Reconstruction of the medial patellotibial ligament results in favorable clinical outcomes: a systematic review
Purpose The medial patellotibial ligament (MPTL), the medial patellofemoral ligament (MPFL), and the medial patellomeniscal ligament (MPML) support the stability of the patellofemoral joint. The purpose of this systematic review was to report the surgical techniques and clinical outcomes of the repa...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2018-10, Vol.26 (10), p.2920-2933 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
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| creator | Baumann, Charles A. Pratte, Eli L. Sherman, Seth L. Arendt, Elizabeth A. Hinckel, Betina B. |
| description | Purpose
The medial patellotibial ligament (MPTL), the medial patellofemoral ligament (MPFL), and the medial patellomeniscal ligament (MPML) support the stability of the patellofemoral joint. The purpose of this systematic review was to report the surgical techniques and clinical outcomes of the repair or reconstruction of the MPTL in isolation or concomitant with the MPFL and/or other procedures.
Methods
A systematic review of the literature was conducted. Inclusion criteria were articles in the English language that reported clinical outcomes of the reconstruction of the MPTL in isolation or in combination with the MPFL and/or other procedures. Included articles were then cross-referenced to find additional journal articles not found in the initial search. The methodological quality of the articles was determined using the Coleman Methodology Score.
Results
Nineteen articles were included detailing the clinical outcomes of 403 knees. The surgical procedures described included hamstrings tenodesis with or without other major procedures, medial transfer of the medial patellar tendon with or without other major procedures and the reconstruction of the MPTL in association with the MPFL. Overall, good and excellent outcomes were achieved in > 75% of cohorts in most studies and redislocations were |
| doi_str_mv | 10.1007/s00167-018-4833-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1989594283</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1989594283</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-b8e85f8ece3a610067308053b671ab40eac31548fb6f2e8de8ecf389caee32133</originalsourceid><addsrcrecordid>eNp1kUtLxTAQhYMoen38ADcScOOmmjRpmroT8QWCILoOaZxqpG2uSXrFf-9crooIrjIh35nJnEPIPmfHnLH6JDHGVV0wrguphSjUGplxiUUtZL1OZqyRZVGySm2R7ZReGcNSNptkq2yElKpRMxLuwYUx5Ti57MNIQ0fzC9ABnrzt6dxm6PuQfbu89f7ZDjBmGiFNfU7Uj7SzixBt2wN1vR-9QyxM2YUB0im1NH2kDIPN3qFo4eF9l2x0tk-w93XukMfLi4fz6-L27urm_Oy2cKIuc9Fq0FWnwYGwCndVtWCaVaJVNbetZGCd4JXUXau6EvQTINoJ3TgLIEouxA45WvWdx_A2Qcpm8MnhMnaEMCXDG91UaI9eood_0NcwxRF_h1QjmBI4Cim-olwMKUXozDz6wcYPw5lZpmFWaRhMwyzTMAo1B1-dpxYd_VF8249AuQISPo3PEH-N_rfrJ0L8lrk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1993063315</pqid></control><display><type>article</type><title>Reconstruction of the medial patellotibial ligament results in favorable clinical outcomes: a systematic review</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>SpringerLink Journals - AutoHoldings</source><creator>Baumann, Charles A. ; Pratte, Eli L. ; Sherman, Seth L. ; Arendt, Elizabeth A. ; Hinckel, Betina B.</creator><creatorcontrib>Baumann, Charles A. ; Pratte, Eli L. ; Sherman, Seth L. ; Arendt, Elizabeth A. ; Hinckel, Betina B.</creatorcontrib><description>Purpose
The medial patellotibial ligament (MPTL), the medial patellofemoral ligament (MPFL), and the medial patellomeniscal ligament (MPML) support the stability of the patellofemoral joint. The purpose of this systematic review was to report the surgical techniques and clinical outcomes of the repair or reconstruction of the MPTL in isolation or concomitant with the MPFL and/or other procedures.
Methods
A systematic review of the literature was conducted. Inclusion criteria were articles in the English language that reported clinical outcomes of the reconstruction of the MPTL in isolation or in combination with the MPFL and/or other procedures. Included articles were then cross-referenced to find additional journal articles not found in the initial search. The methodological quality of the articles was determined using the Coleman Methodology Score.
Results
Nineteen articles were included detailing the clinical outcomes of 403 knees. The surgical procedures described included hamstrings tenodesis with or without other major procedures, medial transfer of the medial patellar tendon with or without other major procedures and the reconstruction of the MPTL in association with the MPFL. Overall, good and excellent outcomes were achieved in > 75% of cohorts in most studies and redislocations were < 10%, with or without the association of the MPFL. An exception was one study that reported a high failure rate of 82%. Results were consistent across different techniques. The median CMS for the articles was 66 out of 100 (range 30–85).
Conclusion
Across different techniques, the outcomes are good with low rates of recurrence, with one article reporting a high rate of recurrence. Quality of the articles is variable, from low to high. Randomized control trials are needed for a better understanding of the indications, surgical techniques, and clinical outcomes. This systematic review suggests that the reconstruction of the MPTL leads to favorable clinical outcomes and supports the role of the procedure as a valid surgical patellar stabilization procedure.
Level of evidence
IV: systematic review of level I–IV studies.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-018-4833-6</identifier><identifier>PMID: 29344696</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Clinical outcomes ; Clinical trials ; English language ; Humans ; Joint Instability - surgery ; Knee ; Ligaments ; Literature reviews ; Medicine ; Medicine & Public Health ; Orthopedics ; Patellar Dislocation - surgery ; Patellar Ligament - surgery ; Patellofemoral Joint - surgery ; Reconstructive Surgical Procedures - methods ; Recurrence ; Reviews ; Surgery ; Surgical techniques ; Systematic review ; Tenodesis</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018-10, Vol.26 (10), p.2920-2933</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2018</rights><rights>Knee Surgery, Sports Traumatology, Arthroscopy is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-b8e85f8ece3a610067308053b671ab40eac31548fb6f2e8de8ecf389caee32133</citedby><cites>FETCH-LOGICAL-c372t-b8e85f8ece3a610067308053b671ab40eac31548fb6f2e8de8ecf389caee32133</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-018-4833-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-018-4833-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27907,27908,41471,42540,51302</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29344696$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baumann, Charles A.</creatorcontrib><creatorcontrib>Pratte, Eli L.</creatorcontrib><creatorcontrib>Sherman, Seth L.</creatorcontrib><creatorcontrib>Arendt, Elizabeth A.</creatorcontrib><creatorcontrib>Hinckel, Betina B.</creatorcontrib><title>Reconstruction of the medial patellotibial ligament results in favorable clinical outcomes: a systematic review</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
The medial patellotibial ligament (MPTL), the medial patellofemoral ligament (MPFL), and the medial patellomeniscal ligament (MPML) support the stability of the patellofemoral joint. The purpose of this systematic review was to report the surgical techniques and clinical outcomes of the repair or reconstruction of the MPTL in isolation or concomitant with the MPFL and/or other procedures.
Methods
A systematic review of the literature was conducted. Inclusion criteria were articles in the English language that reported clinical outcomes of the reconstruction of the MPTL in isolation or in combination with the MPFL and/or other procedures. Included articles were then cross-referenced to find additional journal articles not found in the initial search. The methodological quality of the articles was determined using the Coleman Methodology Score.
Results
Nineteen articles were included detailing the clinical outcomes of 403 knees. The surgical procedures described included hamstrings tenodesis with or without other major procedures, medial transfer of the medial patellar tendon with or without other major procedures and the reconstruction of the MPTL in association with the MPFL. Overall, good and excellent outcomes were achieved in > 75% of cohorts in most studies and redislocations were < 10%, with or without the association of the MPFL. An exception was one study that reported a high failure rate of 82%. Results were consistent across different techniques. The median CMS for the articles was 66 out of 100 (range 30–85).
Conclusion
Across different techniques, the outcomes are good with low rates of recurrence, with one article reporting a high rate of recurrence. Quality of the articles is variable, from low to high. Randomized control trials are needed for a better understanding of the indications, surgical techniques, and clinical outcomes. This systematic review suggests that the reconstruction of the MPTL leads to favorable clinical outcomes and supports the role of the procedure as a valid surgical patellar stabilization procedure.
Level of evidence
IV: systematic review of level I–IV studies.</description><subject>Clinical outcomes</subject><subject>Clinical trials</subject><subject>English language</subject><subject>Humans</subject><subject>Joint Instability - surgery</subject><subject>Knee</subject><subject>Ligaments</subject><subject>Literature reviews</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedics</subject><subject>Patellar Dislocation - surgery</subject><subject>Patellar Ligament - surgery</subject><subject>Patellofemoral Joint - surgery</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Recurrence</subject><subject>Reviews</subject><subject>Surgery</subject><subject>Surgical techniques</subject><subject>Systematic review</subject><subject>Tenodesis</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kUtLxTAQhYMoen38ADcScOOmmjRpmroT8QWCILoOaZxqpG2uSXrFf-9crooIrjIh35nJnEPIPmfHnLH6JDHGVV0wrguphSjUGplxiUUtZL1OZqyRZVGySm2R7ZReGcNSNptkq2yElKpRMxLuwYUx5Ti57MNIQ0fzC9ABnrzt6dxm6PuQfbu89f7ZDjBmGiFNfU7Uj7SzixBt2wN1vR-9QyxM2YUB0im1NH2kDIPN3qFo4eF9l2x0tk-w93XukMfLi4fz6-L27urm_Oy2cKIuc9Fq0FWnwYGwCndVtWCaVaJVNbetZGCd4JXUXau6EvQTINoJ3TgLIEouxA45WvWdx_A2Qcpm8MnhMnaEMCXDG91UaI9eood_0NcwxRF_h1QjmBI4Cim-olwMKUXozDz6wcYPw5lZpmFWaRhMwyzTMAo1B1-dpxYd_VF8249AuQISPo3PEH-N_rfrJ0L8lrk</recordid><startdate>20181001</startdate><enddate>20181001</enddate><creator>Baumann, Charles A.</creator><creator>Pratte, Eli L.</creator><creator>Sherman, Seth L.</creator><creator>Arendt, Elizabeth A.</creator><creator>Hinckel, Betina B.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20181001</creationdate><title>Reconstruction of the medial patellotibial ligament results in favorable clinical outcomes: a systematic review</title><author>Baumann, Charles A. ; Pratte, Eli L. ; Sherman, Seth L. ; Arendt, Elizabeth A. ; Hinckel, Betina B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-b8e85f8ece3a610067308053b671ab40eac31548fb6f2e8de8ecf389caee32133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Clinical outcomes</topic><topic>Clinical trials</topic><topic>English language</topic><topic>Humans</topic><topic>Joint Instability - surgery</topic><topic>Knee</topic><topic>Ligaments</topic><topic>Literature reviews</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopedics</topic><topic>Patellar Dislocation - surgery</topic><topic>Patellar Ligament - surgery</topic><topic>Patellofemoral Joint - surgery</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Recurrence</topic><topic>Reviews</topic><topic>Surgery</topic><topic>Surgical techniques</topic><topic>Systematic review</topic><topic>Tenodesis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baumann, Charles A.</creatorcontrib><creatorcontrib>Pratte, Eli L.</creatorcontrib><creatorcontrib>Sherman, Seth L.</creatorcontrib><creatorcontrib>Arendt, Elizabeth A.</creatorcontrib><creatorcontrib>Hinckel, Betina B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baumann, Charles A.</au><au>Pratte, Eli L.</au><au>Sherman, Seth L.</au><au>Arendt, Elizabeth A.</au><au>Hinckel, Betina B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reconstruction of the medial patellotibial ligament results in favorable clinical outcomes: a systematic review</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2018-10-01</date><risdate>2018</risdate><volume>26</volume><issue>10</issue><spage>2920</spage><epage>2933</epage><pages>2920-2933</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
The medial patellotibial ligament (MPTL), the medial patellofemoral ligament (MPFL), and the medial patellomeniscal ligament (MPML) support the stability of the patellofemoral joint. The purpose of this systematic review was to report the surgical techniques and clinical outcomes of the repair or reconstruction of the MPTL in isolation or concomitant with the MPFL and/or other procedures.
Methods
A systematic review of the literature was conducted. Inclusion criteria were articles in the English language that reported clinical outcomes of the reconstruction of the MPTL in isolation or in combination with the MPFL and/or other procedures. Included articles were then cross-referenced to find additional journal articles not found in the initial search. The methodological quality of the articles was determined using the Coleman Methodology Score.
Results
Nineteen articles were included detailing the clinical outcomes of 403 knees. The surgical procedures described included hamstrings tenodesis with or without other major procedures, medial transfer of the medial patellar tendon with or without other major procedures and the reconstruction of the MPTL in association with the MPFL. Overall, good and excellent outcomes were achieved in > 75% of cohorts in most studies and redislocations were < 10%, with or without the association of the MPFL. An exception was one study that reported a high failure rate of 82%. Results were consistent across different techniques. The median CMS for the articles was 66 out of 100 (range 30–85).
Conclusion
Across different techniques, the outcomes are good with low rates of recurrence, with one article reporting a high rate of recurrence. Quality of the articles is variable, from low to high. Randomized control trials are needed for a better understanding of the indications, surgical techniques, and clinical outcomes. This systematic review suggests that the reconstruction of the MPTL leads to favorable clinical outcomes and supports the role of the procedure as a valid surgical patellar stabilization procedure.
Level of evidence
IV: systematic review of level I–IV studies.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29344696</pmid><doi>10.1007/s00167-018-4833-6</doi><tpages>14</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018-10, Vol.26 (10), p.2920-2933 |
| issn | 0942-2056 1433-7347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1989594283 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; SpringerLink Journals - AutoHoldings |
| subjects | Clinical outcomes Clinical trials English language Humans Joint Instability - surgery Knee Ligaments Literature reviews Medicine Medicine & Public Health Orthopedics Patellar Dislocation - surgery Patellar Ligament - surgery Patellofemoral Joint - surgery Reconstructive Surgical Procedures - methods Recurrence Reviews Surgery Surgical techniques Systematic review Tenodesis |
| title | Reconstruction of the medial patellotibial ligament results in favorable clinical outcomes: a systematic review |
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