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Lateral retinaculum plasty instead of lateral retinacular release with concomitant medial patellofemoral ligament reconstruction can achieve better results for patellar dislocation
Purpose To elucidate the outcomes of lateral retinaculum plasty versus lateral retinacular release with concomitant medial patellofemoral ligament (MPFL) reconstruction. Methods In a prospective study, 59 patients treated at our institution from 2012 to 2014 were included. The 59 patients were rando...
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| Published in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2018-10, Vol.26 (10), p.2899-2905 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
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| creator | Liu, Chang Duan, Guman Niu, Yingzhen Cao, Pengkai Fu, Kunpeng Niu, Jinghui Wang, Fei |
| description | Purpose
To elucidate the outcomes of lateral retinaculum plasty versus lateral retinacular release with concomitant medial patellofemoral ligament (MPFL) reconstruction.
Methods
In a prospective study, 59 patients treated at our institution from 2012 to 2014 were included. The 59 patients were randomly divided into two groups. Group I included 27 patients who underwent lateral retinacular release and MPFL reconstruction. Group II included 32 patients who underwent lateral retinaculum plasty and MPFL reconstruction. All patients were followed up for at least 2 years and all assessments were performed both pre- and post-operation. Clinical evaluation consisted of the Kujala score, patellar medial glide test, and patellar tilt angle, patellar lateral shift, and congruence angle, measured on CT scan.
Results
Significant improvement was seen after surgery in both groups. The group of lateral retinaculum plasty achieved better results than the group of lateral retinacular release. No statistically significant differences were found in lateral patellar shift (ns) or congruence angle (ns) between the groups. There were significant differences in Kujala score (
P
|
| doi_str_mv | 10.1007/s00167-017-4798-x |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1964696612</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1964696612</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-9dbf0d8776ec737869974dc7fb60565ae8b35e6db05fb413ef77b91857e113083</originalsourceid><addsrcrecordid>eNp1kcGKFDEQhoMo7uzqA3iRgBcvrUknnXSOsqy6MOBFzyGdruxmSSdjktbd9_IBTTOjyIKnKqjv_6uoH6FXlLyjhMj3hRAqZEeo7LhUY3f_BO0oZ6yTjMunaEcU77ueDOIMnZdyR0hruXqOznpF2aio2KFfe1Mhm4AzVB-NXcO64EMwpT5gH0sFM-PkcHhMmdz6AKYA_unrLbYp2rT4amLFC8y-sYemCSE5WNImDf7GLNDGGRpcal5t9SliayI29tbDD8AT1LanEWUNtWCX8smlrZt9CcmaTfMCPXMmFHh5qhfo28err5efu_2XT9eXH_adZbKvnZonR-ZRSgFWMjkKpSSfrXSTaI8YDIwTG0DMExncxCkDJ-Wk6DhIoJSRkV2gt0ffQ07fVyhVL77Y7ZwIaS2aKsGFEoL2DX3zCL1La47tuo1iUjLW80bRI2VzKiWD04fsF5MfNCV6i1QfI9UtUr1Fqu-b5vXJeZ3aZ_8q_mTYgP4IlDaKN5D_Wf1f19_wSrI0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1963773324</pqid></control><display><type>article</type><title>Lateral retinaculum plasty instead of lateral retinacular release with concomitant medial patellofemoral ligament reconstruction can achieve better results for patellar dislocation</title><source>Springer Nature</source><source>Wiley-Blackwell Read & Publish Collection</source><source>EBSCOhost SPORTDiscus - Ebooks</source><creator>Liu, Chang ; Duan, Guman ; Niu, Yingzhen ; Cao, Pengkai ; Fu, Kunpeng ; Niu, Jinghui ; Wang, Fei</creator><creatorcontrib>Liu, Chang ; Duan, Guman ; Niu, Yingzhen ; Cao, Pengkai ; Fu, Kunpeng ; Niu, Jinghui ; Wang, Fei</creatorcontrib><description>Purpose
To elucidate the outcomes of lateral retinaculum plasty versus lateral retinacular release with concomitant medial patellofemoral ligament (MPFL) reconstruction.
Methods
In a prospective study, 59 patients treated at our institution from 2012 to 2014 were included. The 59 patients were randomly divided into two groups. Group I included 27 patients who underwent lateral retinacular release and MPFL reconstruction. Group II included 32 patients who underwent lateral retinaculum plasty and MPFL reconstruction. All patients were followed up for at least 2 years and all assessments were performed both pre- and post-operation. Clinical evaluation consisted of the Kujala score, patellar medial glide test, and patellar tilt angle, patellar lateral shift, and congruence angle, measured on CT scan.
Results
Significant improvement was seen after surgery in both groups. The group of lateral retinaculum plasty achieved better results than the group of lateral retinacular release. No statistically significant differences were found in lateral patellar shift (ns) or congruence angle (ns) between the groups. There were significant differences in Kujala score (
P
< 0.05) patellar tilt angle (
P
< 0.05), and patellar medial glide test (
P
< 0.05) between the groups.
Conclusions
MPFL reconstruction with lateral retinaculum plasty yielded better results than MPFL with lateral retinacular release. Postoperatively, medial and lateral function were restored, and patellar tracking was normal. Lateral retinaculum plasty is a new method that reduces the complications of lateral retinacular release for patellar dislocation.
Level of evidence
II.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-017-4798-x</identifier><identifier>PMID: 29138916</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Complications ; Computed tomography ; Dislocation ; Dislocations ; Female ; Humans ; Knee ; Knee Joint - surgery ; Male ; Medicine ; Medicine & Public Health ; Orthopedics ; Patella ; Patellar Dislocation - surgery ; Patellar Ligament - surgery ; Patients ; Postoperative Period ; Prospective Studies ; Recurrence ; Statistical analysis ; Surgery ; Tomography, X-Ray Computed ; Young Adult</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018-10, Vol.26 (10), p.2899-2905</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-9dbf0d8776ec737869974dc7fb60565ae8b35e6db05fb413ef77b91857e113083</citedby><cites>FETCH-LOGICAL-c372t-9dbf0d8776ec737869974dc7fb60565ae8b35e6db05fb413ef77b91857e113083</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/29138916$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Chang</creatorcontrib><creatorcontrib>Duan, Guman</creatorcontrib><creatorcontrib>Niu, Yingzhen</creatorcontrib><creatorcontrib>Cao, Pengkai</creatorcontrib><creatorcontrib>Fu, Kunpeng</creatorcontrib><creatorcontrib>Niu, Jinghui</creatorcontrib><creatorcontrib>Wang, Fei</creatorcontrib><title>Lateral retinaculum plasty instead of lateral retinacular release with concomitant medial patellofemoral ligament reconstruction can achieve better results for 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 elucidate the outcomes of lateral retinaculum plasty versus lateral retinacular release with concomitant medial patellofemoral ligament (MPFL) reconstruction.
Methods
In a prospective study, 59 patients treated at our institution from 2012 to 2014 were included. The 59 patients were randomly divided into two groups. Group I included 27 patients who underwent lateral retinacular release and MPFL reconstruction. Group II included 32 patients who underwent lateral retinaculum plasty and MPFL reconstruction. All patients were followed up for at least 2 years and all assessments were performed both pre- and post-operation. Clinical evaluation consisted of the Kujala score, patellar medial glide test, and patellar tilt angle, patellar lateral shift, and congruence angle, measured on CT scan.
Results
Significant improvement was seen after surgery in both groups. The group of lateral retinaculum plasty achieved better results than the group of lateral retinacular release. No statistically significant differences were found in lateral patellar shift (ns) or congruence angle (ns) between the groups. There were significant differences in Kujala score (
P
< 0.05) patellar tilt angle (
P
< 0.05), and patellar medial glide test (
P
< 0.05) between the groups.
Conclusions
MPFL reconstruction with lateral retinaculum plasty yielded better results than MPFL with lateral retinacular release. Postoperatively, medial and lateral function were restored, and patellar tracking was normal. Lateral retinaculum plasty is a new method that reduces the complications of lateral retinacular release for patellar dislocation.
Level of evidence
II.</description><subject>Adolescent</subject><subject>Complications</subject><subject>Computed tomography</subject><subject>Dislocation</subject><subject>Dislocations</subject><subject>Female</subject><subject>Humans</subject><subject>Knee</subject><subject>Knee Joint - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedics</subject><subject>Patella</subject><subject>Patellar Dislocation - surgery</subject><subject>Patellar Ligament - surgery</subject><subject>Patients</subject><subject>Postoperative Period</subject><subject>Prospective Studies</subject><subject>Recurrence</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Tomography, X-Ray Computed</subject><subject>Young Adult</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kcGKFDEQhoMo7uzqA3iRgBcvrUknnXSOsqy6MOBFzyGdruxmSSdjktbd9_IBTTOjyIKnKqjv_6uoH6FXlLyjhMj3hRAqZEeo7LhUY3f_BO0oZ6yTjMunaEcU77ueDOIMnZdyR0hruXqOznpF2aio2KFfe1Mhm4AzVB-NXcO64EMwpT5gH0sFM-PkcHhMmdz6AKYA_unrLbYp2rT4amLFC8y-sYemCSE5WNImDf7GLNDGGRpcal5t9SliayI29tbDD8AT1LanEWUNtWCX8smlrZt9CcmaTfMCPXMmFHh5qhfo28err5efu_2XT9eXH_adZbKvnZonR-ZRSgFWMjkKpSSfrXSTaI8YDIwTG0DMExncxCkDJ-Wk6DhIoJSRkV2gt0ffQ07fVyhVL77Y7ZwIaS2aKsGFEoL2DX3zCL1La47tuo1iUjLW80bRI2VzKiWD04fsF5MfNCV6i1QfI9UtUr1Fqu-b5vXJeZ3aZ_8q_mTYgP4IlDaKN5D_Wf1f19_wSrI0</recordid><startdate>20181001</startdate><enddate>20181001</enddate><creator>Liu, Chang</creator><creator>Duan, Guman</creator><creator>Niu, Yingzhen</creator><creator>Cao, Pengkai</creator><creator>Fu, Kunpeng</creator><creator>Niu, Jinghui</creator><creator>Wang, Fei</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>20181001</creationdate><title>Lateral retinaculum plasty instead of lateral retinacular release with concomitant medial patellofemoral ligament reconstruction can achieve better results for patellar dislocation</title><author>Liu, Chang ; Duan, Guman ; Niu, Yingzhen ; Cao, Pengkai ; Fu, Kunpeng ; Niu, Jinghui ; Wang, Fei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-9dbf0d8776ec737869974dc7fb60565ae8b35e6db05fb413ef77b91857e113083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Complications</topic><topic>Computed tomography</topic><topic>Dislocation</topic><topic>Dislocations</topic><topic>Female</topic><topic>Humans</topic><topic>Knee</topic><topic>Knee Joint - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopedics</topic><topic>Patella</topic><topic>Patellar Dislocation - surgery</topic><topic>Patellar Ligament - surgery</topic><topic>Patients</topic><topic>Postoperative Period</topic><topic>Prospective Studies</topic><topic>Recurrence</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Tomography, X-Ray Computed</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Chang</creatorcontrib><creatorcontrib>Duan, Guman</creatorcontrib><creatorcontrib>Niu, Yingzhen</creatorcontrib><creatorcontrib>Cao, Pengkai</creatorcontrib><creatorcontrib>Fu, Kunpeng</creatorcontrib><creatorcontrib>Niu, Jinghui</creatorcontrib><creatorcontrib>Wang, Fei</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 Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</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>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>Medical Database</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>Liu, Chang</au><au>Duan, Guman</au><au>Niu, Yingzhen</au><au>Cao, Pengkai</au><au>Fu, Kunpeng</au><au>Niu, Jinghui</au><au>Wang, Fei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lateral retinaculum plasty instead of lateral retinacular release with concomitant medial patellofemoral ligament reconstruction can achieve better results for 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>2018-10-01</date><risdate>2018</risdate><volume>26</volume><issue>10</issue><spage>2899</spage><epage>2905</epage><pages>2899-2905</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
To elucidate the outcomes of lateral retinaculum plasty versus lateral retinacular release with concomitant medial patellofemoral ligament (MPFL) reconstruction.
Methods
In a prospective study, 59 patients treated at our institution from 2012 to 2014 were included. The 59 patients were randomly divided into two groups. Group I included 27 patients who underwent lateral retinacular release and MPFL reconstruction. Group II included 32 patients who underwent lateral retinaculum plasty and MPFL reconstruction. All patients were followed up for at least 2 years and all assessments were performed both pre- and post-operation. Clinical evaluation consisted of the Kujala score, patellar medial glide test, and patellar tilt angle, patellar lateral shift, and congruence angle, measured on CT scan.
Results
Significant improvement was seen after surgery in both groups. The group of lateral retinaculum plasty achieved better results than the group of lateral retinacular release. No statistically significant differences were found in lateral patellar shift (ns) or congruence angle (ns) between the groups. There were significant differences in Kujala score (
P
< 0.05) patellar tilt angle (
P
< 0.05), and patellar medial glide test (
P
< 0.05) between the groups.
Conclusions
MPFL reconstruction with lateral retinaculum plasty yielded better results than MPFL with lateral retinacular release. Postoperatively, medial and lateral function were restored, and patellar tracking was normal. Lateral retinaculum plasty is a new method that reduces the complications of lateral retinacular release for patellar dislocation.
Level of evidence
II.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29138916</pmid><doi>10.1007/s00167-017-4798-x</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018-10, Vol.26 (10), p.2899-2905 |
| issn | 0942-2056 1433-7347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1964696612 |
| source | Springer Nature; Wiley-Blackwell Read & Publish Collection; EBSCOhost SPORTDiscus - Ebooks |
| subjects | Adolescent Complications Computed tomography Dislocation Dislocations Female Humans Knee Knee Joint - surgery Male Medicine Medicine & Public Health Orthopedics Patella Patellar Dislocation - surgery Patellar Ligament - surgery Patients Postoperative Period Prospective Studies Recurrence Statistical analysis Surgery Tomography, X-Ray Computed Young Adult |
| title | Lateral retinaculum plasty instead of lateral retinacular release with concomitant medial patellofemoral ligament reconstruction can achieve better results for patellar dislocation |
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