{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T10:41:22Z","timestamp":1790419282167,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T00:00:00Z","timestamp":1689724800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T00:00:00Z","timestamp":1689724800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T00:00:00Z","timestamp":1689724800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T00:00:00Z","timestamp":1689724800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,8,11]],"date-time":"2023-08-11T00:00:00Z","timestamp":1691712000000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008127","name":"DePuy Synthes","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008127","id-type":"DOI","asserted-by":"publisher"}]}],"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":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare clinical and patient\u2010reported outcome measures (PROMs) in patients with recurrent patellar dislocation after medial patellofemoral ligament (MPFL) reconstruction using either a gracilis tendon (GT) or quadriceps tendon autograft (QT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All MPFL reconstruction performed between 2017 and 2019 were reviewed retrospectively. Only patients with isolated MPFL reconstruction, without any major patellofemoral risk factors and a minimum follow\u2010up of 24 months, were included in the study. Patients were matched with respect to sex, age, and body mass index. All patients were evaluated clinically and using PROMs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 64 patients with an average follow up of 28.7 \u00b1 7.5 months were included in this study. The mean Kujala score (GT: 84.8 \u00b1 12.9, QT: 88.9 \u00b1 10.1), Lysholm score (GT: 89.4 \u00b1 10.2, QT: 88.4 \u00b1 5.0), and visual analog scale score for pain (GT: 1.9 \u00b1 1.8, QT: 1.1 \u00b1 1.3) did not significantly differ between both groups. Tegner activity level was significantly greater (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .027) in the QT group (5.5 \u00b1 1.9) compared with the GT group (4.6 \u00b1 1.8), but within the minimal clinically important differences. Occasional patellar instability events, but no recurrent dislocation, were reported in 12.5% in the GT group and 6.3% in the QT group (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .39). Of all patients, 90.6% in the QT and 68.8% in the HT group exceeded the PASS for the Kujala score (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .06). Significantly more patients (59.4%) treated with GT reported donor\u2010site morbidity in the form of sensitivity deficit at the lower leg compared with those treated with QT (3.1%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>GT and QT MPFL reconstruction have comparable PROMs and patellar redislocation rates 2 years\u2019 postoperatively. Significantly more patients treated with GT reported lower\u2010leg sensitivity deficit compared with those treated with QT.<\/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":"10.1016\/j.arthro.2023.07.006","type":"journal-article","created":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T22:18:41Z","timestamp":1689805121000},"page":"438-445","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":25,"title":["Medial Patellofemoral Ligament Reconstruction Using Pedicled Quadriceps Tendon Autograft Yields Similar Clinical and Patient\u2010Reported Outcomes but Less Donor\u2010Site Morbidity Compared With Gracilis Tendon Autograft"],"prefix":"10.1002","volume":"40","author":[{"given":"Armin","family":"Runer","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology Medical University of Innsbruck Innsbruck Austria"},{"name":"Orthopaedic Sports Medicine Klinikum rechts der Isar Technical University of Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Klotz","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Medical University of Innsbruck Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Friedemann","family":"Schneider","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Medical University of Innsbruck Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Egelseer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Medical University of Innsbruck Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Csapo","sequence":"additional","affiliation":[{"name":"Gelenkpunkt \u2010 Sports and Joint Surgery Innsbruck Austria"},{"name":"Centre for Sport Science and University Sports University of Vienna Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christin","family":"Hoser","sequence":"additional","affiliation":[{"name":"Gelenkpunkt \u2010 Sports and Joint Surgery Innsbruck Austria"},{"name":"Private University for Health Sciences Medical Informatics and Technology (UMIT) ISAG Research Unit for Orthopaedic Sports Medicine and Injury Prevention Hall in Tirol Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Abermann","sequence":"additional","affiliation":[{"name":"Gelenkpunkt \u2010 Sports and Joint Surgery Innsbruck 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