Article ; Online: Surgical techniques for medial Patellofemoral ligament reconstruction: a systematic review and meta-analysis of level I and II studies.
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
2023 Volume 31, Issue 10, Page(s) 4368–4378
Abstract: 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: Results: Ten studies comprising ...
Abstract | 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 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 Conclusion: The optimal MPFLR surgical technique is likely to utilize a four-stranded graft using either endobutton, double-suture anchor, or transosseous suture patellar fixation with polyester suture augmented interference screw femoral fixation. Orthopedic surgeons can consider employing such a technique to improve patient outcomes by conferring greater graft stability, strength, and function. Level of evidence Level II. |
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MeSH term(s) | Humans ; Patellar Dislocation/surgery ; Patellofemoral Joint/surgery ; Knee Joint/surgery ; Ligaments, Articular/surgery ; Polyesters |
Chemical Substances | Polyesters |
Language | English |
Publishing date | 2023-06-22 |
Publishing country | Germany |
Document type | Meta-Analysis ; Systematic Review ; Journal Article ; Review |
ZDB-ID | 1159064-6 |
ISSN | 1433-7347 ; 0942-2056 |
ISSN (online) | 1433-7347 |
ISSN | 0942-2056 |
DOI | 10.1007/s00167-023-07494-w |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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