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 

机构地区：[1]Department of Orthopedic,Emam Khomeini Teaching Hospital,Ahvaz Jundishapur University of Medical Sciences,Ahvaz 6135715794,Iran [2]Sports Medicine Research Center,Tehran University of Medical Sciences,Tehran 14395-578,Iran [3]Department of Sports and Exercise Medicine,School of Medicine,Rasool Akram Medical Complex,Iran University of Medical Sciences,Tehran 1445613131,Iran [4]Bone and Joint Reconstruction Research Center,Department of Orthopedics,School of Medicine,Iran University of Medical Sciences,Tehran 1545913487,Iran [5]Department of Orthopedic Surgery,Rasoul Akram Hospital,Iran University of Medical Sciences,Tehran 1445613131,Iran

出　　处：《World Journal of Clinical Cases》2023年第19期4625-4634,共10页世界临床病例杂志

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 joint.Although the MPFL is the primary stabilizer and the MPTL is a secondary limiter,this ligament is critical in maintaining joint stability.There have been few studies on the combined MPFL and MPTL reconstruction and its benefits.AIM To look into the outcomes of combined MPFL and MPTL reconstruction in frequent patellar instability.METHODS By May 8,2022,four electronic databases were searched:Medline(PubMed),Scopus,Web of Science,and Google Scholar.General keywords such as"patellar instability,""patellar dislocation,""MPFL,""medial patellofemoral ligament,""MPTL,"and"medial patellotibial ligament"were co-searched to increase the sensitivity of the search.RESULTS 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 meta-analysis.The mean difference between the Cincinnati scores was also positive,but not statistically significant.The combination of the two surgeries reduces pain.According to cumulative meta-analysis,the trend of pain reduction in various studies is declining over time.CONCLUSION 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.

关 键 词：Medial patellofemoral ligament reconstruction Medial patellotibial ligament patella dislocation Patella instability 

分 类 号：R687.4[医药卫生—骨科学]