Editorial Commentary: How to Pass Go After Medial Patellofemoral Ligament Reconstruction

Medial patellofemoral ligament reconstruction (MPFLR) has been a reliable procedure to allow patients with patellar instability to regain function and minimize subsequent instability. However, although much of the prior literature has focused on recurrent patellar instability as a primary outcome after MPFLR, this may not accurately capture how a patient feels he or she has recovered after surgery. A more nuanced approach, taking into account patient-reported outcome scores, specifically the Kujala score, as well as the minimal clinically important difference, substantial clinical benefit, and patient acceptable symptomatic state, may help orthopaedic surgeons better understand how patients evaluate their outcomes after MPFLR.