Abstract
Medial patellofemoral ligament (MPFL) reconstruction is a satisfactory technique for
patellar instability, and the anatomical double bundle variant is recommended for
better clinical results. However, long-term outcomes are still uncharacterized. This
study aimed to assess the effectiveness of double bundle reconstruction of the MPFL
for patellar instability by means of established scores. A total of 68 patients with
chronic patellar instability who underwent surgery from May 2005 to February 2010
were included prospectively. Anatomical double reconstruction of the MPFL with the
semitendinosus tendon was conducted. Tegner Activity Scale (TAS), Kujala score, Lysholm
knee score, and objective physical examination were assessed during follow-up. Median
follow-up time for the patients was 8 (range, 6–10) years. Eight patients were lost
to follow-up after 2 years. Preoperative mean TAS was 2.85 ± 0.78, increased to 4.91 ± 0.84
at 6 months and 7.26 ± 0.78 at 2 years postoperatively, and was 7.82 ± 0.89 at last
follow-up. At last follow-up, pain free at rest was achieved in all patients; and
8 patients had knee pain in activities of daily living. Mean Kujala score was 57.53 ± 8.59
preoperatively, and increased to 61.22 ± 6.46, 89.51 ± 3.90, and 88.92 ± 3.84 at 6
months, 2 years postoperatively, and at last follow-up, respectively. Lysholm scores
were also increased from preoperative values of 43.53 ± 10.20 to 58.22 ± 6.80, 89.37 ± 4.38,
and 89.67 ± 4.13 at 6 months, 2 years postoperatively, and at last follow-up, respectively.
Range of motion was 121.44 ± 12.69, 129.71 ± 6.39, 130.93 ± 5.67, and 130.78 ± 5.80
at preoperative point, 6 months, 2 years postoperatively, and at last follow-up, respectively.
Long-term clinical results of double bundle reconstruction of the MPFL for patellar
instability were encouraging.
Keywords
patellar instability - medial patellofemoral ligament - knee - arthroscopy
