{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T04:00:22Z","timestamp":1790740822460,"version":"4.1.0"},"reference-count":23,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T00:00:00Z","timestamp":1761264000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100013894","name":"International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013894","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.jp","jisakos.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of ISAKOS"],"published-print":{"date-parts":[[2025,12]]},"DOI":"10.1016\/j.jisako.2025.101028","type":"journal-article","created":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T17:02:42Z","timestamp":1761843762000},"page":"101028","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"special_numbering":"C","title":["Acceptable outcomes for isolated medial patellofemoral ligament reconstruction despite using higher thresholds for patella alta and regardless the value of tibial tubercle-trochlear groove distance and the degree of trochlear dysplasia\u2014An international multicenter study"],"prefix":"10.1016","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5737-4519","authenticated-orcid":false,"given":"Julian A.","family":"Feller","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"Magnussen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4331-2757","authenticated-orcid":false,"given":"Petri","family":"Sillanp\u00e4\u00e4","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryosuke","family":"Kuroda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc A.","family":"Tompkins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raimundo","family":"Vial","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4296-7389","authenticated-orcid":false,"given":"Julie","family":"Agel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth A.","family":"Arendt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jisako.2025.101028_bib1","series-title":"Repair and reconstruction of the medial patellofemoral ligament for treatment of lateral patellar dislocations","first-page":"677","author":"Feller","year":"2012"},{"issue":"1","key":"10.1016\/j.jisako.2025.101028_bib2","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/BF01552649","article-title":"Factors of patellar instability: an anatomic radiographic study","volume":"2","author":"Dejour","year":"1994","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"8","key":"10.1016\/j.jisako.2025.101028_bib3","doi-asserted-by":"crossref","first-page":"1835","DOI":"10.1177\/0363546513484895","article-title":"CT and MRI measurements of tibial tubercle-trochlear groove distances are not equivalent in patients with patellar instability","volume":"41","author":"Camp","year":"2013","journal-title":"Am J Sports Med"},{"issue":"3","key":"10.1016\/j.jisako.2025.101028_bib4","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1177\/0363546514563690","article-title":"Systematic technique-dependent differences in CT versus MRI measurement of the tibial tubercle-trochlear groove distance","volume":"43","author":"Ho","year":"2015","journal-title":"Am J Sports Med"},{"issue":"6","key":"10.1016\/j.jisako.2025.101028_bib5","doi-asserted-by":"crossref","first-page":"1450","DOI":"10.1097\/CORR.0000000000000711","article-title":"Tibial tubercle-trochlear groove distance is a reliable and accurate indicator of patellofemoral instability","volume":"477","author":"Vairo","year":"2019","journal-title":"Clin Orthop Relat Res"},{"issue":"9","key":"10.1016\/j.jisako.2025.101028_bib6","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1055\/s-0037-1599249","article-title":"Patellar height measurements on radiograph and magnetic resonance imaging in patellar instability and control patients","volume":"30","author":"Yue","year":"2017","journal-title":"J Knee Surg"},{"issue":"1","key":"10.1016\/j.jisako.2025.101028_bib7","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1186\/s40634-021-00430-2","article-title":"Updated treatment guidelines for patellar instability: \u201cun menu a la carte\u201d","volume":"8","author":"Dejour","year":"2021","journal-title":"J Exp Orthop"},{"key":"10.1016\/j.jisako.2025.101028_bib8","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1016\/j.jisako.2023.08.001","article-title":"Patella alta and increased TT-TG distance do not adversely affect patient-reported outcomes following isolated MPFL reconstruction: a systematic review","volume":"8","author":"Pappa","year":"2023","journal-title":"J ISAKOS"},{"issue":"10","key":"10.1016\/j.jisako.2025.101028_bib9","doi-asserted-by":"crossref","first-page":"3099","DOI":"10.1007\/s00167-016-4117-y","article-title":"An analysis of knee anatomic imaging factors associated with primary lateral patellar dislocations","volume":"25","author":"Arendt","year":"2017","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"6","key":"10.1016\/j.jisako.2025.101028_bib10","doi-asserted-by":"crossref","first-page":"100994","DOI":"10.1016\/j.asmr.2024.100994","article-title":"Combined medial patellofemoral ligament reconstruction and tibial tubercle osteotomy has a lower risk of recurrent instability requiring revision stabilization at 2 years than either procedure alone","volume":"6","author":"Markes","year":"2024","journal-title":"Arthrosc Sports Med Rehabil"},{"key":"10.1016\/j.jisako.2025.101028_bib11","article-title":"Combining tibial tubercle osteotomy with medial patellofemoral ligament reconstruction often yields better outcomes in treating patellofemoral instability: a systematic review and meta-analysis of case control studies","volume":"19(1):695","author":"Meng","year":"2024","journal-title":"J Orthop Surg Res"},{"issue":"1","key":"10.1016\/j.jisako.2025.101028_bib12","doi-asserted-by":"crossref","DOI":"10.1177\/2309499018820698","article-title":"Isolated versus combined medial patellofemoral ligament reconstruction for lateral instability of the patella","volume":"27","author":"An","year":"2019","journal-title":"J Orthop Surg"},{"issue":"11","key":"10.1016\/j.jisako.2025.101028_bib13","doi-asserted-by":"crossref","first-page":"2993","DOI":"10.1177\/0363546515624673","article-title":"Outcomes after isolated medial patellofemoral ligament reconstruction for the treatment of recurrent lateral patellar dislocations: a systematic review and meta-analysis","volume":"44","author":"Schneider","year":"2016","journal-title":"Am J Sports Med"},{"issue":"6","key":"10.1016\/j.jisako.2025.101028_bib14","doi-asserted-by":"crossref","first-page":"1348","DOI":"10.1177\/0363546515576128","article-title":"Defining the role of the tibial tubercle-trochlear groove and tibial tubercle-posterior cruciate ligament distances in the Work-up of patients with patellofemoral disorders","volume":"43","author":"Anley","year":"2015","journal-title":"Am J Sports Med"},{"issue":"8","key":"10.1016\/j.jisako.2025.101028_bib15","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.1007\/s00256-015-2118-4","article-title":"Are the osseous and tendinous-cartilaginous tibial tuberosity-trochlear groove distances the same on CT and MRI?","volume":"44","author":"Hinckel","year":"2015","journal-title":"Skelet Radiol"},{"issue":"9","key":"10.1016\/j.jisako.2025.101028_bib16","doi-asserted-by":"crossref","first-page":"3021","DOI":"10.1007\/s00167-015-3614-8","article-title":"Patellar instability: CT and MRI measurements and their correlation with internal derangement findings","volume":"24","author":"Thakkar","year":"2016","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"1","key":"10.1016\/j.jisako.2025.101028_bib17","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.knee.2005.06.003","article-title":"The tibial tuberosity-trochlear groove distance; a comparative study between CT and MRI scanning","volume":"13","author":"Schoettle","year":"2006","journal-title":"Knee"},{"issue":"8","key":"10.1016\/j.jisako.2025.101028_bib18","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1055\/s-0039-1688563","article-title":"The difference between computed tomography and magnetic resonance imaging measurements of tibial tubercle-trochlear groove distance for patients with or without patellofemoral instability: a systematic review and meta-analysis","volume":"33","author":"Tan","year":"2020","journal-title":"J Knee Surg"},{"issue":"8","key":"10.1016\/j.jisako.2025.101028_bib19","doi-asserted-by":"crossref","first-page":"1756","DOI":"10.1177\/0363546511404883","article-title":"Value of the tibial tuberosity-trochlear groove distance in patellar instability in the young athlete","volume":"39","author":"Balcarek","year":"2011","journal-title":"Am J Sports Med"},{"issue":"10","key":"10.1016\/j.jisako.2025.101028_bib20","doi-asserted-by":"crossref","first-page":"2552","DOI":"10.1177\/0363546519888467","article-title":"Factors associated with an increased risk of recurrence after a first-time patellar dislocation: a systematic review and meta-analysis","volume":"48","author":"Huntington","year":"2020","journal-title":"Am J Sports Med"},{"issue":"17","key":"10.1016\/j.jisako.2025.101028_bib21","doi-asserted-by":"crossref","first-page":"1441","DOI":"10.2106\/JBJS.N.01313","article-title":"What components comprise the measurement of the tibial tuberosity-trochlear groove distance in a patellar dislocation population?","volume":"97","author":"Tensho","year":"2015","journal-title":"J Bone Joint Surg Am"},{"issue":"8","key":"10.1016\/j.jisako.2025.101028_bib22","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1007\/s00256-004-0794-6","article-title":"MRI criteria for patella alta and baja","volume":"33","author":"Shabshin","year":"2004","journal-title":"Skelet Radiol"},{"issue":"10","key":"10.1016\/j.jisako.2025.101028_bib23","doi-asserted-by":"crossref","first-page":"3461","DOI":"10.1007\/s00167-022-06953-0","article-title":"Magnetic resonance imaging overestimates patellar height compared with radiographs","volume":"30","author":"Martinez-Cano","year":"2022","journal-title":"Knee Surg Sports Traumatol Arthrosc"}],"container-title":["Journal of ISAKOS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2059775425006467?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2059775425006467?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T02:21:07Z","timestamp":1773800467000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2059775425006467"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":23,"alternative-id":["S2059775425006467"],"URL":"https:\/\/doi.org\/10.1016\/j.jisako.2025.101028","relation":{},"ISSN":["2059-7754"],"issn-type":[{"value":"2059-7754","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Acceptable outcomes for isolated medial patellofemoral ligament reconstruction despite using higher thresholds for patella alta and regardless the value of tibial tubercle-trochlear groove distance and the degree of trochlear dysplasia\u2014An international multicenter study","name":"articletitle","label":"Article Title"},{"value":"Journal of ISAKOS","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jisako.2025.101028","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Author(s). Published by Elsevier Inc. on behalf of International Society of Arthroscopy, Knee Surgery and Orthopedic Sports Medicine.","name":"copyright","label":"Copyright"}],"article-number":"101028"}}