Double-bundle anatomical medial patellofemoral ligament reconstruction with lateral retinaculum plasty can lead to good outcomes in patients with patellar dislocation

Purpose To evaluate the clinical outcomes of double-bundle anatomical medial patellofemoral ligament (MPFL) reconstruction combined with lateral retinaculum plasty versus isolated MPFL reconstruction for patellar dislocation. Methods From 2011 to 2013, 64 patients underwent either double-bundle anat...

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Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2018-09, Vol.26 (9), p.2743-2749
Main Authors: Niu, Yingzhen, Wang, Xinmin, Liu, Chang, Wang, Xiaomeng, Dong, Zhenyue, Niu, Jinghui, Wang, Fei
Format: Article
Language:English
Subjects:
Adolescent
Adult
Bundling
Dislocation
Dislocations
Female
Humans
Knee
Male
Medicine
Medicine & Public Health
Orthopedics
Patella - surgery
Patellar Dislocation - surgery
Patellar Ligament - surgery
Patellofemoral Joint - surgery
Patients
Postoperative Period
Reconstructive Surgical Procedures - methods
Young Adult
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cited_by cdi_FETCH-LOGICAL-c372t-20cface4373da3894cd07e5a8c125e7aacfa964516049ddfd5327164d4f597f93
cites cdi_FETCH-LOGICAL-c372t-20cface4373da3894cd07e5a8c125e7aacfa964516049ddfd5327164d4f597f93
container_end_page 2749
container_issue 9
container_start_page 2743
container_title Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
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creator Niu, Yingzhen
Wang, Xinmin
Liu, Chang
Wang, Xiaomeng
Dong, Zhenyue
Niu, Jinghui
Wang, Fei
description Purpose To evaluate the clinical outcomes of double-bundle anatomical medial patellofemoral ligament (MPFL) reconstruction combined with lateral retinaculum plasty versus isolated MPFL reconstruction for patellar dislocation. Methods From 2011 to 2013, 64 patients underwent either double-bundle anatomical MPFL reconstruction combined with lateral retinaculum plasty (Group A, 32 patients), or isolated MPFL reconstruction (Group B, 32 patients). Clinical evaluations were performed 2 years post-operatively and included determination of the number of patients with patellar redislocation, the patellar tilt angle, lateral patellar shift, subjective symptoms, and functional outcomes as evaluated with the Kujala score and Lysholm score. Results No dislocation or subluxation occurred during the 25-month follow-up. Radiographically, the patellar tilt angle was 6.0° ± 1.7° in Group A and 6.7° ± 2.0° in Group B, without a significant difference (n. s). The lateral patellar shift was 8.0 ± 2.6 mm in Group A and 8.5 ± 2.4 mm in Group B (n. s). The mean Kujala score was 91.8 ± 3.7 in Group A and 91.5 ± 3.6 in Group B post-operatively (n. s), and the mean Lysholm score was 92.5 ± 3.8 and 90.8 ± 4.9, respectively (n. s). Conclusions Double-bundle anatomical MPFL reconstruction with lateral retinaculum plasty is a promising procedure that provides a new option for patellar dislocation. Level of evidence III.
doi_str_mv 10.1007/s00167-017-4720-6
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Methods From 2011 to 2013, 64 patients underwent either double-bundle anatomical MPFL reconstruction combined with lateral retinaculum plasty (Group A, 32 patients), or isolated MPFL reconstruction (Group B, 32 patients). Clinical evaluations were performed 2 years post-operatively and included determination of the number of patients with patellar redislocation, the patellar tilt angle, lateral patellar shift, subjective symptoms, and functional outcomes as evaluated with the Kujala score and Lysholm score. Results No dislocation or subluxation occurred during the 25-month follow-up. Radiographically, the patellar tilt angle was 6.0° ± 1.7° in Group A and 6.7° ± 2.0° in Group B, without a significant difference (n. s). The lateral patellar shift was 8.0 ± 2.6 mm in Group A and 8.5 ± 2.4 mm in Group B (n. s). The mean Kujala score was 91.8 ± 3.7 in Group A and 91.5 ± 3.6 in Group B post-operatively (n. s), and the mean Lysholm score was 92.5 ± 3.8 and 90.8 ± 4.9, respectively (n. s). Conclusions Double-bundle anatomical MPFL reconstruction with lateral retinaculum plasty is a promising procedure that provides a new option for patellar dislocation. Level of evidence III.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-017-4720-6</identifier><identifier>PMID: 28932880</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Bundling ; Dislocation ; Dislocations ; Female ; Humans ; Knee ; Male ; Medicine ; Medicine &amp; Public Health ; Orthopedics ; Patella - surgery ; Patellar Dislocation - surgery ; Patellar Ligament - surgery ; Patellofemoral Joint - surgery ; Patients ; Postoperative Period ; Reconstructive Surgical Procedures - methods ; Young Adult</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018-09, Vol.26 (9), p.2743-2749</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2017</rights><rights>Knee Surgery, Sports Traumatology, Arthroscopy is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-20cface4373da3894cd07e5a8c125e7aacfa964516049ddfd5327164d4f597f93</citedby><cites>FETCH-LOGICAL-c372t-20cface4373da3894cd07e5a8c125e7aacfa964516049ddfd5327164d4f597f93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28932880$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Niu, Yingzhen</creatorcontrib><creatorcontrib>Wang, Xinmin</creatorcontrib><creatorcontrib>Liu, Chang</creatorcontrib><creatorcontrib>Wang, Xiaomeng</creatorcontrib><creatorcontrib>Dong, Zhenyue</creatorcontrib><creatorcontrib>Niu, Jinghui</creatorcontrib><creatorcontrib>Wang, Fei</creatorcontrib><title>Double-bundle anatomical medial patellofemoral ligament reconstruction with lateral retinaculum plasty can lead to good outcomes in patients with 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 evaluate the clinical outcomes of double-bundle anatomical medial patellofemoral ligament (MPFL) reconstruction combined with lateral retinaculum plasty versus isolated MPFL reconstruction for patellar dislocation. Methods From 2011 to 2013, 64 patients underwent either double-bundle anatomical MPFL reconstruction combined with lateral retinaculum plasty (Group A, 32 patients), or isolated MPFL reconstruction (Group B, 32 patients). Clinical evaluations were performed 2 years post-operatively and included determination of the number of patients with patellar redislocation, the patellar tilt angle, lateral patellar shift, subjective symptoms, and functional outcomes as evaluated with the Kujala score and Lysholm score. Results No dislocation or subluxation occurred during the 25-month follow-up. Radiographically, the patellar tilt angle was 6.0° ± 1.7° in Group A and 6.7° ± 2.0° in Group B, without a significant difference (n. s). The lateral patellar shift was 8.0 ± 2.6 mm in Group A and 8.5 ± 2.4 mm in Group B (n. s). The mean Kujala score was 91.8 ± 3.7 in Group A and 91.5 ± 3.6 in Group B post-operatively (n. s), and the mean Lysholm score was 92.5 ± 3.8 and 90.8 ± 4.9, respectively (n. s). Conclusions Double-bundle anatomical MPFL reconstruction with lateral retinaculum plasty is a promising procedure that provides a new option for patellar dislocation. 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Methods From 2011 to 2013, 64 patients underwent either double-bundle anatomical MPFL reconstruction combined with lateral retinaculum plasty (Group A, 32 patients), or isolated MPFL reconstruction (Group B, 32 patients). Clinical evaluations were performed 2 years post-operatively and included determination of the number of patients with patellar redislocation, the patellar tilt angle, lateral patellar shift, subjective symptoms, and functional outcomes as evaluated with the Kujala score and Lysholm score. Results No dislocation or subluxation occurred during the 25-month follow-up. Radiographically, the patellar tilt angle was 6.0° ± 1.7° in Group A and 6.7° ± 2.0° in Group B, without a significant difference (n. s). The lateral patellar shift was 8.0 ± 2.6 mm in Group A and 8.5 ± 2.4 mm in Group B (n. s). The mean Kujala score was 91.8 ± 3.7 in Group A and 91.5 ± 3.6 in Group B post-operatively (n. s), and the mean Lysholm score was 92.5 ± 3.8 and 90.8 ± 4.9, respectively (n. s). Conclusions Double-bundle anatomical MPFL reconstruction with lateral retinaculum plasty is a promising procedure that provides a new option for patellar dislocation. Level of evidence III.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>28932880</pmid><doi>10.1007/s00167-017-4720-6</doi><tpages>7</tpages></addata></record>
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subjects Adolescent
Adult
Bundling
Dislocation
Dislocations
Female
Humans
Knee
Male
Medicine
Medicine & Public Health
Orthopedics
Patella - surgery
Patellar Dislocation - surgery
Patellar Ligament - surgery
Patellofemoral Joint - surgery
Patients
Postoperative Period
Reconstructive Surgical Procedures - methods
Young Adult
title Double-bundle anatomical medial patellofemoral ligament reconstruction with lateral retinaculum plasty can lead to good outcomes in patients with patellar dislocation
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