Allografts for Medial Patellofemoral Ligament (MPFL) Reconstruction in Adolescent Patients with Recurrent Patellofemoral Instability: A Systematic Review

Migliorini F, Maffulli N, Söllner S, Pasurka M, Kubach J, Bell A, Betsch M (2023)

Publication Type: Journal article, Review article

Publication year: 2023

Journal

Children MDPI

Book Volume: 10

Article Number: 840

Journal Issue: 5

DOI: 10.3390/children10050840

Abstract

This systematic review updates the currently available evidence on medial patella-femoral ligament (MPFL) reconstruction using allografts. The outcomes were measured with patient-reported outcome measures (PROMs), redislocation and complication rates. This study was performed according to the 2020 PRISMA guidelines using the PubMed, Scopus, Web of Science databases, accessed in February 2023. Studies examining the clinical outcomes of MPFL reconstruction with allografts in adolescents and children with recurrent patellofemoral instability (PFI) were included. Data from three trials, including 113 surgical procedures in 121 children, were retrieved. 40% (48/121) of the included patients were girls. The mean age of the patients was 14.7 ± 0.8 years, and the mean follow-up length was 38.1 ± 16.5 months. With MPFL allograft reconstruction, the Kujala score improved by 14.7% (p < 0.0001) and the IKDC by 38.8% (p < 0.0001). The rate of dislocations was 5% (6 of 121), reoperation for instability was 11% (13 of 121), and subluxation was 2% (1 of 47). Conclusion: These results encourage the use of allografts for MPFL reconstruction in adolescent patients with recurrent patellofemoral instability. Though patellofemoral instability is common in clinical practice, the current literature lacks clinical evidence on allograft MPFL reconstruction. Additional high-quality investigations are required to properly establish the long-term advantages of allograft MPFL and its complication rate.

Authors with CRIS profile

Stefan Söllner Department of Orthopaedic and Trauma Surgery Mario Pasurka Department of Orthopaedic and Trauma Surgery Joshua Kubach Department of Orthopaedic and Trauma Surgery Marcel Betsch Professur für Orthopädie und Orthopädische Chirurgie

Involved external institutions

Universitätsklinikum Aachen (UKA) DE Germany (DE) Università degli Studi di Salerno IT Italy (IT)

How to cite

APA:

Migliorini, F., Maffulli, N., Söllner, S., Pasurka, M., Kubach, J., Bell, A., & Betsch, M. (2023). Allografts for Medial Patellofemoral Ligament (MPFL) Reconstruction in Adolescent Patients with Recurrent Patellofemoral Instability: A Systematic Review. Children, 10(5). https://doi.org/10.3390/children10050840

MLA:

Migliorini, Filippo, et al. "Allografts for Medial Patellofemoral Ligament (MPFL) Reconstruction in Adolescent Patients with Recurrent Patellofemoral Instability: A Systematic Review." Children 10.5 (2023).

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