João Ellera Gomes1. 1. Department of Surgery, School of Medicine, Universidade Federal do Rio Grande do Sul, Brazil. joelgo.voy@terra.com.br
Abstract
PURPOSE: The purpose of our study was to compare the technical difficulties and the results of the use of two different types of femoral graft fixation for medial patellofemoral ligament reconstruction in patients with patellar luxation. METHODS: Twenty-four matched pair patients, assigned to two groups of 12 patients each, underwent medial patellofemoral ligament reconstruction using one of two techniques: the adductor magnus rigid and the semitendinosus tendon dynamic femoral fixation. Results were assessed using a scale for activities of daily living before and after surgery. RESULTS: No statistical difference was detected between the groups despite one case of reluxation in the adductor magnus group. No major complication was observed in either group. Patients in the semitendinosus group felt subjectively better, and a larger number of patients in this group resumed the practice of sports. CONCLUSIONS: Even in the absence of significant differences, the present results suggest that a more dynamic femoral fixation is more advantageous than a rigid alternative. LEVEL OF EVIDENCE: Level III, therapeutic comparative study.
RCT Entities:
PURPOSE: The purpose of our study was to compare the technical difficulties and the results of the use of two different types of femoral graft fixation for medial patellofemoral ligament reconstruction in patients with patellar luxation. METHODS: Twenty-four matched pair patients, assigned to two groups of 12 patients each, underwent medial patellofemoral ligament reconstruction using one of two techniques: the adductor magnus rigid and the semitendinosus tendon dynamic femoral fixation. Results were assessed using a scale for activities of daily living before and after surgery. RESULTS: No statistical difference was detected between the groups despite one case of reluxation in the adductor magnus group. No major complication was observed in either group. Patients in the semitendinosus group felt subjectively better, and a larger number of patients in this group resumed the practice of sports. CONCLUSIONS: Even in the absence of significant differences, the present results suggest that a more dynamic femoral fixation is more advantageous than a rigid alternative. LEVEL OF EVIDENCE: Level III, therapeutic comparative study.
Authors: Jay N Shah; Jennifer S Howard; David C Flanigan; Robert H Brophy; James L Carey; Christian Lattermann Journal: Am J Sports Med Date: 2012-06-07 Impact factor: 6.202
Authors: Daniel K Schneider; Brian Grawe; Robert A Magnussen; Adrick Ceasar; Shital N Parikh; Eric J Wall; Angelo J Colosimo; Christopher C Kaeding; Gregory D Myer Journal: Am J Sports Med Date: 2016-02-12 Impact factor: 6.202
Authors: Christoph Becher; Kristian Kley; Philipp Lobenhoffer; Marco Ezechieli; Tomas Smith; Sven Ostermeier Journal: Knee Surg Sports Traumatol Arthrosc Date: 2014-04-30 Impact factor: 4.342