2019
DOI: 10.1016/j.arthro.2019.05.007
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Primary Medial Patellofemoral Ligament Repair Versus Reconstruction: Rates and Risk Factors for Instability Recurrence in a Young, Active Patient Population

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Cited by 56 publications
(54 citation statements)
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References 32 publications
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“…However, all patients requiring a bony re-alignment procedure underwent concomitant MPFL reconstruction rather than repair. This study highlights that correction of the co-existing factors in recurrent PFI is essential for a successful MPFL stabilization surgery and may allow for the successful performance of MPFL repair rather than reconstruction in a select group of patients [70].…”
Section: Osseous Complicationsmentioning
confidence: 91%
“…However, all patients requiring a bony re-alignment procedure underwent concomitant MPFL reconstruction rather than repair. This study highlights that correction of the co-existing factors in recurrent PFI is essential for a successful MPFL stabilization surgery and may allow for the successful performance of MPFL repair rather than reconstruction in a select group of patients [70].…”
Section: Osseous Complicationsmentioning
confidence: 91%
“…Puzzitiello et al 1 once again have shown that the Kujala score does not measure recurrent instability because they found no significant difference in Kujala scores between the patient groups despite a 36.9% recurrence rate in the repair group and a 6.3% recurrence rate in the reconstruction group. In addition, the Kujala score was not assessed in 3 of 8 patients with failure who underwent additional surgery, severely limiting conclusions that could be drawn from this small group.…”
Section: See Related Article On Page 2909mentioning
confidence: 98%
“…Askenberger et al 12 showed minimal difference in Kujala scores between operatively and nonoperatively treated patients despite significant differences in redislocation rates. Finally, the study by Puzzitiello et al 1 suggests that we may want to be more aggressive in the treatment of patellar instability in patients with patella alta. The Caton-Deschamps index averaged 1.1 in patients with successful MPFL repairs and 1.3 in patients with unsuccessful MPFL repairs.…”
Section: See Related Article On Page 2909mentioning
confidence: 99%
See 1 more Smart Citation
“…Studies comparing outcomes of different treatments are always intriguing, so I read the article by Puzzitiello et al with interest. 1 Based on telephonic mean follow-up of approximately 5 years, the authors found greater rate of re-dislocation following medial patellofemoral ligament (MPFL) repair/imbrication in 19 knees as compared with reconstruction using hamstring autograft, hamstring allograft, or tibialis anterior allograft in 32 knees. The authors are to be congratulated for undertaking this retrospective review, but I did not find where follow-up duration was analyzed between the repair and reconstructed groups, so I would like to see that comparison.…”
mentioning
confidence: 99%