Allografts for Medial Patellofemoral Ligament (MPFL) Reconstruction in Adolescent Patients with Recurrent Patellofemoral Instability: A Systematic Review
Abstract
:1. Introduction
2. Materials and Methods
2.1. Eligibility Criteria
2.2. Search Strategy
- Problem: recurrent patellofemoral instability;
- Population: skeletally immature patients;
- Intervention: allografts MPFL reconstruction;
- Outcomes: PROMs, return to sport, rate of complications;
- Follow-up: minimum 24 months follow-up.
2.3. Data Extraction
2.4. Statistical Analysis
3. Results
3.1. Search Result
3.2. Demographic Data and Surgical Procedures
3.3. Clinical Outcomes
3.4. Complications
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Author and Year | Journal | LoE | Mean Age | Follow-Up (Months) | Girls (n) | Patients (n) | Procedures (n) |
---|---|---|---|---|---|---|---|
Matuszewski, et al., 2018 [27] | Arthroscopy | III | 15.00 | 24.00 | 10.00 | 22.00 | 22.00 |
Quinlan, et al., 2022 [28] | Arthroscopy, Sports Med, Rehab | III | 15.40 | 55.20 | 19.00 | 58.00 | 67.00 |
13.50 | 49.20 | 9.00 | 16.00 | 17.00 | |||
Spang, et al., 2019 [29] | J Ped Orthop | IV | 15.00 | 24.00 | 10.00 | 25.00 | 27.00 |
Author and Year | Type of Allograft (n) | Associated Procedures (n) |
---|---|---|
Matuszewski, et al., 2018 [27] | fascia lata (22) | none |
Quinlan, et al., 2022 [28] | Semitendinosus (35), gracilis (25), peroneus longus (1), tibialis anterior (1), unspecified (5) | Loose body removal (21), chondral debridement (4), OCD drilling (1) |
Semitendinosus (11), gracilis (3), peroneus longus (1), unspecified (2) | Loose body removal (3), chondral debridement (1), partial lateral meniscectomy (1) | |
Spang, et al., 2019 [29] | Gracilis (27) | MQTFL reconstruction (25), hemiepiphysiodesis (5) |
PROM | At Baseline | At Last FU | MD | SE | 95% CI | T | p |
---|---|---|---|---|---|---|---|
Kujala Score | 75.5 ± 2.2 | 90.2 ± 6.1 | 14.7 | 0.648 | 13.4 to 15.9 | 22.7 | <0.0001 |
IKDC | 38.9 ± 0.4 | 77.6 ± 0.4 | 38.7 | 0.1 | 38.5 to 38.8 | 684.1 | <0.0001 |
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Migliorini, F.; Maffulli, N.; Söllner, S.; Pasurka, M.; Kubach, J.; Bell, A.; Betsch, M. Allografts for Medial Patellofemoral Ligament (MPFL) Reconstruction in Adolescent Patients with Recurrent Patellofemoral Instability: A Systematic Review. Children 2023, 10, 840. https://doi.org/10.3390/children10050840
Migliorini F, Maffulli N, Söllner S, Pasurka M, Kubach J, Bell A, Betsch M. Allografts for Medial Patellofemoral Ligament (MPFL) Reconstruction in Adolescent Patients with Recurrent Patellofemoral Instability: A Systematic Review. Children. 2023; 10(5):840. https://doi.org/10.3390/children10050840
Chicago/Turabian StyleMigliorini, Filippo, Nicola Maffulli, Stefan Söllner, Mario Pasurka, Joshua Kubach, Andreas Bell, and Marcel Betsch. 2023. "Allografts for Medial Patellofemoral Ligament (MPFL) Reconstruction in Adolescent Patients with Recurrent Patellofemoral Instability: A Systematic Review" Children 10, no. 5: 840. https://doi.org/10.3390/children10050840