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Recurrent Patellar Dislocations Without Untreated Predisposing Factors: Medial Patellofemoral Ligament Reconstruction Versus Other Medial Soft-Tissue Surgical Techniques—A Meta-analysis
- Source :
- Arthroscopy: The Journal of Arthroscopic & Related Surgery. 36:1725-1734
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Purpose: To provide a direct comparison between medial patellofemoral ligament (MPFL) reconstruction and the other medial patellofemoral soft-tissue surgeries in the restoration of the medial patellar restraint after lateral patellar dislocations in the absence of untreated predisposing factors such as high grade trochlear dysplasia, knee malalignment, patella alta or high tibial tubercle-trochlear groove distance. Methods: PubMed, Cochrane-library, Web of Science, and gray literature databases were searched to find all the relevant records. Study selection, data extraction, and risk of bias assessment were performed following the Cochrane and Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines. Different techniques to treat lateral patellar dislocation in the absence of untreated predisposing factors were compared in terms of redislocation and complication rates, Kujala, Lysholm, International Knee Documentation Committee, and Tegner scores at the short-term (3 years) and long-term (>3 years) follow-up through meta-analyses. Results: Six studies involving 319 knees were included in the meta-analysis. The analyses of redislocation (0.7% vs 2.9%) and minor complication rates (12% vs 9%) showed no significant differences between MPFL reconstruction and other medial soft-tissue surgeries. Significant differences favoring MPFL reconstruction were documented in Kujala and Lysholm scores at short-term (8.6, P
- Subjects :
- medicine.medical_specialty
Knee Joint
Patellar Dislocation
Patellar Dislocations
Medial patellofemoral ligament
Patellofemoral Joint
03 medical and health sciences
0302 clinical medicine
Humans
Medicine
Orthopedic Procedures
Orthopedics and Sports Medicine
Range of Motion, Articular
030222 orthopedics
business.industry
Soft tissue
030229 sport sciences
Surgery
Orthopedic Procedure
medicine.anatomical_structure
Meta-analysis
Ligaments, Articular
Patella
Level iii
Complication
business
Range of motion
Human
Subjects
Details
- ISSN :
- 07498063
- Volume :
- 36
- Database :
- OpenAIRE
- Journal :
- Arthroscopy: The Journal of Arthroscopic & Related Surgery
- Accession number :
- edsair.doi.dedup.....8192a585047d65c48d722e7203712528