Previtali D, et al. - This study sought to present a direct comparison between medial patellofemoral ligament (MPFL) reconstruction and the other medial patellofemoral soft-tissue surgeries in the restoration of the medial patellar restraint after lateral patellar dislocations in the absence of untreated predisposing factors such as high-grade trochlear dysplasia, knee malalignment, patella Alta or high tibial tubercle-trochlear groove distance. Researchers searched PubMed, Cochrane-library, Web of Science, and gray literature databases to find all the relevant records. This meta-analysis included six studies including a total of 319 knees. The study found that MPFL reconstruction and medial patellofemoral soft-tissue surgery procedures were both effective in restoring the medial restraining forces preventing redislocation, but MPFL reconstruction gave better functional results both at short-term and long-term follow-up. Therefore, besides the treatment of predisposing factors, MPFL reconstruction appears to be, based on the outcomes of this meta-analysis, a suitable approach to reconstruct the medial restraining function in the treatment of recurrent LPD.