Systematic Review: Pedicled Strip of Quadriceps Tendon Graft for Primary Medial Patellofemoral Ligament Reconstruction in Recurrent Patellofemoral Instability

Authors

1 Professor Dr. of Orthopedic Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

2 Lecturer of Orthopedic Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

3 MSc of Orthopedic Surgery.

Abstract

Background: In order to determine benefits and drawbacks, a comprehensive literature review was performed. In patients with recurrent patellofemoral instability, it is important to evaluate the efficacy of using a pedicled quadriceps tendon autograft for primary medial-patellofemoral ligament (MPFL) restoration. Aim of the study: Examining the outcomes of primary medial patellofemoral ligament reconstruction using a pedicled strip of quadriceps tendon in patients with recurrent patellofemoral instability was the focus of this research. Patients and Methods: The current systematic review followed the protocol established by the PRISMA statement. In September of 2020, we searched the available literature. Patients with recurrent Patellofemoral instability were eligible for inclusion if their primary MPFL repair involved a pedicled strip of quadriceps tendon autograft. Research examining the effectiveness of MPFL repair in conjunction with other surgical procedures, with the exception of lateral retinacular release, was not included. The quality of the methodology was evaluated using a modified version of the Coleman index. Results: The Outcome was reported by six studies; after the procedures, all of clinical measures significantly improved. The incidence of different complications was reported by eight studies; as wound edge necrosis, non-displaced patellar fracture, peroneal neuropraxia and re-dislocation. Conclusion: When reconstructing the MPFL, a pedicled strip of quadriceps tendon is a good option for individuals with recurrent patellar instability. Although a lateral release is often used in conjunction with this method, it is not known whether or not this is essential to the technique's success.

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