Academic Journal
The novel dynamic MPFL-reconstruction technique: cheaper and better?
| Title: | The novel dynamic MPFL-reconstruction technique: cheaper and better? |
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| Authors: | Hauke Horstmann, Roman Karkosch, Annika Berg, Christoph Becher, Maximilian Petri, Tomas Smith |
| Source: | Arch Orthop Trauma Surg |
| Publisher Information: | Springer Science and Business Media LLC, 2021. |
| Publication Year: | 2021 |
| Subject Terms: | Patella dislocation, Patellofemoral Joint/surgery [MeSH], Female [MeSH], Patella instability, MPFL reconstruction, Humans [MeSH], Treatment Outcome [MeSH], Stabilization, Reconstructive Surgical Procedures/economics [MeSH], Arthroscopy and Sports Medicine, Recurrence [MeSH], Pain/etiology [MeSH], Knee, Male [MeSH], Ligaments, Articular/surgery [MeSH], Reconstructive Surgical Procedures/methods [MeSH], Joint Instability/surgery [MeSH], Patellar Dislocation/surgery [MeSH], Cost Savings [MeSH], Reconstructive Surgical Procedures/adverse effects [MeSH], Joint Instability, Male, Patellar Dislocation, Pain, Plastic Surgery Procedures, 3. Good health, Patellofemoral Joint, 03 medical and health sciences, Treatment Outcome, 0302 clinical medicine, Cost Savings, Recurrence, Ligaments, Articular, Humans, Female |
| Description: | Purpose Reconstruction of the medial patellofemoral ligament (MPFL) is an established procedure to restore patellar stability. Aim of this study is to evaluate the results of a dynamic MPFL reconstruction technique in a large university hospital setting. Methods Two hundred and thirteen consecutive patients with 221 knees were surgically treated for recurrent lateral patellar dislocation. All patients obtained dynamic reconstruction of the MPFL with detachment of the gracilis tendon at the pes anserinus while maintaining the proximal origin at the gracilis muscle. Patellar fixation was performed by oblique transpatellar tunnel transfer. Follow-up data including Kujala and BANFF score, pain level as well as recurrent patella instability were collected at a minimum follow-up of 2 years. Results Follow-up could be obtained from 158 patients (71%). The mean follow-up time was 5.4 years. Mean pain level was 1.9 ± 2.0 on the VAS. Mean Kujala score was 78.4 ± 15.5. Mean BANFF score was 62.4 ± 22.3. MPFL-reconstructions that were performed by surgeons with a routine of more than ten procedures had a significantly shorter surgical time 52.3 ± 17.6 min. Male patients yielded higher satisfaction rates and better clinical scores compared to females. Complications occurred in 27.2% of procedures, 20.9% requiring revision surgery of which were 9.5% related to recurrent patellar instability. 78% of all patients indicated they would undergo the procedure again. Conclusion Dynamic MPFL reconstruction presents a reproducible procedure with increased complication rates, inferior to the results of static reconstruction described in the literature. Despite, it appears to be an efficient procedure to restore patellar stability in a large university hospital setting, without the necessity for intraoperative fluoroscopy. Trial registration The study was registered in ClinicalTrials.gov with the registration number NCT04438109 on June 18th 2020. |
| Document Type: | Article Other literature type |
| Language: | English |
| ISSN: | 1434-3916 |
| DOI: | 10.1007/s00402-021-04198-z |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/34633513 https://link.springer.com/article/10.1007/s00402-021-04198-z https://pubmed.ncbi.nlm.nih.gov/34633513/ https://link.springer.com/content/pdf/10.1007/s00402-021-04198-z.pdf https://repository.publisso.de/resource/frl:6447296 |
| Rights: | CC BY URL: http://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (http://creativecommons.org/licenses/by/4.0/) . |
| Accession Number: | edsair.doi.dedup.....34b2e6d2ec5e20223bc7507cac29374b |
| Database: | OpenAIRE |
| ISSN: | 14343916 |
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| DOI: | 10.1007/s00402-021-04198-z |