{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T17:56:24Z","timestamp":1780336584677,"version":"3.54.1"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,3,21]],"date-time":"2021-03-21T00:00:00Z","timestamp":1616284800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe a surgical technique using suture tape for reconstruction of the medial patellofemoral ligament (MPFL). This technique restores the stability of the reconstructed ligament and has excellent postoperative outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This is a retrospective analysis. From January 2016 to June 2018, 17 patients underwent MPFL reconstruction using high\u2010strength suture (FiberTape; Arthrex) augmentation, with at least 12\u2009months of follow up. There were 11 female and 6 male patients. The mean age at the time of MPFL reconstruction was 22.1\u2009years (range 13\u201334\u2009years). Clinical outcomes included pain level, knee range of motion, passive patellar hypermobility, and maltracking at follow\u2010up. The lateral patellofemoral angles, congruence angles, and patellar tilt angles were measured in a skyline view by CT at 30\u00b0 of knee flexion at 12\u2009months. Functional outcomes were assessed using the Lysholm knee scoring scale, the SF\u201012 score, the Tegner score, and the Crosby and Insall grading system at yearly follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>No patients were lost at the last follow up. One patient had recurrence of patellar dislocation and none of the others had serious complications. The success rate of MPFL repair for preventing recurrent dislocations was 94.1% (16 of 17 knees). Fifteen knees had full range of motion of more than 130\u00b0. At follow\u2010up, 2 knees were judged to have mild hypermobility and none had severe hypermobility or maltracking. Using the Crosby and Insall grading system, 12 knees (70.6%) were graded as excellent, 4 knees (23.5%) as good, 1 knee (5.9%) as fair to poor, and none as worse at the last follow\u2010up assessment. In all patients, the Lysholm knee score (55.12 \u00b1\u200913.52 <jats:italic>vs<\/jats:italic> 79.88 \u00b1\u20097.50, <jats:italic>P<\/jats:italic> &lt;\u20090.01), the SF\u201012 score (47 \u00b1\u20099.53 <jats:italic>vs<\/jats:italic> 65.24 \u00b1\u200912.82, <jats:italic>P<\/jats:italic> &lt;\u20090.01), and the Tegner score (2.76 \u00b1\u20091.39 <jats:italic>vs<\/jats:italic> 6.53 \u00b1\u20091.70, <jats:italic>P<\/jats:italic> &lt;\u20090.01) had improved at their 12\u2010month follow up. Compared with preoperative radiological findings, there was a significant improvement in lateral patellofemoral angle (\u221210.24\u2009\u00b1\u20097.10 <jats:italic>vs<\/jats:italic> 6\u2009\u00b1\u20095.43, <jats:italic>P<\/jats:italic> &lt;\u20090.01), patellar tilt angle (26.53 \u00b1\u20097.23 <jats:italic>vs<\/jats:italic> 9.88 \u00b1\u20094.24, <jats:italic>P<\/jats:italic> &lt;\u20090.01), and congruence angle (29.59 \u00b1\u200911.95 <jats:italic>vs<\/jats:italic> \u22128.65 \u00b1\u20094.86, <jats:italic>P<\/jats:italic> &lt;\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The use of FiberTape in MPFL reconstruction can improve the stability of the knee following surgery and has good midterm clinical results and low complication rates.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12945","type":"journal-article","created":{"date-parts":[[2021,3,22]],"date-time":"2021-03-22T04:41:15Z","timestamp":1616388075000},"page":"847-854","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Medial Patellofemoral Ligament Reconstruction Using Suture Tape for Patellofemoral Joint Instability"],"prefix":"10.1111","volume":"13","author":[{"given":"Jun\u2010cai","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo\u2010xuan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery The Eighth People's Hospital of Hebei Province  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan\u2010feng","family":"Jia","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5240-7476","authenticated-orcid":false,"given":"Xiao\u2010feng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ke","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Third Hospital of Hebei Medical University  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei\u2010bin","family":"Ren","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic surgery She Xian Hospital  Handan 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