Clinical outcome after medial patellofemoral ligament reconstruction and autologous chondrocyte implantation following recurrent patella dislocation

Siebold, Rainer; Karidakis, Georgios; Fernandez, Francis

doi:10.1007/s00167-014-3196-x

Cited by 48 publications

(64 citation statements)

References 40 publications

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“…Clinical evaluation was carried out for the first time after six months, followed by an annual evaluation using IKDC subjective score and the VAS score for rest and during activity. These scores are established in case series after ACI procedure and were used in several previous studies [16][17][18]26]. We included 143 consecutive patients with 171 cartilage defects in this study.…”

Section: Discussionmentioning

confidence: 99%

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Revision surgery after third generation autologous chondrocyte implantation in the knee

Niethammer

Valentin

Ficklscherer

et al. 2015

International Orthopaedics (SICOT)

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Section: Discussionmentioning

confidence: 99%

“…For pain detection, the visual analogue scale (VAS) during activity and at rest was used. Both scores were established and validated [14,15] and were obtained in previous studies analysing cartilage reconstruction [16][17][18].…”

Section: Methodsmentioning

confidence: 99%

Revision surgery after third generation autologous chondrocyte implantation in the knee

Niethammer

Valentin

Ficklscherer

et al. 2015

International Orthopaedics (SICOT)

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“…Other studies showed average results postoperatively of 47.65 [17], 74.4 [28], and a more detailed KOOS profile showed higher values for pain, symptoms, ADL, sports and QoL of, respectively, 97, 93, 97, 70 and 81. Sports and QoL were lowest too [35].…”

Section: Discussionmentioning

confidence: 99%

Clinical outcome in MPFL reconstruction with and without tuberositas transposition

Mulliez

Lambrecht

Verbruggen

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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“…Osteochondral grafting (9.5%) and microfracture surgery (9.5%) were performed in a large number of patients, thereby demonstrating the emergence of cartilage repair/restoration techniques as a well-accepted treatment option in patients with moderate to high-grade traumatic cartilage lesions resulting from dislocation. 13,14,39 …”

Section: Discussionmentioning

confidence: 99%

“…11,15,23 Given the heightened awareness of comorbid soft tissue/articular cartilage pathology and an improved understanding of anatomic variations and their contributions to instability, additional surgical treatment may include concomitant articular cartilage procedures (eg, chondroplasty, autologous chondrocyte implantation, osteochondral allograft) or bony/soft tissue realignment (eg, lateral retinacular release, tibial tubercle transfer, trochleoplasty). 7,8,13,39,40 …”

mentioning

confidence: 99%

Operative Management of Patellar Instability in the United States

Arshi

Cohen

Wang

et al. 2016

Orthopaedic Journal of Sports Medicine

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Background:Treatment of patellofemoral instability has evolved as our understanding of the relevant pathoanatomy has improved. In light of these developments, current practice patterns and management trends have likely changed to reflect these advancements; however, this has not been evaluated in a formal study.Purpose:To determine nationwide patient demographics, surgical trends, and postoperative complications associated with the operative management of patellar instability surgery.Study Design:Descriptive epidemiological study.Methods:A large private-payer database (PearlDiver) comprising patients covered by Humana and United Healthcare insurance policies was retrospectively reviewed using Current Procedural Terminology (CPT) codes to identify patients who underwent surgery for patellar instability. The study cohort was established by querying for patients billed under CPT codes 27420, 27422, or 27427 while satisfying the diagnostic requirement of patellar instability (International Classification of Diseases–9th Revision codes 718.36, 718.86, or 836.3). Patient demographics, surgical trends, concomitant procedures, and postoperative complications were determined.Results:A total of 6190 patients underwent surgical management for patellar instability. Adolescents (age range, 10-19 years) represented 51.5% of cases, and 59.6% were female. The number of patellar instability procedures increased annually over the study period in both the Humana (P = .004, R 2 = 0.76) and United Healthcare (P = .097, R 2 = 0.54) cohorts. The most common concomitant procedures were lateral retinacular release (43.7%), chondroplasty (31.1%), tibial tubercle osteotomy (13.1%), removal of loose bodies (10.5%), osteochondral grafting (9.5%), and microfracture surgery (9.5%). Manipulation under anesthesia was required in 4.6% of patients within 1 year. Patellar fracture within 1 year and infection within 30 days occurred in 2.1% and 1.2% of patients, respectively.Conclusion:Patellar instability surgery has increased over the past decade. This finding may be attributed to growing clinical evidence to support these procedures as well as increased surgeon familiarity and comfort with these specific techniques. We observed an unexpectedly high rate of concomitant lateral retinacular release. Overall, the rates of commonly recognized complications (stiffness, patellar fracture, and postoperative infection) were similar to those observed in smaller case series.

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Clinical outcome after medial patellofemoral ligament reconstruction and autologous chondrocyte implantation following recurrent patella dislocation

Abstract: Therapeutic case series, Level IV.

Cited by 48 publications

References 40 publications

Revision surgery after third generation autologous chondrocyte implantation in the knee

Revision surgery after third generation autologous chondrocyte implantation in the knee

Clinical outcome in MPFL reconstruction with and without tuberositas transposition

Operative Management of Patellar Instability in the United States

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