Cargando…
A clinical, radiological and isokinetic evaluation in patients with recurrent patellar dislocation undergoing MPFL reconstruction according to Avikainen: a prospective study evaluating early degenerative changes after a minimum 10-year follow-up period
BACKGROUND: The aim of the study was to conduct a comprehensive functional and radiological follow-up assessment in patients at least 10 years after adductor magnus MPFL reconstruction, and to assess the presence of early degenerative changes. METHODS: The mean age at the time of surgery was 16 year...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9951401/ https://www.ncbi.nlm.nih.gov/pubmed/36823566 http://dx.doi.org/10.1186/s12891-023-06249-5 |
_version_ | 1784893382211928064 |
---|---|
author | Małecki, Krzysztof Niedzielski, Kryspin Korczyc-Stępnicka, Agnieszka Stelmach, Wojciech Beczkowski, Jacek Fabiś, Jarosław Fabiś-Strobin, Anna |
author_facet | Małecki, Krzysztof Niedzielski, Kryspin Korczyc-Stępnicka, Agnieszka Stelmach, Wojciech Beczkowski, Jacek Fabiś, Jarosław Fabiś-Strobin, Anna |
author_sort | Małecki, Krzysztof |
collection | PubMed |
description | BACKGROUND: The aim of the study was to conduct a comprehensive functional and radiological follow-up assessment in patients at least 10 years after adductor magnus MPFL reconstruction, and to assess the presence of early degenerative changes. METHODS: The mean age at the time of surgery was 16 years (range: 8 to 18 years, SD 2.5). The follow-up examination was performed at least 10 years following adductor magnus MPFL reconstruction (mean 11 years). Twenty-one patients (26 operated knees) attended the follow-up. The mean age at follow-up was 25.1 years (range 20–29 years). RESULTS: The significant improvement observed at 3 years, indicated by the Kujala and Lysholm scores, was maintained after 10 years of follow-up (p < 0.001). A single recurrence of dislocation was noted in three patients. A significant improvement in radiological parameters was noted. No significant difference in the incidence of chondromalacia, of any degree, was observed compared to controls. Significantly higher quadriceps peak torque was noted for both angular velocities (60 and 180°/sec) compared to the preoperative readings (p < 0.001). Knee flexors were found to be significantly stronger at both 60 and 180°/sec at 10 years follow-up examination (p = 0.008 and p < 0.001 respectively). CONCLUSION: The use of MPFL reconstruction according to Avikainen yields improvements in clinical and radiological results which are maintained throughout the observation period. No significantly greater articular cartilage degeneration was noted in patients after surgical treatment for recurrent patellar dislocation compared to healthy peers. TRIAL REGISTRATION: Registered on Clinical Trails.gov with ID: PMMHRI-BCO.67/2021-A. |
format | Online Article Text |
id | pubmed-9951401 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-99514012023-02-25 A clinical, radiological and isokinetic evaluation in patients with recurrent patellar dislocation undergoing MPFL reconstruction according to Avikainen: a prospective study evaluating early degenerative changes after a minimum 10-year follow-up period Małecki, Krzysztof Niedzielski, Kryspin Korczyc-Stępnicka, Agnieszka Stelmach, Wojciech Beczkowski, Jacek Fabiś, Jarosław Fabiś-Strobin, Anna BMC Musculoskelet Disord Research BACKGROUND: The aim of the study was to conduct a comprehensive functional and radiological follow-up assessment in patients at least 10 years after adductor magnus MPFL reconstruction, and to assess the presence of early degenerative changes. METHODS: The mean age at the time of surgery was 16 years (range: 8 to 18 years, SD 2.5). The follow-up examination was performed at least 10 years following adductor magnus MPFL reconstruction (mean 11 years). Twenty-one patients (26 operated knees) attended the follow-up. The mean age at follow-up was 25.1 years (range 20–29 years). RESULTS: The significant improvement observed at 3 years, indicated by the Kujala and Lysholm scores, was maintained after 10 years of follow-up (p < 0.001). A single recurrence of dislocation was noted in three patients. A significant improvement in radiological parameters was noted. No significant difference in the incidence of chondromalacia, of any degree, was observed compared to controls. Significantly higher quadriceps peak torque was noted for both angular velocities (60 and 180°/sec) compared to the preoperative readings (p < 0.001). Knee flexors were found to be significantly stronger at both 60 and 180°/sec at 10 years follow-up examination (p = 0.008 and p < 0.001 respectively). CONCLUSION: The use of MPFL reconstruction according to Avikainen yields improvements in clinical and radiological results which are maintained throughout the observation period. No significantly greater articular cartilage degeneration was noted in patients after surgical treatment for recurrent patellar dislocation compared to healthy peers. TRIAL REGISTRATION: Registered on Clinical Trails.gov with ID: PMMHRI-BCO.67/2021-A. BioMed Central 2023-02-24 /pmc/articles/PMC9951401/ /pubmed/36823566 http://dx.doi.org/10.1186/s12891-023-06249-5 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Małecki, Krzysztof Niedzielski, Kryspin Korczyc-Stępnicka, Agnieszka Stelmach, Wojciech Beczkowski, Jacek Fabiś, Jarosław Fabiś-Strobin, Anna A clinical, radiological and isokinetic evaluation in patients with recurrent patellar dislocation undergoing MPFL reconstruction according to Avikainen: a prospective study evaluating early degenerative changes after a minimum 10-year follow-up period |
title | A clinical, radiological and isokinetic evaluation in patients with recurrent patellar dislocation undergoing MPFL reconstruction according to Avikainen: a prospective study evaluating early degenerative changes after a minimum 10-year follow-up period |
title_full | A clinical, radiological and isokinetic evaluation in patients with recurrent patellar dislocation undergoing MPFL reconstruction according to Avikainen: a prospective study evaluating early degenerative changes after a minimum 10-year follow-up period |
title_fullStr | A clinical, radiological and isokinetic evaluation in patients with recurrent patellar dislocation undergoing MPFL reconstruction according to Avikainen: a prospective study evaluating early degenerative changes after a minimum 10-year follow-up period |
title_full_unstemmed | A clinical, radiological and isokinetic evaluation in patients with recurrent patellar dislocation undergoing MPFL reconstruction according to Avikainen: a prospective study evaluating early degenerative changes after a minimum 10-year follow-up period |
title_short | A clinical, radiological and isokinetic evaluation in patients with recurrent patellar dislocation undergoing MPFL reconstruction according to Avikainen: a prospective study evaluating early degenerative changes after a minimum 10-year follow-up period |
title_sort | clinical, radiological and isokinetic evaluation in patients with recurrent patellar dislocation undergoing mpfl reconstruction according to avikainen: a prospective study evaluating early degenerative changes after a minimum 10-year follow-up period |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9951401/ https://www.ncbi.nlm.nih.gov/pubmed/36823566 http://dx.doi.org/10.1186/s12891-023-06249-5 |
work_keys_str_mv | AT małeckikrzysztof aclinicalradiologicalandisokineticevaluationinpatientswithrecurrentpatellardislocationundergoingmpflreconstructionaccordingtoavikainenaprospectivestudyevaluatingearlydegenerativechangesafteraminimum10yearfollowupperiod AT niedzielskikryspin aclinicalradiologicalandisokineticevaluationinpatientswithrecurrentpatellardislocationundergoingmpflreconstructionaccordingtoavikainenaprospectivestudyevaluatingearlydegenerativechangesafteraminimum10yearfollowupperiod AT korczycstepnickaagnieszka aclinicalradiologicalandisokineticevaluationinpatientswithrecurrentpatellardislocationundergoingmpflreconstructionaccordingtoavikainenaprospectivestudyevaluatingearlydegenerativechangesafteraminimum10yearfollowupperiod AT stelmachwojciech aclinicalradiologicalandisokineticevaluationinpatientswithrecurrentpatellardislocationundergoingmpflreconstructionaccordingtoavikainenaprospectivestudyevaluatingearlydegenerativechangesafteraminimum10yearfollowupperiod AT beczkowskijacek aclinicalradiologicalandisokineticevaluationinpatientswithrecurrentpatellardislocationundergoingmpflreconstructionaccordingtoavikainenaprospectivestudyevaluatingearlydegenerativechangesafteraminimum10yearfollowupperiod AT fabisjarosław aclinicalradiologicalandisokineticevaluationinpatientswithrecurrentpatellardislocationundergoingmpflreconstructionaccordingtoavikainenaprospectivestudyevaluatingearlydegenerativechangesafteraminimum10yearfollowupperiod AT fabisstrobinanna aclinicalradiologicalandisokineticevaluationinpatientswithrecurrentpatellardislocationundergoingmpflreconstructionaccordingtoavikainenaprospectivestudyevaluatingearlydegenerativechangesafteraminimum10yearfollowupperiod AT małeckikrzysztof clinicalradiologicalandisokineticevaluationinpatientswithrecurrentpatellardislocationundergoingmpflreconstructionaccordingtoavikainenaprospectivestudyevaluatingearlydegenerativechangesafteraminimum10yearfollowupperiod AT niedzielskikryspin clinicalradiologicalandisokineticevaluationinpatientswithrecurrentpatellardislocationundergoingmpflreconstructionaccordingtoavikainenaprospectivestudyevaluatingearlydegenerativechangesafteraminimum10yearfollowupperiod AT korczycstepnickaagnieszka clinicalradiologicalandisokineticevaluationinpatientswithrecurrentpatellardislocationundergoingmpflreconstructionaccordingtoavikainenaprospectivestudyevaluatingearlydegenerativechangesafteraminimum10yearfollowupperiod AT stelmachwojciech clinicalradiologicalandisokineticevaluationinpatientswithrecurrentpatellardislocationundergoingmpflreconstructionaccordingtoavikainenaprospectivestudyevaluatingearlydegenerativechangesafteraminimum10yearfollowupperiod AT beczkowskijacek clinicalradiologicalandisokineticevaluationinpatientswithrecurrentpatellardislocationundergoingmpflreconstructionaccordingtoavikainenaprospectivestudyevaluatingearlydegenerativechangesafteraminimum10yearfollowupperiod AT fabisjarosław clinicalradiologicalandisokineticevaluationinpatientswithrecurrentpatellardislocationundergoingmpflreconstructionaccordingtoavikainenaprospectivestudyevaluatingearlydegenerativechangesafteraminimum10yearfollowupperiod AT fabisstrobinanna clinicalradiologicalandisokineticevaluationinpatientswithrecurrentpatellardislocationundergoingmpflreconstructionaccordingtoavikainenaprospectivestudyevaluatingearlydegenerativechangesafteraminimum10yearfollowupperiod |