PURPOSE: The objective of this study was to evaluate the mid-term results of a new technique for the arthroscopic repair of MPFL after an acute patellar dislocation (APD). MATERIALS: The series included 17 patients (11 men and 6 women) with a first episode of acute patellar dislocation; treated over a period of 6 years. Re-dislocation, subjective symptoms and functional limitations were evaluated at an average follow-up of 2.2 years (1-5.5). The patients were evaluated with the Lysholm and the Kujala scoring systems. RESULTS: At follow-up, no re-dislocation was reported. Only one patient referred an episode of patellar instability, without a distinct dislocation. The postoperative median Lysholm score was 90 (72-100). The median Kujala score was 92 (75-100). Fourteen out of 17 patients were able to return to sports at the same level as before. CONCLUSION: When the MPFL is avulsed from the patella, the proposed technique has the advantage of restoring tension of the ligament through reattachment at the patellar border with two trans-patellar sutures. The full-arthroscopic approach has the advantage of being less invasive and having a shorter recovery time.
PURPOSE: The objective of this study was to evaluate the mid-term results of a new technique for the arthroscopic repair of MPFL after an acute patellar dislocation (APD). MATERIALS: The series included 17 patients (11 men and 6 women) with a first episode of acute patellar dislocation; treated over a period of 6 years. Re-dislocation, subjective symptoms and functional limitations were evaluated at an average follow-up of 2.2 years (1-5.5). The patients were evaluated with the Lysholm and the Kujala scoring systems. RESULTS: At follow-up, no re-dislocation was reported. Only one patient referred an episode of patellar instability, without a distinct dislocation. The postoperative median Lysholm score was 90 (72-100). The median Kujala score was 92 (75-100). Fourteen out of 17 patients were able to return to sports at the same level as before. CONCLUSION: When the MPFL is avulsed from the patella, the proposed technique has the advantage of restoring tension of the ligament through reattachment at the patellar border with two trans-patellar sutures. The full-arthroscopic approach has the advantage of being less invasive and having a shorter recovery time.
Authors: Milan Apostolovic; Boris Vukomanovic; Nemanja Slavkovic; Vladimir Vuckovic; Miodrag Vukcevic; Goran Djuricic; Nikola Kocev Journal: Int Orthop Date: 2011-05-15 Impact factor: 3.075
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: Hui Jun Kang; Fei Wang; Bai Cheng Chen; Ying Ze Zhang; Lei Ma Journal: Knee Surg Sports Traumatol Arthrosc Date: 2012-05-03 Impact factor: 4.342
Authors: Peter Balcarek; Tim Alexander Walde; Stephan Frosch; Jan Philipp Schüttrumpf; Martin Michael Wachowski; Klaus Michael Stürmer Journal: Knee Surg Sports Traumatol Arthrosc Date: 2011-11-18 Impact factor: 4.342