MPFL reconstruction using a quadriceps tendon graft

Fink, Christian; Veselko, Matjaž; Herbort, Mirco; Hoser, Christian

doi:10.1016/j.knee.2014.05.006

Cited by 82 publications

(34 citation statements)

References 36 publications

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“…As the incidence of postoperative episodes of instability increases linearly with time from surgery, 1,23 our results should be interpreted with the understanding that certain studies may have underestimated recurrent instability as a consequence of short follow-up periods. 18,34,40,45,46,71 The Tegner activity scale was designed to assess work and sports activity levels and has been validated in cohorts with patellar instability. 10,59,66 Only 4 of the 14 included studies utilized the Tegner scale.…”

Section: Discussionmentioning

confidence: 99%

“…10,59,66 Only 4 of the 14 included studies utilized the Tegner scale. 11,18,34,45 Two studies 11,45 had patients fill out the scale retrospectively relative to their preinjury condition and demonstrated higher preinjury scores (6.1 and 4.2) than the other 2 studies, 18,34 which collected data prospectively on preoperative conditions (4.8 and 3.0). The mean postoperative Tegner score was 5.7, which is similar to the scores of 5.4 and 5.8 found in recent reviews that examined patients’ ability to return to sports.…”

Section: Discussionmentioning

confidence: 99%

“…Fink et al 18 reported on a case series of patients (n = 17) who underwent isolated MPFL reconstruction with a quadriceps tendon graft at 12 months’ follow-up. There were no postoperative complications or redislocations, and no patients underwent reoperations.…”

Section: Methodsmentioning

confidence: 99%

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Outcomes After Isolated Medial Patellofemoral Ligament Reconstruction for the Treatment of Recurrent Lateral Patellar Dislocations

et al. 2016

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Background A patellar dislocation is a common knee injury in the young, athletic patient population. Recent trends indicate that the use of long-term nonoperative treatment is decreasing, and surgical intervention is more commonly recommended for those patients who fail initial nonoperative management with recurrent patellar dislocations. Medial patellofemoral ligament (MPFL) reconstruction has become increasingly utilized in this regard. Purpose To evaluate outcomes, particularly return to sports and its relationship to postoperative instability, of isolated MPFL reconstruction for the treatment of recurrent patellar dislocations. Study Design Systematic review and meta-analysis. Methods A review of the current literature was performed using the terms “medial patellofemoral ligament reconstruction” and “MPFL reconstruction” in the electronic search engines PubMed and EBSCOhost (CINAHL, MEDLINE, SPORTDiscus) on July 29, 2015, yielding 1113 abstracts for review. At the conclusion of the search, 14 articles met the inclusion criteria and were included in this review of the literature. Means were calculated for population size, age, follow-up time, and postoperative Tegner scores. Pooled estimates were calculated for postoperative Kujala scores, return to play, total risk of postoperative instability, risk of positive apprehension sign, and risk of reoperation. Results The mean patient age associated with MPFL reconstruction was 24.4 years, with a mean postoperative Tegner score of 5.7. The pooled estimated mean postoperative Kujala score was 85.8 (95% CI, 81.6–90.0), with 84.1% (95% CI, 71.1%–97.1%) of patients returning to sports after surgery. The pooled total risk of recurrent instability after surgery was 1.2% (95% CI, 0.3%–2.1%), with a positive apprehension sign risk of 3.6% (95% CI, 0%–7.2%) and a reoperation risk of 3.1% (95% CI, 1.1%–5.0%). Conclusion A high percentage of young patients return to sports after isolated MPFL reconstruction for chronic patellar instability, with short-term results demonstrating a low incidence of recurrent instability, postoperative apprehension, and reoperations.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Outcomes After Isolated Medial Patellofemoral Ligament Reconstruction for the Treatment of Recurrent Lateral Patellar Dislocations

et al. 2016

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“…The revision reconstruction rate was 2.9%. Howells et al 50 Fink et al 52 reported the results of 17 reconstructions using the quadriceps tendon technique. The mean Kujala score at 12 months was 89.2.…”

Section: Discussionmentioning

confidence: 99%

Strategies for Reconstruction of the Medial Patellofemoral Ligament

Lording

Heimstra

Fink³

et al. 2015

Operative Techniques in Sports Medicine

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“…The native medial patellofemoral ligament tightens in extension and loosens following 30°to 40°of flexion; therefore, restoration of the native anatomy is critical for a successful outcome. The degree of flexion during fixation has varied in the literature, with a systematic review showing values both below and above 60°of flexion, without a definitive conclusion 50,51 . Because biomechanical studies have shown that the medial patellofemoral ligament has maximum restraint in 30°of flexion, our fixation is tensioned and fixed in 30°of flexion 6,52,53 .…”

Section: Medial Patellofemoral Ligament Reconstruction With Semitendimentioning

confidence: 99%