{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T04:06:57Z","timestamp":1771560417529,"version":"3.50.1"},"reference-count":56,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T00:00:00Z","timestamp":1715731200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T00:00:00Z","timestamp":1715731200000},"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":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess the outcomes of medial patellofemoral ligament (MPFL) reconstruction using synthetic suture tape in paediatric patients with patellofemoral instability (PFI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This ambispective comparative study, conducted from 2014 to 2022, included paediatric patients who underwent MPFL reconstruction with synthetic suture tape and had a minimum follow\u2010up of 1 year. Pre\u2010 and postoperative clinical and functional outcomes, patient satisfaction\u00a0and complications were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study comprised 22 patients (29 knees), with a median age at surgery of 14.4 years (interquartile range [IQR] 10.9\u201316.7) and a median follow\u2010up of 46.5 months (24.7\u201366). Notably, 13 knees (44.8%) had open growth plates at the time of surgery. The cohort included patients with Down syndrome (3 patients), Ehlers\u2010Danlos (2), arthrogryposis (1), generalized joint hypermobility (8)\u00a0and previous unsuccessful PFI surgeries (8). Concomitant procedures were performed on 16 knees. Postoperatively, improvements were observed in all but one patient, who reported residual pain. There were two other complications: one suture\u2010tape rupture and one surgical wound infection. Functional scores significantly improved: Kujala, +14 points (7\u201329)\n                      <jats:italic>(p<\/jats:italic>\n                      \u2009&lt;\u20090.001); IKDC, +10.5 points (5.2\u201325.3) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001); Tegner, +2 points (0\u20134)\n                      <jats:italic>(p<\/jats:italic>\n                      \u2009&lt;\u20090.001);\u00a0Lysholm, +15 points (0\u201337.5) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Most patients achieved excellent outcomes by Crosby\u2010Insall criteria (21 patients, 72.4%) and reported high satisfaction (23 patients, 79.3%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>MPFL reconstruction using synthetic suture tape is a viable and effective treatment for paediatric patients with PFI, particularly for those with connective tissue disorders, generalized joint hypermobility\u00a0or past surgical failures, significantly enhancing clinical and functional outcomes with an acceptable complication rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.12260","type":"journal-article","created":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T03:47:54Z","timestamp":1715744874000},"page":"2818-2829","source":"Crossref","is-referenced-by-count":8,"title":["Synthetic suture tape for medial patellofemoral ligament reconstruction is an effective treatment for complex paediatric patellofemoral instability"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9074-9215","authenticated-orcid":false,"given":"Mar\u00eda","family":"Gal\u00e1n\u2010Olleros","sequence":"first","affiliation":[{"name":"Pediatric Orthopaedic, Orthopaedic Surgery and Traumatology Department Hospital Infantil Universitario Ni\u00f1o Jes\u00fas Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pablo","family":"Arviza\u2010Lorenzo","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery and Traumatology Department Hospital Universitario de Getafe Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Miranda\u2010Gorozarri","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedic, Orthopaedic Surgery and Traumatology Department Hospital Infantil Universitario Ni\u00f1o Jes\u00fas Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier","family":"Alonso\u2010Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedic, Orthopaedic Surgery and Traumatology Department Hospital Infantil Universitario Ni\u00f1o Jes\u00fas Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paloma","family":"Manzarbeitia\u2010Arroba","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedic, Orthopaedic Surgery and Traumatology Department Hospital Infantil Universitario Ni\u00f1o Jes\u00fas Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Ram\u00edrez\u2010Barrag\u00e1n","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedic, Orthopaedic Surgery and Traumatology Department Hospital Infantil Universitario Ni\u00f1o Jes\u00fas Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1ngel","family":"Palaz\u00f3n\u2010Quevedo","sequence":"additional","affiliation":[{"name":"Pediatric Orthopaedic, Orthopaedic Surgery and Traumatology Department Hospital Infantil Universitario Ni\u00f1o Jes\u00fas Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,15]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211046639"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.32.5.413"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-2970-0"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.11.039"},{"issue":"5","key":"e_1_2_12_6_1","first-page":"317","article-title":"[Patella infera. 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