{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T10:41:18Z","timestamp":1790419278565,"version":"4.1.0"},"reference-count":60,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T00:00:00Z","timestamp":1739145600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare clinical and functional outcomes of medial patellofemoral ligament (MPFL) reconstruction using a minimally invasive pedicled quadriceps tendon (QT) or patella double tunnel technique with semitendinosus tendon (ST) graft in patients with recurrent patella dislocation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective analysis was conducted on 51 patients who underwent MPFL reconstruction between 2014 and 2022, with a minimum 2\u2010year post\u2010operative follow\u2010up. Patients were grouped as QT (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200924) and ST (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200927), alongside a control group of 24 healthy individuals. Kujala, Lysholm and Visual Analogue Scale (VAS) scores were evaluated. Isokinetic tests at 60\u00b0 angular velocity were performed to calculate the limb symmetry index (LSI) and hamstring\/quadriceps (H\/Q) ratio.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No significant differences were found between groups regarding age, sex, body mass index, time to surgery, or number of dislocations (n.s). Mean Kujala (QT: 89.2\u2009\u00b1\u20098.9, ST: 85.4\u2009\u00b1\u200911.4), Lysholm (QT: 90.6\u2009\u00b1\u20099.4, ST: 87.9\u2009\u00b1\u200910.7), and VAS (QT: 0.83\u2009\u00b1\u20091.3, ST: 0.9\u2009\u00b1\u20091.1) scores showed no statistically significant differences between the groups (n.s). Extension LSI was significantly higher in QT (92.2\u2009\u00b1\u200910.0%) than ST (81.4\u2009\u00b1\u200916.4%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.024), as was flexion LSI (QT: 94.2\u2009\u00b1\u200910.9%, ST: 83.3\u2009\u00b1\u200917.5%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). H\/Q ratios showed no significant differences between operated and non\u2010operated sides (n.s). No redislocations or patellar fractures occurred. Apprehension signs were positive in two patients (7.4%) in ST and one patient (4.1%) in QT.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>MPFL reconstruction with both ST and pedicled QT grafts yields successful results in well\u2010selected patient groups. Unlike ST, reconstruction with QT results in extension and flexion strength in the operated extremity that is closer to the non\u2010operated side and to the healthy control group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective case\u2013control study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.12619","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T00:07:50Z","timestamp":1739232470000},"page":"3762-3771","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Comparison of double bundle semitendinosus technique and pedicled quadriceps technique in patellar instability"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1049-609X","authenticated-orcid":false,"given":"Tayfun","family":"\u00d6zel","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Traumatology Ankara Training and Research Hospital Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7823-3400","authenticated-orcid":false,"given":"Semih","family":"Ya\u015f","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology Health Sciences University Dr. Abdurrahman Yurtaslan Ankara Oncology Education and Research Hospital Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6422-4949","authenticated-orcid":false,"given":"Hayati H\u00fcrol","family":"T\u00fcrko\u011flu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology Viran\u015fehir State Hospital \u015eanl\u0131urfa Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9534-3131","authenticated-orcid":false,"given":"Asim","family":"Ahmadov","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology Gazi University Hospital Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1359-7013","authenticated-orcid":false,"given":"Muhammet Baybars","family":"Atao\u011flu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology Gazi University Hospital Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9807-9305","authenticated-orcid":false,"given":"Ulunay","family":"Kanatl\u0131","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology Gazi University Hospital Ankara 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