Clinical outcomes of medial patellofemoral ligament reconstruction in patients with an increased tibial tuberosity–trochlear groove distance View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-10

AUTHORS

Takehiko Matsushita, Ryosuke Kuroda, Shinya Oka, Tomoyuki Matsumoto, Koji Takayama, Masahiro Kurosaka

ABSTRACT

PURPOSE: Medial patellofemoral ligament (MPFL) reconstruction is performed to treat recurrent patellar dislocation (RPD). However, the effectiveness of MPFL reconstruction in patients with a severely lateralised tibial tuberosity remains unknown. In this study, the clinical outcomes of MPFL reconstruction in patients with an increased tibial tuberosity-trochlear groove (TT-TG) distance were examined. METHODS: A total of thirty-four patients who underwent MPFL reconstruction for RPD were retrospectively examined. Nineteen patients with a TT-TG distance of >20 mm (increased TT-TG distance group) were compared with 15 patients with a TT-TG distance of <20 mm (control group). Clinical outcomes of MPFL reconstruction were evaluated by occurrence of re-dislocation, Crosby and Insall grading system, apprehension sign, and Kujala and Lysholm scores. RESULTS: None of the patients reported re-dislocation. Apprehension sign remained in three patients in the increased TT-TG distance group and in one patient in the control group. According to the Crosby and Insall grading system, 9 patients (47%) were excellent, 9 (47%) were good, and 1 (5%) was fair to poor in the increased TT-TG distance group, while 6 (40%) were excellent and 9 (60%) were good in the control group. Kujala and Lysholm scores were significantly improved post-operatively in both groups. No significant correlations were observed between TT-TG distance and post-operative Kujala or Lysholm score. CONCLUSION: Overall clinical outcomes of MPFL reconstruction were favourable even in patients with an increased TT-TG distance. TT-TG distance of >20 mm may not be an absolute indication for medialisation of the tibial tuberosity when performing MPFL reconstruction. LEVEL OF EVIDENCE: Case-control study, Level III. More... »

PAGES

2438-2444

References to SciGraph publications

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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00167-014-2919-3

    DOI

    http://dx.doi.org/10.1007/s00167-014-2919-3

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1051273602

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/24584694


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