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Dynamic versus static reconstruction of the medial patellofemoral ligament for recurrent lateral patellar dislocation
Purpose To compare clinical and radiological outcomes of static and dynamic medial patellofemoral ligament (MPFL) reconstruction techniques. Methods In a retrospective, matched-paired, cohort analysis, 30 patients surgically treated for recurrent lateral patellar dislocation were divided into two gr...
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| Published in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2014-10, Vol.22 (10), p.2452-2457 |
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| container_end_page | 2457 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
| container_volume | 22 |
| creator | Becher, Christoph Kley, Kristian Lobenhoffer, Philipp Ezechieli, Marco Smith, Tomas Ostermeier, Sven |
| description | Purpose
To compare clinical and radiological outcomes of static and dynamic medial patellofemoral ligament (MPFL) reconstruction techniques.
Methods
In a retrospective, matched-paired, cohort analysis, 30 patients surgically treated for recurrent lateral patellar dislocation were divided into two groups of 15 patients matched for inclusion and exclusion criteria. The static technique group underwent rigid fixation of the gracilis tendon at the anatomic femoral MPFL insertion and the superomedial border of the patella; the dynamic technique group underwent detachment of the gracilis tendon at the pes anserinus with fixation to the proximal medial patellar margin via tunnel transfer obliquely through the patella. Kujala, Lysholm, and Tegner scores; pain level; and pre- and postoperative radiographic changes of patellar height, patellar tilt, and bisect offset were compared.
Results
No significant between-group differences were found in mean Kujala, Tegner, Lysholm, or visual analogue scale scores or radiographic parameters. One case of resubluxation was observed in the dynamic group. All but one patient in each group would have been willing to undergo the procedure again.
Conclusions
Both techniques provided satisfactory short-term outcomes.
Level of evidence
III. |
| doi_str_mv | 10.1007/s00167-014-3020-7 |
| format | article |
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To compare clinical and radiological outcomes of static and dynamic medial patellofemoral ligament (MPFL) reconstruction techniques.
Methods
In a retrospective, matched-paired, cohort analysis, 30 patients surgically treated for recurrent lateral patellar dislocation were divided into two groups of 15 patients matched for inclusion and exclusion criteria. The static technique group underwent rigid fixation of the gracilis tendon at the anatomic femoral MPFL insertion and the superomedial border of the patella; the dynamic technique group underwent detachment of the gracilis tendon at the pes anserinus with fixation to the proximal medial patellar margin via tunnel transfer obliquely through the patella. Kujala, Lysholm, and Tegner scores; pain level; and pre- and postoperative radiographic changes of patellar height, patellar tilt, and bisect offset were compared.
Results
No significant between-group differences were found in mean Kujala, Tegner, Lysholm, or visual analogue scale scores or radiographic parameters. One case of resubluxation was observed in the dynamic group. All but one patient in each group would have been willing to undergo the procedure again.
Conclusions
Both techniques provided satisfactory short-term outcomes.
Level of evidence
III.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-014-3020-7</identifier><identifier>PMID: 24781275</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Arthritis ; Arthroplasty - methods ; Body mass index ; Bone surgery ; Female ; Femur - surgery ; Humans ; Knee ; Ligaments ; Ligaments, Articular - surgery ; Magnetic resonance imaging ; Male ; Medicine ; Medicine & Public Health ; Orthopedics ; Patella - surgery ; Patellar Dislocation - surgery ; Patellofemoral Joint - surgery ; Patients ; Reconstructive Surgical Procedures - methods ; Retrospective Studies ; Tendons - transplantation ; Young Adult</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2014-10, Vol.22 (10), p.2452-2457</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c504t-9b44899616fba25d918e39301eeb07105ff4c5f06696e7496ab942388ef09ef63</citedby><cites>FETCH-LOGICAL-c504t-9b44899616fba25d918e39301eeb07105ff4c5f06696e7496ab942388ef09ef63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24781275$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Becher, Christoph</creatorcontrib><creatorcontrib>Kley, Kristian</creatorcontrib><creatorcontrib>Lobenhoffer, Philipp</creatorcontrib><creatorcontrib>Ezechieli, Marco</creatorcontrib><creatorcontrib>Smith, Tomas</creatorcontrib><creatorcontrib>Ostermeier, Sven</creatorcontrib><title>Dynamic versus static reconstruction of the medial patellofemoral ligament for recurrent lateral patellar dislocation</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
To compare clinical and radiological outcomes of static and dynamic medial patellofemoral ligament (MPFL) reconstruction techniques.
Methods
In a retrospective, matched-paired, cohort analysis, 30 patients surgically treated for recurrent lateral patellar dislocation were divided into two groups of 15 patients matched for inclusion and exclusion criteria. The static technique group underwent rigid fixation of the gracilis tendon at the anatomic femoral MPFL insertion and the superomedial border of the patella; the dynamic technique group underwent detachment of the gracilis tendon at the pes anserinus with fixation to the proximal medial patellar margin via tunnel transfer obliquely through the patella. Kujala, Lysholm, and Tegner scores; pain level; and pre- and postoperative radiographic changes of patellar height, patellar tilt, and bisect offset were compared.
Results
No significant between-group differences were found in mean Kujala, Tegner, Lysholm, or visual analogue scale scores or radiographic parameters. One case of resubluxation was observed in the dynamic group. All but one patient in each group would have been willing to undergo the procedure again.
Conclusions
Both techniques provided satisfactory short-term outcomes.
Level of evidence
III.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Arthritis</subject><subject>Arthroplasty - methods</subject><subject>Body mass index</subject><subject>Bone surgery</subject><subject>Female</subject><subject>Femur - surgery</subject><subject>Humans</subject><subject>Knee</subject><subject>Ligaments</subject><subject>Ligaments, Articular - surgery</subject><subject>Magnetic resonance imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedics</subject><subject>Patella - surgery</subject><subject>Patellar Dislocation - surgery</subject><subject>Patellofemoral Joint - surgery</subject><subject>Patients</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Retrospective Studies</subject><subject>Tendons - transplantation</subject><subject>Young Adult</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNqNkUtr3DAUhUVISKaT_IBuiiGbbNxcWS9rGSbpAwLdNGshe64mDrY1keTC_PvKnekQAoWupIO-c6SrQ8hHCp8pgLqNAFSqEigvGVRQqhOyoJyxUjGuTskCNK_KCoS8IB9ifAHIW67PyUXFVU0rJRZkut-Nduja4heGOMUiJpuyCtj6MaYwtanzY-FdkZ6xGHDd2b7Y2oR97x0OPmTZdxs74JgK58NsnEKYVZ-pcKRtKNZd7H1r58BLcuZsH_HqsC7J05eHn6tv5eOPr99Xd49lK4CnUjec11pLKl1jK7HWtEamGVDEBhQF4RxvhQMptUTFtbRNnpjVNTrQ6CRbkpt97jb41wljMkMX2_k5I_opGiqkrAVIXf8PynROF3Pq9Tv0xU9hzIP8oQStqaaZonuqDT7GgM5sQzfYsDMUzFyf2ddncn1mrs-o7Pl0SJ6a_NlHx9--MlDtgZiPxg2GN1f_M_U3czGmCA</recordid><startdate>20141001</startdate><enddate>20141001</enddate><creator>Becher, Christoph</creator><creator>Kley, Kristian</creator><creator>Lobenhoffer, Philipp</creator><creator>Ezechieli, Marco</creator><creator>Smith, Tomas</creator><creator>Ostermeier, Sven</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20141001</creationdate><title>Dynamic versus static reconstruction of the medial patellofemoral ligament for recurrent lateral patellar dislocation</title><author>Becher, Christoph ; Kley, Kristian ; Lobenhoffer, Philipp ; Ezechieli, Marco ; Smith, Tomas ; Ostermeier, Sven</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c504t-9b44899616fba25d918e39301eeb07105ff4c5f06696e7496ab942388ef09ef63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Arthritis</topic><topic>Arthroplasty - methods</topic><topic>Body mass index</topic><topic>Bone surgery</topic><topic>Female</topic><topic>Femur - surgery</topic><topic>Humans</topic><topic>Knee</topic><topic>Ligaments</topic><topic>Ligaments, Articular - surgery</topic><topic>Magnetic resonance imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopedics</topic><topic>Patella - surgery</topic><topic>Patellar Dislocation - surgery</topic><topic>Patellofemoral Joint - surgery</topic><topic>Patients</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Retrospective Studies</topic><topic>Tendons - transplantation</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Becher, Christoph</creatorcontrib><creatorcontrib>Kley, Kristian</creatorcontrib><creatorcontrib>Lobenhoffer, Philipp</creatorcontrib><creatorcontrib>Ezechieli, Marco</creatorcontrib><creatorcontrib>Smith, Tomas</creatorcontrib><creatorcontrib>Ostermeier, Sven</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Source (ProQuest)</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Becher, Christoph</au><au>Kley, Kristian</au><au>Lobenhoffer, Philipp</au><au>Ezechieli, Marco</au><au>Smith, Tomas</au><au>Ostermeier, Sven</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dynamic versus static reconstruction of the medial patellofemoral ligament for recurrent lateral patellar dislocation</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2014-10-01</date><risdate>2014</risdate><volume>22</volume><issue>10</issue><spage>2452</spage><epage>2457</epage><pages>2452-2457</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
To compare clinical and radiological outcomes of static and dynamic medial patellofemoral ligament (MPFL) reconstruction techniques.
Methods
In a retrospective, matched-paired, cohort analysis, 30 patients surgically treated for recurrent lateral patellar dislocation were divided into two groups of 15 patients matched for inclusion and exclusion criteria. The static technique group underwent rigid fixation of the gracilis tendon at the anatomic femoral MPFL insertion and the superomedial border of the patella; the dynamic technique group underwent detachment of the gracilis tendon at the pes anserinus with fixation to the proximal medial patellar margin via tunnel transfer obliquely through the patella. Kujala, Lysholm, and Tegner scores; pain level; and pre- and postoperative radiographic changes of patellar height, patellar tilt, and bisect offset were compared.
Results
No significant between-group differences were found in mean Kujala, Tegner, Lysholm, or visual analogue scale scores or radiographic parameters. One case of resubluxation was observed in the dynamic group. All but one patient in each group would have been willing to undergo the procedure again.
Conclusions
Both techniques provided satisfactory short-term outcomes.
Level of evidence
III.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24781275</pmid><doi>10.1007/s00167-014-3020-7</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2014-10, Vol.22 (10), p.2452-2457 |
| issn | 0942-2056 1433-7347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1566850698 |
| source | Wiley; Springer Nature; SPORTDiscus |
| subjects | Adolescent Adult Arthritis Arthroplasty - methods Body mass index Bone surgery Female Femur - surgery Humans Knee Ligaments Ligaments, Articular - surgery Magnetic resonance imaging Male Medicine Medicine & Public Health Orthopedics Patella - surgery Patellar Dislocation - surgery Patellofemoral Joint - surgery Patients Reconstructive Surgical Procedures - methods Retrospective Studies Tendons - transplantation Young Adult |
| title | Dynamic versus static reconstruction of the medial patellofemoral ligament for recurrent lateral patellar dislocation |
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