@article{Dall’Oca_Elena_Lunardelli_Ulgelmo_Magnan_2020, title={MPFL reconstruction: indications and results}, volume={91}, url={https://mattioli1885journals.com/index.php/actabiomedica/article/view/9669}, DOI={10.23750/abm.v91i4-S.9669}, abstractNote={<p class="p2">B<span class="s1">a</span>ck<span class="s1">g</span><span class="s3">r</span>ound and aim: The medial pate<span class="s1">l</span>lo<span class="s1">f</span>emo<span class="s1">r</span>al ligament (MPFL) is the most impo<span class="s1">r</span>tant st<span class="s1">r</span>uctu<span class="s3">r</span>e c<span class="s3">o</span>mm<span class="s3">o</span>n<span class="s1">l</span>y inju<span class="s3">r</span>ed du<span class="s1">r</span>ing late<span class="s1">r</span>al pate<span class="s1">l</span>lar dislo<span class="s1">c</span>ati<span class="s3">o</span>n and its <span class="s1">r</span>uptu<span class="s3">r</span>e accounts for 3% of total knee inju<span class="s1">r</span>ies. MPFL <span class="s3">r</span>ec<span class="s3">o</span>nst<span class="s1">r</span>ucti<span class="s3">o</span>n (MPFLR) is a <span class="s3">r</span>eliable p<span class="s3">r</span>ocedu<span class="s3">r</span>e with <span class="s3">g</span>ood <span class="s3">r</span>esults but va<span class="s1">r</span>iable <span class="s1">r</span>ates of <span class="s3">r</span>ecur<span class="s3">r</span>ent instabili<span class="s1">t</span><span class="s9">y</span>. The aim of this study is to unde<span class="s10">r</span>line the p<span class="s3">r</span>oper indi<span class="s1">c</span>ati<span class="s3">o</span>ns for the MPFLR <span class="s3">r</span>ec<span class="s3">o</span>nst<span class="s1">r</span>ucti<span class="s3">o</span>n and to explain a<span class="s1">l</span>l the pea<span class="s10">r</span>ls and pitfa<span class="s1">l</span>ls<span class="s3"> r</span>ega<span class="s3">r</span>ding the MPFLR both in our expe<span class="s1">r</span>ience and found in the latest lite<span class="s1">r</span>atu<span class="s3">r</span>e. Methods: A c<span class="s3">o</span>mp<span class="s3">r</span>ehensi<span class="s1">v</span>e sea<span class="s3">r</span><span class="s1">c</span>h in the latest lite<span class="s1">r</span>atu<span class="s3">r</span>e using va<span class="s1">r</span>ious c<span class="s3">o</span>mbinati<span class="s3">o</span>ns of the k<span class="s1">e</span>ywo<span class="s3">r</span>ds MPFL, MPFLR, dislo<span class="s1">c</span>ati<span class="s3">o</span>n, t<span class="s3">r</span>eatment was pe<span class="s1">r</span>fo<span class="s1">r</span>med. The fo<span class="s1">l</span>l<span class="s3">o</span>wing data we<span class="s3">r</span>e ext<span class="s1">r</span>acted: diagnosis methods, indi<span class="s1">c</span>ati<span class="s3">o</span>ns and c<span class="s3">o</span>nt<span class="s1">r</span>aindi<span class="s1">c</span>ati<span class="s3">o</span>ns for isolated MPFLR, <span class="s1">ty</span>pe of management, <span class="s3">r</span>ecur<span class="s3">r</span>ence of instabili<span class="s1">t</span><span class="s9">y</span>, outc<span class="s3">o</span>mes and c<span class="s3">o</span>mpli<span class="s1">c</span>ati<span class="s3">o</span>ns. Results: Histo<span class="s4">r</span>y of<span class="s3"> m</span>ultiple pate<span class="s1">l</span>lar dislo<span class="s1">c</span>ati<span class="s3">o</span>ns is the most<span class="s3"> r</span>el<span class="s1">e</span>vant indi<span class="s1">c</span>ati<span class="s3">o</span>n for ligament <span class="s3">r</span>ec<span class="s3">o</span>nst<span class="s1">r</span>ucti<span class="s3">o</span>n especia<span class="s1">ll</span>y a<span class="s10">f</span>ter a failed course of c<span class="s3">o</span>nse<span class="s6">r</span>vati<span class="s1">v</span>e t<span class="s3">r</span>eatment in p<span class="s3">r</span>esence of persistent pate<span class="s1">l</span>lo-<span class="s1">f</span>emo<span class="s1">r</span>al instabili<span class="s1">t</span><span class="s9">y</span>. Gold standa<span class="s3">r</span>d te<span class="s1">c</span>hnique for MPFLR has not been <span class="s10">c</span>lea<span class="s10">r</span><span class="s1">l</span>y defined <span class="s1">y</span>et. Conclusions: The<span class="s3">r</span>e is sti<span class="s1">l</span>l poor lite<span class="s1">r</span>atu<span class="s3">r</span>e about outc<span class="s3">o</span>me c<span class="s3">o</span>mpa<span class="s1">r</span>is<span class="s3">o</span>ns, the<span class="s3">r</span>efo<span class="s3">r</span>e it is <span class="s1">c</span>ha<span class="s1">l</span>lenging to decide whi<span class="s1">c</span>h te<span class="s1">c</span>hnique is the most app<span class="s3">r</span>op<span class="s1">r</span>iate as surgi<span class="s1">c</span>al p<span class="s3">r</span>ocedu<span class="s3">r</span>es a<span class="s3">r</span>e c<span class="s3">o</span>ntinuous<span class="s1">l</span>y d<span class="s1">ev</span>elopin<span class="s3">g</span>. The ideal <span class="s1">c</span>andidates for MPFLR ha<span class="s1">v</span>e to be decided a<span class="s10">f</span>ter a th<span class="s3">r</span>oughout <span class="s1">e</span>valuati<span class="s3">o</span>n and <span class="s1">c</span>a<span class="s3">r</span>eful planning and, with n<span class="s3">o</span>wad<span class="s3">a</span><span class="s1">y</span>s kn<span class="s3">o</span>wledg<span class="s3">e</span>, it is possible to put indi<span class="s1">c</span>ati<span class="s3">o</span>n for a <span class="s3">r</span>ec<span class="s3">o</span>nst<span class="s1">r</span>ucti<span class="s3">o</span>n exposing the patient to minimal <span class="s1">r</span>isks.</p>}, number={4-S}, journal={Acta Biomedica Atenei Parmensis}, author={Dall’Oca, Carlo and Elena, Nicholas and Lunardelli, Enrico and Ulgelmo, Maurizio and Magnan, Bruno}, year={2020}, month={May}, pages={128–135} }