Academic Journal
Single- versus double-bundle patellar graft insertion for isolated MPFL reconstruction in patients with patellofemoral instability: a systematic review of the literature
| العنوان: | Single- versus double-bundle patellar graft insertion for isolated MPFL reconstruction in patients with patellofemoral instability: a systematic review of the literature |
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| المؤلفون: | Migliorini, Filippo, Trivellas, Andromahi, Colarossi, Giorgia, Eschweiler, Jörg, Tingart, Markus, Rath, Björn |
| المصدر: | http://lobid.org/resources/99370678531206441#!, 140(6):769-776. |
| سنة النشر: | 2020 |
| المجموعة: | Publisso (ZB MED-Publikationsportal Lebenswissenschaften) |
| مصطلحات موضوعية: | Patellofemoral instability, Humans [MeSH], Orthopedic Procedures/adverse effects [MeSH], Ligaments, Articular/transplantation [MeSH], Patella/surgery [MeSH], Arthroscopy and Sports Medicine, Femur/surgery [MeSH], MPFL, Double bundle, Articular/surgery [MeSH], Reconstructive Surgical Procedures/methods [MeSH], Joint Instability/surgery [MeSH], Reconstructive Surgical Procedures/statistics, Graft, Dislocation, Orthopedic Procedures/statistics, Single bundle, Reconstruction, Orthopedic Procedures/methods [MeSH], Reconstructive Surgical Procedures/adverse effects [MeSH] |
| الوصف: | Introduction!#!The MPFL reconstruction is performed either via a single-bundle (SB) or double-bundle (DB) procedure. The purpose of this study is to perform a systematic review comparing SB versus DB graft for recurrent patellofemoral instability, to summarize current evidence, and to clarify the role of both techniques. We focused on clinical scores, physical examination, complications, revision surgeries, and failures.!##!Material and methods!#!In May of 2019 the main online databases were accessed. All the clinical studies treating isolated MPFL reconstruction for patellofemoral instability through a single and/or double-bundle graft were enrolled in the present systematic review. Only articles reporting primary isolated MPFL reconstruction, reporting a minimum of 12-months follow-up were considered for inclusion.!##!Results!#!The scores of interest were in favour of the DB cohort: Kujala (+ 3.2, P = 0.03), Lysholm (+ 5.1, P = 0.001), Tegner (+ 0.3, P = 0.2), IKDC (+ 5.4, P = 0.01), VAS (+ 0.8, P = 0.3), ROM (+ 9.96, P = 0.04). In the DB graft, a reduction of overall complications (OR 0.59; P = 0.1), further surgeries (OR 0.64; P = 0.12) and re-dislocations (OR 0.61; P = 0.16) was observed. The SB group reported a reduction in the post-operative apprehension test (OR 2.42; P = 0.24).!##!Conclusion!#!Current study support the use of double-bundle tendon graft for isolated MPFL reconstruction in selected patients with recurrent patellofemoral instability. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | https://repository.publisso.de/resource/frl:6466530; https://doi.org/10.1007/s00402-020-03376-9; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8289805/ |
| DOI: | 10.1007/s00402-020-03376-9 |
| الاتاحة: | https://repository.publisso.de/resource/frl:6466530 https://doi.org/10.1007/s00402-020-03376-9 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8289805/ |
| Rights: | https://creativecommons.org/licenses/by/4.0/ |
| رقم الانضمام: | edsbas.3C0CDEB5 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1007/s00402-020-03376-9 |
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