{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T10:54:26Z","timestamp":1781520866479,"version":"3.54.1"},"reference-count":45,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T00:00:00Z","timestamp":1751846400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T00:00:00Z","timestamp":1751846400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aimed to evaluate whether age at the time of surgery influences patient\u2010reported outcome measures (PROMs) in patients undergoing tailored surgical treatment for lateral patellar dislocation (LPD), including deepening trochleoplasty (TP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study used a prospectively maintained database. The Banff Patella Instability Instrument 2.0 (BPII 2.0) and a numerical analogue scale (0\u201310) for patellofemoral pain (PFP) and subjective knee joint function were used to assess patients\u2019 disease\u2010specific quality of life before and after surgery. Preoperative cartilage status was evaluated via the semiquantitative Area Measurement and Depth &amp; Underlying Structures (AMADEUS) scoring system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010nine patients (m\/f 4\/25) were \u226530 years of age (mean: 35.3; range: 30\u201351) and formed the study group (SG), and 127 patients (m\/f 39\/88) were &lt;30 years of age (mean: 20.4; range: 11\u201329) and formed the control group (CG). The evaluation was performed at a mean of 30\u2009\u00b1\u200913.2 (SG) and 33.1\u2009\u00b1\u200913.3 months (CG) post\u2010operatively (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.27). The BPII 2.0 increased from 48.7\u2009\u00b1\u200921.4 to 85.4\u2009\u00b1\u200910.7 points (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001) (SG) and from 44\u2009\u00b1\u200920.6 to 78.6\u2009\u00b1\u200918.4 points (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001) (CG), without any significant difference between the groups at the final follow\u2010up (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.24). PFP and subjective knee joint function also improved significantly in both groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001), without any significant difference between the groups at the final follow\u2010up (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.08;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.3). In the SG and the CG, 88.2% and 89.7% of patients, respectively, achieved an MCID of 10 points calculated for the BPII 2.0 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.99), and no correlation was found for \u2018age\u2019 or any evaluated post\u2010operative PROM (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.1). The AMADEUS scores were 80.1\u2009\u00b1\u200915 points (CG) and 82.1\u2009\u00b1\u200914.2 points (SG) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.57), respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Deepening TP, as part of a tailored surgical treatment plan for recurrent LPD, yielded satisfying results, irrespective of patient age at the time of surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III.<\/jats:p>\n                  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