Return to sports and short-term follow-up of 101 cases of medial patellofemoral ligament reconstruction using gracilis tendon autograft in children and adolescents.
Rueth MJ, Koehl P, Schuh A, Goyal T, Wagner D (2023)
Publication Type: Journal article
Publication year: 2023
Journal
Book Volume: 143
Pages Range: 447-452
Journal Issue: 1
DOI: 10.1007/s00402-022-04365-w
Abstract
INTRODUCTION: An acute patellofemoral dislocation is the most common acute knee injury in children. Recent studies suggest up to 40% of immature patients may develop recurrent instability. MPFL reconstruction has become a mainstay for the treatment of patellofemoral instability. Aim of the recent study is to show our experiences of MPFL reconstruction in patellar instability in immature patients using a gracilis autograft in respect to return to sport, growth plate disorders and short-term results. MATERIALS AND METHODS: A total of 101 patients (50 females, 51 males) were included in this retrospective study. Mean age at time of operation was 14.8 ± 1.6 years. Primary outcome measures included patient satisfaction, Kujala score, recurrent instability, return to normal activity, return to sports, clinical leg axis and complications. Mann-Whitney U test was used for statistical analysis and alpha was set at p < 0.05 to declare significance. RESULTS: At a mean follow-up of 32.0 ± 12.1 months 90/101 patients could be followed-up. 84% of all patients were satisfied or very satisfied with the result at latest follow-up. 86.6% of all patients were able to return to sports, 2.3% had a relevant deviation of the clinical leg axis, but symmetrical. In sum complication rate was 2.9%. Redislocation rate was 0.9% (1/101). Kujala Score improved significantly from 47.1 preoperatively to 85.3 postoperatively (p < 0.01). CONCLUSION: Anatomic MPFL reconstruction using gracilis tendon allograft tissue is a safe procedure in children and adolescents with low risk of recurrent instability.
Involved external institutions
All India Institute of Medical Sciences (AIIMS), Bathinda
India (IN)
Hessingpark-Clinic GmbH
Germany (DE)
India (IN)
Hessingpark-Clinic GmbH
Germany (DE)
How to cite
APA:
Rueth, M.J., Koehl, P., Schuh, A., Goyal, T., & Wagner, D. (2023). Return to sports and short-term follow-up of 101 cases of medial patellofemoral ligament reconstruction using gracilis tendon autograft in children and adolescents. Archives of Orthopaedic and Trauma Surgery, 143(1), 447-452. https://doi.org/10.1007/s00402-022-04365-w
MLA:
Rueth, Markus Johannes, et al. "Return to sports and short-term follow-up of 101 cases of medial patellofemoral ligament reconstruction using gracilis tendon autograft in children and adolescents." Archives of Orthopaedic and Trauma Surgery 143.1 (2023): 447-452.
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