Clinical outcomes following medial patellofemoral ligament reconstruction using ultra high-strength 2-mm-wide tape in non-elite athletes

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dc.authorid0000-0002-3931-7553
dc.authorid0000-0003-1766-8413
dc.authorid0000-0002-9147-7677
dc.authorid0000-0002-3696-9644
dc.authorid0000-0002-6952-9493
dc.authorid0000-0003-4471-2790
dc.contributor.authorErden, Tunay
dc.contributor.authorAğır, Muzaffer
dc.contributor.authorAli, Jotyar
dc.contributor.authorÇelik, Malik
dc.contributor.authorBatar, Suat
dc.contributor.authorToprak, Ali
dc.contributor.authorToker, Berkin
dc.contributor.authorTaşer, Ömer
dc.date.accessioned2025-10-19T14:36:05Z
dc.date.available2025-10-19T14:36:05Z
dc.date.issued2025
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractBackground: The medial patellofemoral ligament (MPFL) reconstruction is commonly conducted using gracilis, semitendinosus, quadriceps or tensor fascia lata tendon autografts or allografts. This approach, however, can sometimes lead to complications or morbidity at the site from which the graft is harvested. This study reports the clinical outcomes of non-elite competitive athletes who undergone MPFL reconstruction using an ultrahigh strength 2-mm-wide tape. Patients and methods: This retrospective cohort study included 67 non-elite athletes with acute or recurrent lateral patellar instability who underwent surgical treatment between December 2015 and December 2020. Athletes who underwent tibial tubercle osteotomy due to severe patellofemoral arthritis or severe osteochondral damage (kissing lesions or >2.5cm2 ) (1), trochlear dysplasia (Dejour type D dysplasia) (5), open physis (19) and revison MPFL reconstruction (8), were excluded. The remaining 34 athletes were followed postoperatively for a mini mum of 48 months. Results: During the follow-up period, there was only one case and which was revised by adding Fulkerson Osteotomy. Two patients had limited range of motion and joint mobilization was performed under general anesthesia at the end of the second month. The International Knee documentation Committee (IKDC), Kujala, and visual analog scale (VAS) scores showed improvement postoperatively (p < 0.001). Moreover, the mean im provements in IKDC (≈+41), Kujala (≈+33), and VAS (≈− 3.8) scores exceeded the established minimal clini cally important difference (MCID) thresholds, indicating that the outcomes were not only statistically significant but also clinically meaningful for patients. When comparing the pre- and postoperative radiological measure ments, the mean tilt angle and mean congruence angle showed a significant decrease (p < 0.001) Conclusion: Suture tape may be a good alternative to autograft, as it does not cause donor site morbidity. However, its most important disadvantage is its higher cost. Level of evidence: IV; Retrospective case series.
dc.identifier.citationErden, T., Ağır, M., Ali, J., Çelik, M., Batar, S., Toprak, A., Toker, B., & Taşer, Ö. (2025). Clinical outcomes following medial patellofemoral ligament reconstruction using ultra high-strength 2-mm-wide tape in non-elite athletes. Orthopaedics & Traumatology: Surgery & Research, https://doi.org/10.1016/j.otsr.2025.104450
dc.identifier.doi10.1016/j.otsr.2025.104450
dc.identifier.issn1877-0568
dc.identifier.pmidPMID: 41067624
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1016/j.otsr.2025.104450
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1140
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.institutionauthorErden, Tunay
dc.institutionauthorid0000-0002-3931-7553
dc.language.isoen
dc.publisherElsevier
dc.relation.ispartofOrthopaedics & Traumatology: Surgery & Research
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectSuture Tape
dc.subjectMPFL Reconstruction
dc.subjectPatellar Dislocation
dc.subjectPatellar Instability
dc.subjectSynthetic Graft
dc.titleClinical outcomes following medial patellofemoral ligament reconstruction using ultra high-strength 2-mm-wide tape in non-elite athletes
dc.typeArticle
dspace.entity.typePublication

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