Combined medial patellofemoral ligament and medial patellotibial ligament reconstruction in recurrent patellar instability:A systematic review and meta-analysis

作     者：Ahmad Abbaszadeh Mohsen Saeedi Amir Human Hoveidaei Haleh Dadgostar Saeed Razi Mohammad Razi 

作者机构：Department of OrthopedicEmam Khomeini Teaching HospitalAhvaz Jundishapur University of Medical SciencesAhvaz ***Iran Sports Medicine Research CenterTehran University of Medical SciencesTehran 14395-578Iran Department of Sports and Exercise MedicineSchool of MedicineRasool Akram Medical ComplexIran University of Medical SciencesTehran ***Iran Bone and Joint Reconstruction Research CenterDepartment of OrthopedicsSchool of MedicineIran University of Medical SciencesTehran ***Iran Department of Orthopedic SurgeryRasoul Akram HospitalIran University of Medical SciencesTehran ***Iran 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2023年第11卷第19期

页      面：4625-4634页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Medial patellofemoral ligament reconstruction Medial patellotibial ligament patella dislocation Patella instability 

摘      要：BACKGROUND The medial patellofemoral ligament(MPFL),along with the medial patellotibial ligament(MPTL)and medial patellomeniscal ligament,aid in the stabilization of the patellofemoral *** the MPFL is the primary stabilizer and the MPTL is a secondary limiter,this ligament is critical in maintaining joint *** have been few studies on the combined MPFL and MPTL reconstruction and its *** To look into the outcomes of combined MPFL and MPTL reconstruction in frequent patellar *** By May 8,2022,four electronic databases were searched:Medline(PubMed),Scopus,Web of Science,and Google *** keywords such aspatellar instability,patellar dislocation,MPFL,medial patellofemoral ligament,MPTL,andmedial patellotibial ligamentwere co-searched to increase the sensitivity of the *** The pooled effects of combined MPFL and MPTL reconstruction for Kujala score(12-mo followup)and Kujala score(24-mo follow-up)were positive and incremental,according to the findings of this *** mean difference between the Cincinnati scores was also positive,but not statistically *** combination of the two surgeries reduces *** to cumulative meta-analysis,the trend of pain reduction in various studies is declining over *** The combined MPFL and MPTL reconstruction has good clinical results in knee function and,in addition to providing good control to maintain patellofemoral joint balance,the patient s pain level decreases over time,making it a valid surgical method for patella stabilization.