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Comparative study of three different combination surgical methods for recurrent patella dislocation.

Xing-Liang Wang1, Xiao-Long Wang2, Chao Peng2

  • 1Department of Orthopedic Surgery, The No.904 Hospital of Peoples Liberation Army, Wuxi 214000, China.

Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association
|February 17, 2020
PubMed
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MPFL reconstruction with LPR release offers superior knee function for recurrent patella dislocation. This surgical combination shows promising results compared to other techniques, improving patient outcomes.

Area of Science:

  • Orthopedic surgery
  • Sports medicine
  • Biomechanics

Background:

  • Recurrent patella dislocation (RPD) poses a significant challenge in orthopedic practice.
  • The optimal surgical strategy for RPD remains debated, with various combinations of techniques employed.

Purpose of the Study:

  • To compare the surgical outcomes of different combined surgical techniques for treating recurrent patella dislocation.
  • To evaluate the efficacy of MPFL reconstruction and LPR release versus other surgical combinations.

Main Methods:

  • Retrospective analysis of 79 RPD patients' clinical data (August 2014 - October 2016).
  • Assessment of knee joint parameters: congruence angle (CA), patellar tilt angle (PTA), and lateral patellofemoral angle (LPFA).
  • Evaluation of knee function using Kujala, Lysholm, and Tegner scores, with follow-up until October 2018.

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Main Results:

  • No statistically significant differences were observed in CA, PTA, LPFA, or redislocation rates among the surgical groups.
  • The MPFL reconstruction and LPR release group demonstrated the highest functional scores (Lysholm, Kujala, Tegner).
  • The LPR release and MPR plication group reported the lowest functional scores.

Conclusions:

  • Surgical combinations for RPD yield similar postoperative joint congruence and redislocation rates.
  • MPFL reconstruction combined with LPR release is recommended due to superior knee function outcomes.
  • This approach warrants further promotion for managing recurrent patella dislocation.