Medial patellofemoral ligament reconstruction is superior to active rehabilitation in protecting against further patella dislocations.

ABSTRACT:

Purpose

Isolated reconstruction of the medial patellofemoral ligament (MPFL-R) has become the predominant stabilizing procedure in the treatment of recurrent lateral patellar dislocation (LPD). To minimize the risk of re-dislocations, isolated MPFL-R is recommended in patients with no significant trochlea dysplasia and tibial tuberosity trochlear groove distance < 20 mm on computed tomography (CT). Incidentally, these criteria are the same that are used to identify first time LPD patients where conservative treatment is recommended. The purpose of this study was therefore to compare MPFL-R with active rehabilitation for patients with recurrent LPD (RLPD) in absence of the above mentioned underlying anatomical high-risk factors for further patellar dislocations.

Methods

RLPD-

SUBMITTER: Straume-Næsheim TM 

PROVIDER: S-EPMC9464184 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature