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Improper patient selection, consideration of risk factors in primary MPFL reconstruction can lead to revisions

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When primary medial patellofemoral ligament reconstruction is performed for patellofemoral instability, results are typically satisfactory. However, the procedure has become increasingly popular and more information about results with revisions of these procedures is needed.

Manfred Nelitz, MD, and colleagues studied revised medial patellofemoral ligament (MPFL) reconstructions and recently reported their results with 14 consecutive revisions, which appeared in an article in the May issue of Orthopaedics Today Europe. The outcomes showed the overall Kujala, International Knee Documentation Committee and VAS scores improved following the revision procedure.

“Reconstruction of the MPFL can yield successful outcomes, but errors in patient selection, technical problems and non-consideration of additional risk factors were found to be the major reasons for revision surgery after MPFL reconstruction,” Nelitz told Orthopaedics Today Europe.