Surgical techniques for medial Patellofemoral ligament reconstruction: a systematic review and meta-analysis of level I and II studies

Purpose To determine the most optimal surgical technique for medial patellofemoral ligament reconstruction (MPFLR). Methods Three databases MEDLINE, PubMed, and EMBASE were searched from inception to December 13 th , 2022, for level I or II studies comparing MPFLR techniques. The authors adhered to...

Full description

Saved in:
Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2023-10, Vol.31 (10), p.4368-4378
Main Authors: Kahlon, Harjind, Vivekanantha, Prushoth, Blackman, Benjamin, Cohen, Dan, Mckechnie, Tyler, Park, Lily, de SA, Darren
Format: Article
Language:English
Subjects:
Drilling
Femur
Fixation
Graft
Grafting
Knee
Ligaments
Medicine
Medicine & Public Health
Meta-analysis
MPFLR
Orthopedics
Polyesters
Quality assessment
Quality control
Reconstructive surgery
Sports Medicine
Surgical technique
Surgical techniques
Sutures
Systematic review
Tunnel‐drilling
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose To determine the most optimal surgical technique for medial patellofemoral ligament reconstruction (MPFLR). Methods Three databases MEDLINE, PubMed, and EMBASE were searched from inception to December 13 th , 2022, for level I or II studies comparing MPFLR techniques. The authors adhered to the PRISMA and R-AMSTAR guidelines as well as the Cochrane Handbook for Systematic Reviews of Interventions. Data on patient-reported outcome measures were recorded. Quality assessment was carried out using the MINORS and Cochrane Risk of Bias assessment tools. Certainty of evidence was carried out with the GRADE assessment tool. Results Ten studies comprising 723 patients (723 knees) were included in this review. The weighted mean difference in Kujala, Lysholm, and IKDC scores comparing single- and double-tunnel patellar drilling techniques was 2.66 (95% CI −1.05–6.37, p  = 0.16, I 2  = 0%) with moderate certainty, 0.78 (95% CI −9.02–10.58, p  = 0.88, I 2  = 87%) with low certainty, and 1.71 (95% CI −2.43–5.86, p  = 0.42, I 2  = 0%) with low certainty, respectively. Double-suture anchor patellar fixation demonstrated greater Kujala scores than transpatellar fixation (87.1 ± 2.8 vs 84.0 ± 3.8, p  
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-023-07494-w