In a Level IV evidence systematic review of 13 studies comparing medial patellofemoral ligament reconstruction and medial soft-tissue realignment for recurrent lateral patellar instability without osseous pathology, both techniques showed excellent outcomes with low recurrent dislocation rates (<10% for both) without significant clinical, radiographic, or instability differences between the two groups at minimum 2-year follow-up. As in all well-designed and -conducted systematic reviews, the authors delicately balance study homogeneity (similar patients and surgical procedures - excluding distal osseous realignment and first-time dislocators) and heterogeneity (improved generalizability: dichotomized medial soft-tissue realignment and medial patellofemoral ligament reconstruction).
|Original language||English (US)|
|Number of pages||2|
|Journal||Arthroscopy - Journal of Arthroscopic and Related Surgery|
|State||Published - Mar 1 2016|
ASJC Scopus subject areas
- Orthopedics and Sports Medicine