{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T10:41:18Z","timestamp":1790419278631,"version":"4.1.0"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Knee Surg"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Acute traumatic patellar dislocation is a common injury, and spontaneous reduction may occur at the time of injury or may be reduced at the field of the accident by someone. It may be associated with osteochondral fractures and rupture of medial patellar stabilizers leading to recurrent patellar instability. The aim of this prospective study was to evaluate the outcomes of medial patellofemoral (PF) ligament (MPFL) reconstruction in recurrent traumatic patellar dislocation. Forty-five patients presented with PF instability as a result of traumatic rupture MPFL with normal patellar tracking underwent MPFL reconstruction without patellar fixation hardware through two parallel transpatellar tunnels and one screw in femoral tunnel. All patients were evaluated clinically preoperatively and at a minimum follow-up of 24 months, and International Knee Documentation Committee (IKDC) and Kujala scores were used to assess the clinical results. All patients were available for evaluation at a minimum of 24 months (up to 36 months). The mean age of these patients at the time of surgery was 22.82 years (range: 18\u201334 years). All patients gave history of trauma of their knees. Mean IKDC scale showed significant improvement as it rose from 47.17 preoperatively to 77.94 postoperatively, and mean Kujala score rose from 53.88 preoperatively to 86.24 postoperatively (p\u2009&lt;\u20090.001). No recurrence of dislocation was recorded. Only three patients had mild atrophy of thigh and one patient had some difficulty in jumping. Reconstruction of MPFL by this method provides good clinical result in the treatment of PF instability by using autologous graft (semitendinosus and gracilis). Less hardware were used with less complications.<\/jats:p>","DOI":"10.1055\/s-0039-1688841","type":"journal-article","created":{"date-parts":[[2019,5,23]],"date-time":"2019-05-23T23:02:20Z","timestamp":1558652540000},"page":"998-1003","source":"Crossref","is-referenced-by-count":6,"title":["Medial Patellofemoral Ligament Reconstruction in Traumatic Patellar Dislocation without Patellar Fixation"],"prefix":"10.1055","volume":"33","author":[{"given":"Samir Abdulrazik","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Division of Sports Medicine, Department of Orthopaedic Surgery, Al-Razi Orthopaedic Hospital, Kuwait City, Kuwait"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emad Mureed","family":"Shohdy","sequence":"additional","affiliation":[{"name":"Division of Sports Medicine, Department of Orthopaedic Surgery, Al-Razi Orthopaedic Hospital, Kuwait City, Kuwait"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sami Abdulghaffar","family":"Ramadan","sequence":"additional","affiliation":[{"name":"Division of Sports Medicine, Department of Orthopaedic Surgery, Al-Razi Orthopaedic Hospital, Kuwait City, Kuwait"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulrahman Khalid","family":"Almisfer","sequence":"additional","affiliation":[{"name":"Division of Sports Medicine, Department of Orthopaedic Surgery, Al-Razi Orthopaedic Hospital, Kuwait City, Kuwait"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wael Shoabe","family":"Abdulsattar","sequence":"additional","affiliation":[{"name":"Division of Sports Medicine, Department of Orthopaedic Surgery, Al-Razi Orthopaedic Hospital, Kuwait City, Kuwait"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherif","family":"Khairat","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine, Al-Razi Orthopaedic Hospital, Kuwait City, Kuwait"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,5,23]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1053\/j.otsm.2015.02.002","article-title":"Recurrent patellar instability: assessment and decision making","volume":"23","author":"J A Feller","year":"2015","journal-title":"Oper Tech Sports Med"},{"issue":"03","key":"ref2","first-page":"494","article-title":"Rehabilitation following medial patellofemoral ligament reconstruction for patellar instability","volume":"12","author":"R C Manske","year":"2017","journal-title":"Int J Sports Phys Ther"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"S125","DOI":"10.1016\/j.otsr.2013.06.014","article-title":"Patellar instability in children and adolescents","volume":"100","author":"F Chotel","year":"2014","journal-title":"Orthop Traumatol Surg Res"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1055\/s-0037-1606336","article-title":"Suture anchors fixation in MPFL reconstruction using a bioactive synthetic ligament","volume":"5","author":"M Berruto","year":"2017","journal-title":"Joints"},{"issue":"10","key":"ref5","doi-asserted-by":"crossref","first-page":"2419","DOI":"10.1007\/s00167-014-2970-0","article-title":"Medial patellofemoral ligament reconstruction with bioactive synthetic ligament is an option. 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