{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T20:23:36Z","timestamp":1790713416436,"version":"4.1.0"},"reference-count":46,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,7,12]],"date-time":"2022-07-12T00:00:00Z","timestamp":1657584000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,7,12]],"date-time":"2022-07-12T00:00:00Z","timestamp":1657584000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2022,7,12]],"date-time":"2022-07-12T00:00:00Z","timestamp":1657584000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,7,12]],"date-time":"2022-07-12T00:00:00Z","timestamp":1657584000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the clinical outcomes of arthroscopically assisted double\u2010bundle medial patellofemoral complex reconstruction (MPFC\u2010R).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review was carried out among adult patients who experienced at least 2 patellar dislocations and underwent primary arthroscopically assisted MPFC\u2010R between January 2014 and November 2019. Dejour classification, tibial tubercle\u2013trochlear groove (TT\u2010TG) distance, and patellar height (with Insall\u2013Salvati index) were measured. Pre\u2010 and postoperative patellar tilt were compared. Information on outcome scores, ability to return to sports, postoperative recurrent dislocations, and complications was recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 42 MPFC\u2010Rs in 39 patients were included. Mean age at surgery was 22.2 \u00b1 7.6 years; 69.2% of patients were female. Mean follow\u2010up was 47.3 \u00b1 20.2 months. Seventy\u2010four percent of cases had Dejour B (19.0%), C (33.3%), and D (21.4%) trochlear dysplasia; mean TT\u2010TG distance was 19.6 \u00b1 3.5 mm, and mean Insall\u2013Salvati index was 1.21 \u00b1 0.17. Mean patellar tilt decreased from 27.6 \u00b1 11.6\u00b0 to 9.4 \u00b1 6.5\u00b0 (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). All patients had statistically significant (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) improvement in mean International Knee Documentation Committee (IKDC) (44.9 \u00b1 18.2 to 87.5 \u00b1 6.9), Lysholm (61.4 \u00b1 16.6 to 94.1 \u00b1 6.4), Kujala (56.0 \u00b1 16.8 to 92.9 \u00b1 5.3), and Tegner score (2.7 \u00b1 1.3 to 4.6 \u00b1 1.4). The majority of patients (96.9%) returned to sports, with 90.3% returning to the same or greater level of activity. No postoperative dislocations or subluxations were reported.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Arthroscopically assisted double\u2010bundle MPFC\u2010R is a promising procedure to treat recurrent patellar instability at 2\u2010 to 7\u2010year mid\u2010term follow\u2010up, despite the presence of trochlear dysplasia, elevated TT\u2010TG distance and patellar alta. The improvement of IKDC score exceeded the minimal clinically important difference in 95.2% patients, and 66.7% surpassed the patient acceptable symptomatic state based on postoperative IKDC score with no redislocations being reported at latest follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, case series, retrospective.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2022.06.038","type":"journal-article","created":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T10:05:31Z","timestamp":1657879531000},"page":"102-111","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":20,"title":["Arthroscopic Anatomical Double\u2010Bundle Medial Patellofemoral Complex Reconstruction Improves Clinical Outcomes in Treating Recurrent Patellar Dislocation Despite Trochlear Dysplasia, Elevated Tibial Tubercle\u2013Trochlear Groove Distance, and Patellar Alta"],"prefix":"10.1002","volume":"39","author":[{"given":"Wei\u2010Li","family":"Shi","sequence":"first","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital. Institute of Sports Medicine of Peking University. Beijing Key Laboratory of Sports Injuries Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng\u2010Yi","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital. Institute of Sports Medicine of Peking University. Beijing Key Laboratory of Sports Injuries Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meng\u2010Tong","family":"Xu","sequence":"additional","affiliation":[{"name":"Peking University Health Science Center Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing\u2010Yang","family":"Meng","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital. Institute of Sports Medicine of Peking University. Beijing Key Laboratory of Sports Injuries Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Na\u2010Yun","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital. Institute of Sports Medicine of Peking University. Beijing Key Laboratory of Sports Injuries Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuai","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital. Institute of Sports Medicine of Peking University. Beijing Key Laboratory of Sports Injuries Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia\u2010Ning","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital. Institute of Sports Medicine of Peking University. Beijing Key Laboratory of Sports Injuries Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying\u2010Fang","family":"Ao","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital. Institute of Sports Medicine of Peking University. Beijing Key Laboratory of Sports Injuries Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ping","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital. Institute of Sports Medicine of Peking University. 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