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Recurrent patellar dislocations without untreated predisposing factors: MPFL reconstruction vs other medial soft tissue surgical techniques – A meta-analysis

Arthroscopy Jan 31, 2020

Previtali D, et al. - Researchers conducted a meta-analysis to present a direct comparison between 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 TT-TG distance. They selected six studies including 319 knees in the meta-analysis. They searched PubMed, Cochrane-library, WebOfScience, and grey literature databases to obtain all the relevant records. They conducted study selection, data extraction and risk of bias assessment following the Cochrane and PRISMA guidelines. They found that MPFL reconstruction and medial patellofemoral soft tissue surgery methods were both effective in restoring the medial restraining forces preventing redislocation, but MPFL reconstruction gave better functional results both in the short-term and long-term follow-ups. Therefore, besides the treatment of predisposing factors, MPFL reconstruction appears to be, a suitable approach to restore the medial restraining function in the treatment of recurrent LPD.
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