Gondolfo Roque, Emanuele Hedipo Seitz, Guerreiro João Paulo Fernandes, Queiroz Alexandre de Oliveira, Danieli Marcus Vinicius
Uniort.e, Hospital de Ortopedia, Londrina, PR, Brazil.
Hospital Evangélico de Londrina, Londrina, PR, Brazil.
Acta Ortop Bras. 2022 May 23;30(3):e241172. doi: 10.1590/1413-785220223003e241172. eCollection 2022.
To assess clinical results of patients who underwent medial patellofemoral ligament (MPFL) reconstruction after a minimum of two years of follow-up.
Patients' medical records were assessed for residual instability, patient satisfaction, and post-operative functional outcomes.
Fifty-one patients were analyzed, out of which 56.87% were women. Patients' mean age was 30.8 years (16 to 57 years). The mean follow-up time was 68.7 months (37 to 120 months). Length between first dislocation and surgery was less than 1 year for 58.82% of patients, between 1 and 5 years for 37.25%, and over 5 years for 3.93%. Patients showed a high degree of satisfaction (96.08% would undergo surgery again), with recurrence rate of 11.76%. Twenty-two patients reported knee symptoms, including pain from movements (72.72%), weakness (18.18%), constant pain (13.63%), and crepitus (4.54%). Considering dissatisfied patients, patients with dislocation recurrence, and patients with symptoms, five cannot practice physical activity, out of which only three blame their knee.
MPFL reconstruction showed a recurrence rate of 11.7%, with high patient satisfaction, good functional results, and high rate of return to sports, after a minimum of two years of follow-up.
评估接受髌股内侧韧带（MPFL）重建术的患者在至少两年随访后的临床结果。
评估患者病历以了解残留不稳定情况、患者满意度和术后功能结果。
分析了51例患者，其中56.87%为女性。患者平均年龄为30.8岁（16至57岁）。平均随访时间为68.7个月（37至120个月）。58.82%的患者首次脱位至手术的时间少于1年，37.25%的患者在1至5年之间，3.93%的患者超过5年。患者表现出高度满意度（96.08%愿意再次接受手术），复发率为11.76%。22例患者报告了膝关节症状，包括运动疼痛（72.72%）、无力（18.18%）、持续疼痛（13.63%）和摩擦音（4.54%）。考虑到不满意的患者、脱位复发的患者和有症状的患者，有5例无法进行体育活动，其中只有3例归咎于他们的膝盖。
在至少两年的随访后，MPFL重建术的复发率为11.7%，患者满意度高，功能结果良好，恢复运动的比例高。
