ-5D VAS. Conclusions Both MPFLr + TTT and iMPFLr groups obtained similar and satisfactory improvements in the QoL, clinical results and radiological outcomes, indicating that MPFLr combined with TTT is a safe and effective procedure, which can significantly improve the QoL for patients with recurrent patellar dislocation in cases of pathologically lateralized TT. However, female patients obtained lower QoL than males.

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“…The leading surgical strategy is to stabilize the patella through a reconstruction of the insufficient or disrupted soft tissue of the MPFL. This is necessary in recurrent patella dislocations and in particular cases of first patella dislocations such as patients with severe anatomical risk factors [15]. The anatomical risk factors should be corrected as well because these patients have an increased rate of revision surgeries, re-dislocations and persistent joint instability compared to those without anatomical risk factors [16].…”

Section: Introductionmentioning

confidence: 99%

Dynamic versus static medial patellofemoral ligament reconstruction technique in the treatment of recurrent patellar dislocation: a randomized clinical trial protocol

Bartsch

Nüesch

Rieger³

et al. 2022

J Orthop Surg Res

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Background The redislocation rate of conservatively treated patella instability is high. One of the leading surgical strategies is medial patellofemoral ligament reconstruction. Over-tensioning is one of the most challenging complications in static medial patellofemoral ligament reconstruction as the graft used for reconstruction is isometric and the anatomical MPFL is a mostly dynamic structure. As an alternative to established static reconstruction techniques, dynamic graft techniques have been introduced for stabilizing the patella with the aim of providing a more physiological reconstruction of the medial patellofemoral ligament. To date, data on clinical outcomes are scarce and on biomechanical outcomes of the dynamic MPFL reconstruction are lacking. Here, we present the protocol of a randomized clinical trial for comparing clinical and biomechanical outcomes of dynamic versus static medial patellofemoral ligament reconstruction. Methods This study is a prospective, single blinded, randomized, multicenter, multimodal (clinical and biomechanical) clinical trial. Patients with recurrent patella dislocation requiring isolated MPFL reconstruction will be recruited and randomized to the dynamic or static reconstruction technique. Participants will be followed up for 2 years with a total of five follow-ups. Preoperative magnetic resonance imaging, upright radiographs, surgical reports and patient records will be evaluated, and clinical and functional outcomes will be measured. Patient-reported knee function and anterior knee pain as assessed with the Kujala score will serve as primary outcome. For biomechanical outcome, pre- and postoperative evaluations will be performed to assess isokinetic muscle strength, gait asymmetry, joint kinematics and kinetics, and timing of muscle activity. Discussion The results of the study will clarify whether the reported surgery success for patella stabilization via dynamic MPFL reconstruction is due to muscle contraction or to the passive tenodesis effect combined with clinical outcome measures. With this study, we will provide much needed information on knee biomechanics after dynamic versus static MPFL reconstruction to provide evidence to support orthopedic surgeons in evidence-based decision-making in their quest for surgical techniques most favorable for their patients. Trial registration The study protocol was registered at clinicaltrials.gov (NCT04849130). Registered 19 April 2021, https://clinicaltrials.gov/ct2/show/NCT04849130.

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I.S.Mu.L.T. first-time patellar dislocation guidelines

Cited by 14 publications

References 92 publications

I performed experiments and I have results. Wow, and now?

I performed experiments and I have results. Wow, and now?

Quality of life following medial patellofemoral ligament reconstruction combined with medial tibial tubercle transfer in patients with recurrent patellar dislocation: a retrospective comparative study

Dynamic versus static medial patellofemoral ligament reconstruction technique in the treatment of recurrent patellar dislocation: a randomized clinical trial protocol

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