{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T16:39:00Z","timestamp":1793723940002,"version":"4.6.1"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,7,10]],"date-time":"2020-07-10T00:00:00Z","timestamp":1594339200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,7,10]],"date-time":"2020-07-10T00:00:00Z","timestamp":1594339200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,7,10]],"date-time":"2020-07-10T00:00:00Z","timestamp":1594339200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The aim of this study was to evaluate the efficacy of a new minimally invasive surgical technique for the reconstruction of the medial patellofemoral ligament (MPFL) with fascia lata allograft at 60\u2010month minimum follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Nineteen consecutive patients with chronic recurrent patellar dislocation were treated with MPFL reconstruction (53% isolate procedure, 47% in combination with other treatments). Seventeen patients (11\u00a0males\/6 females) were available at 60\u2010month follow\u2010up and were clinically evaluated with validated scores. New episodes of patellar dislocation were considered failures. Radiographic and CT scan evaluation were executed preoperatively and at 60\u2010month follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All clinical scores improved from preoperative assessment to 24\u2010month and 60\u2010month follow\u2010up (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Kujala score increased from 61.2\u2009\u00b1\u200918.1 to 86.7\u2009\u00b1\u20098.7 and 82.1\u2009\u00b1\u200910.2; KOOS increased from 54.5\u2009\u00b1\u200919 to 86.8\u2009\u00b1\u20099.6 and 84.3\u2009\u00b1\u20097.6; VAS for pain decreased from 5.1\u2009\u00b1\u20092.2 to 2.4\u2009\u00b1\u20091.5 and 1.7\u2009\u00b1\u20091.2; Tegner score increased from 3 [2\u20134] to 5 [3\u20138] and 5 [3\u20139], respectively. Objective IKDC improved too. No significant improvements between the 24\u2010month and 60\u2010month follow\u2010up evaluations were recorded. Anterior knee pain was reported in two patients (12%). Treatment failure, a new episode of patellar dislocation 25\u00a0months after the surgery, was observed in one patient (6%). Radiographic OA changes were not statistically significant between preop and 60\u2010month follow\u2010up. Tuberosity\u2010troclear groove (TT\u2010TG) distance and the patellar tilt angle were subjected to significant changes due to MPFL reconstruction and associated procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>MPFL reconstruction with fascia lata allograft, alone or combined with other procedures, is a reliable treatment option for recurrent patellar dislocation with a success rate of 94% and without cartilage deterioration at 60\u2010month follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>IV<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-020-06142-x","type":"journal-article","created":{"date-parts":[[2020,7,10]],"date-time":"2020-07-10T13:03:31Z","timestamp":1594386211000},"page":"1191-1196","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Good results are reported at 60\u2010month follow\u2010up after medial patello\u2010femoral ligament reconstruction with fascia lata allograft for recurrent patellar dislocation"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1087-2932","authenticated-orcid":false,"given":"Giulio Maria","family":"Marcheggiani Muccioli","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> II Clinica Ortopedica e Traumatologica IRCCS Istituto Ortopedico Rizzoli Bologna Italy"},{"name":"<!--<label>3<\/label>--> DIBINEM, University of Bologna via di Barbiano, 1\/10, c\/o Lab Biomeccanica ed Innovazione Tecnologica 40136 Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giada","family":"Lullini","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Laboratorio di Analisi del Movimento e di Valutazione Funzionale Protesi IRCCS Istituto Ortopedico Rizzoli Bologna Italy"},{"name":"<!--<label>3<\/label>--> DIBINEM, University of Bologna via di Barbiano, 1\/10, c\/o Lab Biomeccanica ed Innovazione Tecnologica 40136 Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Grassi","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> II Clinica Ortopedica e Traumatologica IRCCS Istituto Ortopedico Rizzoli Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Macchiarola","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> II Clinica Ortopedica e Traumatologica IRCCS Istituto Ortopedico Rizzoli Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugenio","family":"Cammisa","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> II Clinica Ortopedica e Traumatologica IRCCS Istituto Ortopedico Rizzoli Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruna","family":"Maccaferri","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> Medicina Fisica e Riabilitativa, IRCCS Istituto Ortopedico Rizzoli Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vito Gaetano","family":"Rinaldi","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> II Clinica Ortopedica e Traumatologica IRCCS Istituto Ortopedico Rizzoli Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Di Paolo","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> II Clinica Ortopedica e Traumatologica IRCCS Istituto Ortopedico Rizzoli Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Zaffagnini","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> II Clinica Ortopedica e Traumatologica IRCCS Istituto Ortopedico Rizzoli Bologna Italy"},{"name":"<!--<label>3<\/label>--> DIBINEM, University of Bologna via di Barbiano, 1\/10, c\/o Lab Biomeccanica ed Innovazione Tecnologica 40136 Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,7,10]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010016\u20104365\u2010x"},{"key":"e_1_2_8_3_2","first-page":"317","article-title":"Patella infera. 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