Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association · 2025
Females Experience Higher Rates of Recurrent Dislocation Following Medial Patellofemoral Ligament Reconstruction: A Systematic Review.
СтатьяСистематический обзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Meade Bryan K, Feingold Cailan L, Lin Eric H, Bolia Ioanna K, Kotlier Jacob L, Stone Austin V, Liu Joseph N
Аннотация
PURPOSE: To perform a systematic review to investigate and summarize the literature regarding the influence of sex on postoperative outcomes following primary medial patellofemoral ligament (MPFL) reconstruction, with a primary focus on MPFL failure and recurrent dislocation, and a secondary analysis of postoperative patient-reported outcome measures (PROMs).
METHODS: A literature review was performed using the PubMed, Scopus, and Web of Science databases. Included were randomized controlled trials or cohort studies that provided sex-stratified, quantitative analysis of MPFL reconstruction outcomes. Studies were excluded if they were biomechanical studies, cadaveric studies, Level of Evidence IV or V studies, or articles not published in English. The primary outcome of interest was postoperative failure, specifically recurrent dislocation, with the secondary outcome being PROMs.
RESULTS: Eleven studies met inclusion criteria on 903 patients: 292 males (32%) and 611 females (68%). Overall, 17 of 611 females experienced postoperative dislocations, while 1 of 292 males reported a postoperative dislocation. Three studies did not record any postoperative recurrent dislocations for either sex. The Kujala questionnaire PROM was quantitatively reported in 4 studies, with postoperative averages ranging from 87.7 to 95.3 for males compared to 80.2 to 89.0 for female patients.
CONCLUSIONS: Based on this systematic review, females experienced higher rates of recurrent dislocation and recorded worse PROMs following MPFL reconstruction.
LEVEL OF EVIDENCE: Level III, systematic review of Level I to III studies.
METHODS: A literature review was performed using the PubMed, Scopus, and Web of Science databases. Included were randomized controlled trials or cohort studies that provided sex-stratified, quantitative analysis of MPFL reconstruction outcomes. Studies were excluded if they were biomechanical studies, cadaveric studies, Level of Evidence IV or V studies, or articles not published in English. The primary outcome of interest was postoperative failure, specifically recurrent dislocation, with the secondary outcome being PROMs.
RESULTS: Eleven studies met inclusion criteria on 903 patients: 292 males (32%) and 611 females (68%). Overall, 17 of 611 females experienced postoperative dislocations, while 1 of 292 males reported a postoperative dislocation. Three studies did not record any postoperative recurrent dislocations for either sex. The Kujala questionnaire PROM was quantitatively reported in 4 studies, with postoperative averages ranging from 87.7 to 95.3 for males compared to 80.2 to 89.0 for female patients.
CONCLUSIONS: Based on this systematic review, females experienced higher rates of recurrent dislocation and recorded worse PROMs following MPFL reconstruction.
LEVEL OF EVIDENCE: Level III, systematic review of Level I to III studies.