{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:44:55Z","timestamp":1787755495119,"version":"build-2784847793"},"reference-count":45,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u00bb Patellar instability is challenging to address, and although there are many surgical options, proximal patellar realignment (PPR) and medial patellofemoral ligament (MPFL) reconstruction are both used\u2014recently, the MPFL reconstruction has become more popularized.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Both procedures have demonstrated similar recurrent dislocation rates and rates of arthritic progression.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb PPR is a cost-efficient procedure using just suture alone as compared with MPFL reconstruction, which uses different grafts and methods of fixation.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb PPR has demonstrated durable results, with a lower overall complication rate, much of which is caused by the MPFL reconstruction having unique complications due to fixation methods.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb The PPR is a beneficial procedure and should still be considered when dealing with patellar instability.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.rvw.24.00112","type":"journal-article","created":{"date-parts":[[2024,9,5]],"date-time":"2024-09-05T14:53:47Z","timestamp":1725548027000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["A Comparison of Proximal Patellar Realignment vs. Medial Patellofemoral Ligament Reconstruction"],"prefix":"10.2106","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7889-6212","authenticated-orcid":false,"given":"James T.","family":"Layson","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0851-3994","authenticated-orcid":false,"given":"Kenneth","family":"Choy","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Northwell Health Huntington Hospital, Huntington, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9876-1497","authenticated-orcid":false,"given":"Randy M.","family":"Cohn","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Northwell Health Huntington Hospital, Huntington, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9607-6776","authenticated-orcid":false,"given":"Giles R.","family":"Scuderi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,9]]},"reference":[{"issue":"1","key":"r1-20240905","first-page":"6","article-title":"Patellar instability","volume":"72","author":"Alaia","year":"2014","journal-title":"Bull Hosp Jt Dis (2013)"},{"issue":"6","key":"r2-20240905","doi-asserted-by":"crossref","first-page":"1376","DOI":"10.1177\/0363546516687549","article-title":"Traumatic patellar dislocation and cartilage injury: a follow-up study of long-term cartilage deterioration","volume":"45","author":"Salonen","year":"2017","journal-title":"Am J Sports Med"},{"issue":"1","key":"r3-20240905","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1302\/0301-620X.74B1.1732244","article-title":"The natural history of recurrent dislocation of the patella. 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