Medial Patellofemoral Ligament Reconstruction Techniques

Ambrožič, Bogdan; Novak, Samo; Nabergoj, Marko

doi:10.1007/978-3-030-57578-6_10

Cited by 1 publication

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“…Patellar instability is one of the most common causes of knee injury and anterior knee pain, and it is associated with frequent dislocation, which prevents most patients from returning to sports and physical activities[ 13 , 14 ]. The main finding of this systematic review was that the combined surgical method of MPFL and MPTL reconstruction has good clinical outcomes in terms of knee function, and that patients' pain levels decrease over time, in addition to good control of patellofemoral balance.…”

Section: Discussionmentioning

confidence: 99%

Combined medial patellofemoral ligament and medial patellotibial ligament reconstruction in recurrent patellar instability: A systematic review and meta-analysis

Ahmad¹,

Saeidi²,

Hoveidaei³

et al. 2023

World J Clin Cases

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BACKGROUND The medial patellofemoral ligament (MPFL), along with the medial patellotibial ligament (MPTL) and medial patellomeniscal ligament, aid in the stabilization of the patellofemoral joint. Although the MPFL is the primary stabilizer and the MPTL is a secondary limiter, this ligament is critical in maintaining joint stability. There have been few studies on the combined MPFL and MPTL reconstruction and its benefits. AIM To look into the outcomes of combined MPFL and MPTL reconstruction in frequent patellar instability. METHODS By May 8, 2022, four electronic databases were searched: Medline (PubMed), Scopus, Web of Science, and Google Scholar. General keywords such as "patellar instability," "patellar dislocation," "MPFL," "medial patellofemoral ligament," "MPTL," and "medial patellotibial ligament" were co-searched to increase the sensitivity of the search. RESULTS The pooled effects of combined MPFL and MPTL reconstruction for Kujala score (12-mo follow-up) and Kujala score (24-mo follow-up) were positive and incremental, according to the findings of this meta-analysis. The mean difference between the Cincinnati scores was also positive, but not statistically significant. The combination of the two surgeries reduces pain. According to cumulative meta-analysis, the trend of pain reduction in various studies is declining over time. CONCLUSION The combined MPFL and MPTL reconstruction has good clinical results in knee function and, in addition to providing good control to maintain patellofemoral joint balance, the patient's pain level decreases over time, making it a valid surgical method for patella stabilization.

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Section: Discussionmentioning

confidence: 99%