Return to Activity After Medial Patellofemoral Ligament Repair or Reconstruction

Matic, George T.; Magnussen, Robert A.; Kolovich, Gregory P.; Flanigan, David C.

doi:10.1016/j.arthro.2014.02.044

Cited by 76 publications

(76 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…12,15,17,46,71 Rates of 90% and 77.3% have been previously reported in reviews, although neither of these rates has been specific to isolated MPFL reconstruction. 19,33 Panni et al 46 reported that 64% returned to sports at the same level. They went on to specify that the remaining 36% reduced their sports level either because of reasons related to surgery (20%) or for reasons unrelated to surgery (16%).…”

Section: Discussionmentioning

confidence: 99%

“…The mean postoperative Tegner score was 5.7, which is similar to the scores of 5.4 and 5.8 found in recent reviews that examined patients’ ability to return to sports. 19,33 Csintalan et al 11 were the only authors to report a decreased mean postoperative Tegner score (5.6) relative to the mean preinjury score (6.1).…”

Section: Discussionmentioning

confidence: 99%

“…In a recent systematic review, investigators reported redislocation and recurrent instability rates of 24.0% and 32.7%, respectively, in patients who were treated operatively with procedures including MPFL reconstruction, MPFL repair, lateral retinacular release, and others for primary dislocations. 16 Additionally, Matic et al 33 conducted a systematic review of return to activity after MPFL repair or reconstruction and reported a 6.6% rate of recurrent instability after reconstruction. An additional review reported a 1% redislocation rate; however, this included studies performing concomitant procedures along with MPFL reconstruction and did not account for other postoperative instances of instability.…”

Section: Discussionmentioning

confidence: 99%

“…2,8,25,68 In a review by Fisher et al, 19 77.3% of athletes returned to sports at their preinjury level after MPFL reconstruction. Recent reviews by Tompkins and Arendt 69 and Matic et al 33 have reported redislocation and failure rates of 1% and 6.6%, respectively, after MPFL reconstruction. However, because of the wide variety of concomitant procedures that are often performed with MPFL reconstruction, as well as the variability in reported outcome measures, many previous reviews have evaluated heterogeneous populations.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Outcomes After Isolated Medial Patellofemoral Ligament Reconstruction for the Treatment of Recurrent Lateral Patellar Dislocations

et al. 2016

Self Cite

View full text Add to dashboard Cite

Background A patellar dislocation is a common knee injury in the young, athletic patient population. Recent trends indicate that the use of long-term nonoperative treatment is decreasing, and surgical intervention is more commonly recommended for those patients who fail initial nonoperative management with recurrent patellar dislocations. Medial patellofemoral ligament (MPFL) reconstruction has become increasingly utilized in this regard. Purpose To evaluate outcomes, particularly return to sports and its relationship to postoperative instability, of isolated MPFL reconstruction for the treatment of recurrent patellar dislocations. Study Design Systematic review and meta-analysis. Methods A review of the current literature was performed using the terms “medial patellofemoral ligament reconstruction” and “MPFL reconstruction” in the electronic search engines PubMed and EBSCOhost (CINAHL, MEDLINE, SPORTDiscus) on July 29, 2015, yielding 1113 abstracts for review. At the conclusion of the search, 14 articles met the inclusion criteria and were included in this review of the literature. Means were calculated for population size, age, follow-up time, and postoperative Tegner scores. Pooled estimates were calculated for postoperative Kujala scores, return to play, total risk of postoperative instability, risk of positive apprehension sign, and risk of reoperation. Results The mean patient age associated with MPFL reconstruction was 24.4 years, with a mean postoperative Tegner score of 5.7. The pooled estimated mean postoperative Kujala score was 85.8 (95% CI, 81.6–90.0), with 84.1% (95% CI, 71.1%–97.1%) of patients returning to sports after surgery. The pooled total risk of recurrent instability after surgery was 1.2% (95% CI, 0.3%–2.1%), with a positive apprehension sign risk of 3.6% (95% CI, 0%–7.2%) and a reoperation risk of 3.1% (95% CI, 1.1%–5.0%). Conclusion A high percentage of young patients return to sports after isolated MPFL reconstruction for chronic patellar instability, with short-term results demonstrating a low incidence of recurrent instability, postoperative apprehension, and reoperations.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Outcomes After Isolated Medial Patellofemoral Ligament Reconstruction for the Treatment of Recurrent Lateral Patellar Dislocations

et al. 2016

Self Cite

View full text Add to dashboard Cite

show abstract

“…24 MPFL reconstruction has become a popular procedure to restore normal patellar tracking, prevent symptoms of instability, and limit risk of chondral injury in patients with chronic lateral patellar instability who have failed nonoperative measures. Although MPFL repairs have a reportedly unacceptable failure rate as high as 46%, 3,8,20 excellent results have been reported at midterm follow-up after MPFL reconstruction in adult and pediatric patients. § Anatomic tunnel placement during MPFL reconstruction, particularly on the femur, is critical to restoring graft isometry and function.…”

mentioning

confidence: 99%