Medial Patellofemoral Ligament Repair with Suture Tape Augmentation Can Yield Good Midterm Clinical Outcomes Regardless of Skeletal Maturity and Joint Laxity

While several studies have reported short-term clinical outcomes after medial patellofemoral ligament (MPFL) repair with suture tape augmentation, there is still a dearth of knowledge regarding midterm clinical outcomes. This study aimed to evaluate the midterm clinical outcomes of MPFL repair with...

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Main Authors: Shinichiro Takada, Hirotaka Nakashima, Keisuke Nakayama, Soshi Uchida
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Biomimetics
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Online Access:https://www.mdpi.com/2313-7673/10/1/65
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author Shinichiro Takada
Hirotaka Nakashima
Keisuke Nakayama
Soshi Uchida
author_facet Shinichiro Takada
Hirotaka Nakashima
Keisuke Nakayama
Soshi Uchida
author_sort Shinichiro Takada
collection DOAJ
description While several studies have reported short-term clinical outcomes after medial patellofemoral ligament (MPFL) repair with suture tape augmentation, there is still a dearth of knowledge regarding midterm clinical outcomes. This study aimed to evaluate the midterm clinical outcomes of MPFL repair with suture tape augmentation in patients with patellar dislocation. We retrospectively reviewed the clinical records of patients who underwent MPFL repair with suture tape augmentation for at least one episode of patellar dislocation between 2015 and 2020. Patient-reported clinical outcomes (PROs) were evaluated via the International Knee Documentation Committee (IKDC) score and the knee injury osteoarthritis outcome score (KOOS). In total, 17 knees (4 males and 13 females) who underwent MPFL repair with suture tape augmentation with a mean follow-up of 54.6 ± 19.5 months were included in this study. PROs significantly improved from preoperatively to the final follow-up (IKDC score: 50.7 ± 26.6 vs. 88.8 ± 13.0, <i>p</i> < 0.001; KOOS: 68.8 ± 23.3 vs. 91.2 ± 8.4, <i>p</i> = 0.011) without reducing the patient’s activity level at the final follow-up (UCLA AS score: 7.9 ± 2.4 at preinjury vs. 7.9 ± 2.2 at the final follow-up, <i>p</i> = 0.655). Subgroup analysis revealed good postoperative outcomes, regardless of the patient’s skeletal maturity or the presence or absence of generalized laxity. In conclusion, MPFL repair with suture tape augmentation is a safe and effective treatment for midterm follow-up.
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spelling doaj-art-5715fc70c02446ac96d79d8804f076972025-01-24T13:24:47ZengMDPI AGBiomimetics2313-76732025-01-011016510.3390/biomimetics10010065Medial Patellofemoral Ligament Repair with Suture Tape Augmentation Can Yield Good Midterm Clinical Outcomes Regardless of Skeletal Maturity and Joint LaxityShinichiro Takada0Hirotaka Nakashima1Keisuke Nakayama2Soshi Uchida3Department of Orthopedic Surgery, Wakamatsu Hospital of University of Occupational and Environmental and Health, 1-17-1, Hamamachi, Wakamatsu, Kitakyushu-city 808-1264, Fukuoka, JapanDepartment of Orthopedic Surgery, Wakamatsu Hospital of University of Occupational and Environmental and Health, 1-17-1, Hamamachi, Wakamatsu, Kitakyushu-city 808-1264, Fukuoka, JapanDepartment of Orthopedic Surgery, Wakamatsu Hospital of University of Occupational and Environmental and Health, 1-17-1, Hamamachi, Wakamatsu, Kitakyushu-city 808-1264, Fukuoka, JapanDepartment of Orthopedic Surgery, Wakamatsu Hospital of University of Occupational and Environmental and Health, 1-17-1, Hamamachi, Wakamatsu, Kitakyushu-city 808-1264, Fukuoka, JapanWhile several studies have reported short-term clinical outcomes after medial patellofemoral ligament (MPFL) repair with suture tape augmentation, there is still a dearth of knowledge regarding midterm clinical outcomes. This study aimed to evaluate the midterm clinical outcomes of MPFL repair with suture tape augmentation in patients with patellar dislocation. We retrospectively reviewed the clinical records of patients who underwent MPFL repair with suture tape augmentation for at least one episode of patellar dislocation between 2015 and 2020. Patient-reported clinical outcomes (PROs) were evaluated via the International Knee Documentation Committee (IKDC) score and the knee injury osteoarthritis outcome score (KOOS). In total, 17 knees (4 males and 13 females) who underwent MPFL repair with suture tape augmentation with a mean follow-up of 54.6 ± 19.5 months were included in this study. PROs significantly improved from preoperatively to the final follow-up (IKDC score: 50.7 ± 26.6 vs. 88.8 ± 13.0, <i>p</i> < 0.001; KOOS: 68.8 ± 23.3 vs. 91.2 ± 8.4, <i>p</i> = 0.011) without reducing the patient’s activity level at the final follow-up (UCLA AS score: 7.9 ± 2.4 at preinjury vs. 7.9 ± 2.2 at the final follow-up, <i>p</i> = 0.655). Subgroup analysis revealed good postoperative outcomes, regardless of the patient’s skeletal maturity or the presence or absence of generalized laxity. In conclusion, MPFL repair with suture tape augmentation is a safe and effective treatment for midterm follow-up.https://www.mdpi.com/2313-7673/10/1/65MPFL repair with suture tape augmentationpolyethylenepatella dislocationpatella instability
spellingShingle Shinichiro Takada
Hirotaka Nakashima
Keisuke Nakayama
Soshi Uchida
Medial Patellofemoral Ligament Repair with Suture Tape Augmentation Can Yield Good Midterm Clinical Outcomes Regardless of Skeletal Maturity and Joint Laxity
Biomimetics
MPFL repair with suture tape augmentation
polyethylene
patella dislocation
patella instability
title Medial Patellofemoral Ligament Repair with Suture Tape Augmentation Can Yield Good Midterm Clinical Outcomes Regardless of Skeletal Maturity and Joint Laxity
title_full Medial Patellofemoral Ligament Repair with Suture Tape Augmentation Can Yield Good Midterm Clinical Outcomes Regardless of Skeletal Maturity and Joint Laxity
title_fullStr Medial Patellofemoral Ligament Repair with Suture Tape Augmentation Can Yield Good Midterm Clinical Outcomes Regardless of Skeletal Maturity and Joint Laxity
title_full_unstemmed Medial Patellofemoral Ligament Repair with Suture Tape Augmentation Can Yield Good Midterm Clinical Outcomes Regardless of Skeletal Maturity and Joint Laxity
title_short Medial Patellofemoral Ligament Repair with Suture Tape Augmentation Can Yield Good Midterm Clinical Outcomes Regardless of Skeletal Maturity and Joint Laxity
title_sort medial patellofemoral ligament repair with suture tape augmentation can yield good midterm clinical outcomes regardless of skeletal maturity and joint laxity
topic MPFL repair with suture tape augmentation
polyethylene
patella dislocation
patella instability
url https://www.mdpi.com/2313-7673/10/1/65
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