{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T23:53:17Z","timestamp":1792021997664,"version":"4.4.0"},"reference-count":22,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2005,6,21]],"date-time":"2005-06-21T00:00:00Z","timestamp":1119312000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2005,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The management of patellar dislocation syndrome has traditionally been difficult. There are no golden standard methods for patellar dislocations probably due to the many etiologies. However, it is known that medial patellofemoral ligament (MPFL) is damaged when the patella is dislocated. The purpose of this study is to examine whether our method of MPFL reconstruction is useful for the treatment of dislocated patellae and unstable patellae. Forty\u2010six knees (43 patients) of 68\u00a0knees (65 patients) that were operated on using our surgical procedure for MPFL reconstruction with the advancement of the vastus medialis or the MPFL reconstruction with Insall's procedure were followed up for at least 5 years. The patient age ranged from 6 to 43 years. These knees consisted of six habitual dislocation patellae, twenty\u2010six recurrent dislocation patellae, ten traumatic dislocation patellae, and four unstable patellae. The patients were evaluated pre\u2010operatively and more than three times post\u2010operatively at 6, 12, 36, 60, or 120\u00a0months. No patient experienced patellar dislocation after surgery. Their post\u2010operative Kujala's scores were significantly improved. On conventional X\u2010ray and on stress X\u2010ray evaluations, the mean values for congruence angle, tilting angle, lateral shift ratio, medial stress shift ratio, and lateral stress shift ratio at the final follow\u2010up (60 or 120\u00a0months) were demonstrated to be within the normal range. We conclude that our MPFL reconstruction method with the advancement of the vastus medialis or with Insall's procedure might be recommended for the treatment of habitual, recurrent, and indeed any other type of patellar dislocation, as well as for unstable patellae.<\/jats:p>","DOI":"10.1007\/s00167-005-0641-x","type":"journal-article","created":{"date-parts":[[2005,6,20]],"date-time":"2005-06-20T13:30:01Z","timestamp":1119274201000},"page":"522-528","source":"Crossref","is-referenced-by-count":175,"title":["A long\u2010term follow\u2010up study after medial patellofemoral ligament reconstruction using the transferred semitendinosus tendon for patellar dislocation"],"prefix":"10.1002","volume":"13","author":[{"given":"Masataka","family":"Deie","sequence":"first","affiliation":[{"name":"Graduate School of Biomedical Sciences Department of Orthopaedic Surgery Hiroshima University 1\u20102\u20103\u00a0Kasumi, Minami\u2010ku 734\u20108551 Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitsuo","family":"Ochi","sequence":"additional","affiliation":[{"name":"Graduate School of Biomedical Sciences Department of Orthopaedic Surgery Hiroshima University 1\u20102\u20103\u00a0Kasumi, Minami\u2010ku 734\u20108551 Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshio","family":"Sumen","sequence":"additional","affiliation":[{"name":"Graduate School of Biomedical Sciences Department of Orthopaedic Surgery Hiroshima University 1\u20102\u20103\u00a0Kasumi, Minami\u2010ku 734\u20108551 Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuo","family":"Adachi","sequence":"additional","affiliation":[{"name":"Graduate School of Biomedical Sciences Department of Orthopaedic Surgery Hiroshima University 1\u20102\u20103\u00a0Kasumi, Minami\u2010ku 734\u20108551 Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Graduate School of Biomedical Sciences Department of Orthopaedic Surgery Hiroshima University 1\u20102\u20103\u00a0Kasumi, Minami\u2010ku 734\u20108551 Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masanori","family":"Yasumoto","sequence":"additional","affiliation":[{"name":"Graduate School of Biomedical Sciences Department of Orthopaedic Surgery Hiroshima University 1\u20102\u20103\u00a0Kasumi, Minami\u2010ku 734\u20108551 Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,6,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.54B1.103"},{"key":"e_1_2_6_3_1","first-page":"24","article-title":"Biomechanical evaluation of lateral patellar dislocations","volume":"11","author":"Burks 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