Clinical Outcome of the Dynamic Reconstruction of the Medial Patellofemoral Ligament (MPFL) - a Retrospective Case Series
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 152
- 试验地点
- 1
- 主要终点
- BANFF Score
研究概览
简要总结
In a single surgical center, 213 consecutive patients with 221 knees were surgically treated for recurrent lateral patellar dislocation between 07/2010 and 12/2016. All patients obtained dynamic reconstruction of the MPFL with detachment of the gracilis tendon at the pes anserinus while maintaining the proximal origin at the gracilis muscle. Patellar fixation was performed by oblique transpatellar tunnel transfer and tenodesis screw. Follow-up data including Kujala-, BANFF- and Norwich patellar instability score as well as Return-to-Sport and pain level were collected at a minimum follow-up of 2 years
详细描述
Patients were identified through the hospitals database using OPS-Codes for MPFL reconstruction. The included surgeries were performed from 07/2010 to 12/2016 in a single orthopedic hospital.
Inclusion criteria:
- Dynamic MPFL-reconstruction (primary and revision surgery) including cartilage procedure
- Age of 18 years or older at a minimum of 24 months follow up
Exclusion criteria:
- Diagnosis of connective tissue disease
- Neurological diseases including patella associated spasticity and
- Concomitant alignment correction surgery including femoral/tibial osteotomy, trochleoplasty and tibial tubercle transfer
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with MPFL reconstruction and possible accompanying interventions
- •Age >18 years
排除标准
- •Known hereditary connective tissue diseases (e.g. Ehlers-Danlos syndrome)
- •Known neurogenic diseases
- •Significant further musculoskeletal disorders
结局指标
主要结局
BANFF Score
时间窗: 24 months postoperative
The Banff Score is a patient reported assessment of patellofemoral disorders that assesses patella instability. The score consists of 23 questions. Minimum: 0 (worst), Maximum: 100 (best)
Kujala score
时间窗: 24 months postoperative
The Kujala Anterior Knee Pain Scale is a patient reported assessment of patellofemoral disorders that assesses subjective symptoms and functional limitations. The score consists of 13 questions that add up to a total of 100 points. Minimum: 0 (worst), Maximum: 100 (best)
Norwich Patellar Instability Score (NPI Score)
时间窗: 24 months postoperative
The Norwich Patellar Instability Score is a patient reported assessment of patellofemoral instability. The score consists of 19 questions with a special weighting for every question. The results are presented in percent. Range: 0% (best) to 100% (worst)
次要结局
未报告次要终点