{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T03:50:27Z","timestamp":1792813827685,"version":"4.5.0"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T00:00:00Z","timestamp":1706140800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T00:00:00Z","timestamp":1706140800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate the rate of return to sports and sport psychological readiness between patients who underwent isolated MPFLR (iMPFLR) compared to a matched cohort of patients who underwent MPFLR with anteromedializing tibial tubercle osteotomy (MPFLR\/TTO).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients who underwent primary MPFLR with or without TTO for recurrent patellar instability were retrospectively reviewed from 2012 to 2020 at a single institution. Preinjury sport and work information, Kujala, Tegner, Visual Analogue Score\u00a0for pain, satisfaction\u00a0and MPFL\u2010Return to Sport after Injury (MPFL\u2010RSI) score were collected. Two readers independently measured the tibial tuberosity\u2010trochlear groove distance, Caton\u2013Deschamps index\u00a0and Dejour classification for trochlear dysplasia. Patients in iMPFLR and MPFLR\/TTO groups were matched 1:1 on age, sex, body mass index\u00a0and follow\u2010up length. Multivariate regression analysis was performed to determine whether the MPFL\u2010RSI was associated with a return to sport.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      This study included 74 patients at mean follow\u2010up of 52.5 months (range: 24\u2013117). These groups returned to sport at similar rates (iMPFLR: 67.6%, MPFLR\/TTO: 73.0%, not significant [ns]), though iMPFLR patients returned more quickly (8.4 vs. 12.8 months,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.019). Rates of return to preinjury sport level were also similar (45.9% vs. 40.5%, ns). Patients with Dejour B\/C took more time to return to sport compared to patients with mild\/no trochlear pathology (13.8 vs. 7.9 months,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003). Increasing MPFL\u2010RSI score was significantly predictive of the overall return to sport (odds ratio [OR]: 1.08, 95% confidence interval [CI] [1.03, 1.13],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and return to preinjury level (OR: 1.07, 95% CI [1.04, 1.13],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Most patients in iMPFLR and MPFLR\/TTO groups resumed work (95.7% vs. 88.5%, ns), though iMPFLR patients who returned to preinjury work levels did so more quickly (1.7 vs. 4.6 months,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients who underwent MPFLR with anteromedializing TTO demonstrated similar rates of return to sport and psychological readiness compared to an isolated MPFLR matched comparison group, though iMPFLRs returned more quickly. Patients with more severe trochlear pathology required more time to return to sports.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Level of Evidence<\/jats:bold>\n                      : Level III.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.12051","type":"journal-article","created":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T06:32:15Z","timestamp":1706164335000},"page":"371-380","source":"Crossref","is-referenced-by-count":21,"title":["Patients who undergo tibial tubercle anteromedialization with medial patellofemoral ligament reconstruction demonstrate similar rates of return to sport compared to isolated MPFL reconstruction"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9946-3405","authenticated-orcid":false,"given":"Zachary I.","family":"Li","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery New York University Langone Health New York New 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