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ACUTE REPAIR OF MEDIAL PATELLOFEMORAL LIGAMENT



Abstract

Purpose: To evaluate the patients who underwent acute surgical repair of medial patellofemoral ligament following first lateral dislocation of patella

Methods: Twenty four patients with mean age 19 yrs (12–41) who underwent acute repair of MPFL were reviewed. The mean follow-up was 14 months (2–35 months). All patients had MRI scan preoperatively and most of them were operated within two weeks of injury. Patients were evaluated clinically and Kujala and modified Lysholm were recorded. None of these patients had further dislocations and all had negative patellar apprehension tests. The mean Kujala and modified Lysholm scores were above 85.

Conclusion: Our results strongly support that in selected patients acute repair of MPFL prevents further dislocations and early return to sporting activities. The long term results are to be evaluated.

Correspondence should be addressed to Mr T Wilton, c/o BOA, BASK at the Royal College of Surgeons, 35–43 Lincoln’s Inn Fields, London WC2A 3PE, England.