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Evidence Search

Search reputable indexed orthopaedic literature from multiple scholarly sources, classify the evidence, and link papers directly to wiki topics and cases.

Sources: PubMed, Europe PMC, Crossref

Linking results to Wiki: Patellar Instability — MPFL Reconstruction
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Results are classified automatically from source metadata across PubMed, Europe PMC, and Crossref.
PubMed Crossref
PubMed Guideline / Consensus Evidence High

Management of first-time patellar dislocation: The ESSKA 2024 formal consensus-Part 2.

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA | 2025 | Balcarek P, Blønd L, Beaufils P, Askenberger M

[Indexed for MEDLINE] Conflict of interest statement: Peter Balcarek reports consulting for Arthrex. Philippe Beaufils serves as the ESSKA Consensus Projects Advisor. Florian Dirisamer reports consulting for Arthrex and receives royalties from Arthrex Inc. Rene El Attal reports consulting for Arthrex, DepuySynthes and ZimmerBiomet. Geert Pagenstert reports consulting for DepuyS...

PubMed Narrative Review Evidence Moderate

Is fascia lata a viable graft for MPFL reconstruction? An overview of surgical technique and scoping literature review.

Annals of medicine and surgery (2012) | 2024 | Zachariou D, Karampinas P, Varsamos I, Galanis A

Conflict of interest statement: The authors declare no conflicts of interest.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article. 10. Clin Sports Med. 2014 Jul;33(3):501-16. doi: 10.1016/j.csm.2014.03.006. Epub 2014 May 20. MPFL reconstruction: technique and results. Reagan J(1), Kullar R(1), Burks R(2). Author informatio...

PubMed Narrative Review Evidence Moderate

Patellar Dislocation: Workup and Decision-Making.

Cureus | 2023 | Samelis PV, Koulouvaris P, Savvidou O, Mavrogenis A

Conflict of interest statement: The authors have declared that no competing interests exist. 4. Bone Joint J. 2017 Feb;99-B(2):159-170. doi: 10.1302/0301-620X.99B2.BJJ-2016-0256.R1. Adolescent patellar instability: current concepts review. Clark D(1), Metcalfe A(2), Wogan C(3), Mandalia V(4), Eldridge J(3). Author information: (1)Foothills Medical Centre, 1403 29 St NW, Calgary...

PubMed Narrative Review Evidence Moderate

Evaluation and management of patellar instability.

Annals of joint | 2022 | Dennis ER, Gruber S, Marmor WA, Shubin Stein BE

Conflict of interest statement: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/aoj-2020-02). The series “Sports Related Injuries of the Female Athlete” was commissioned by the editorial office without any funding or sponsorship. BESS reports personal fees from Arthrex, outside the submitted work. In a...

PubMed Narrative Review Evidence Moderate

Return to Play Considerations After Patellar Instability.

Current reviews in musculoskeletal medicine | 2022 | Lampros RE, Tanaka MJ

Conflict of interest statement: The authors did not receive any funding or grants in support of the research for or preparation of this work. The authors declare no conflict of interest. 16. World J Orthop. 2017 Feb 18;8(2):115-129. doi: 10.5312/wjo.v8.i2.115. eCollection 2017 Feb 18. Failed medial patellofemoral ligament reconstruction: Causes and surgical strategies. Sanchis-...

PubMed Narrative Review Evidence Moderate

Recent developments in evaluation and treatment of lateral patellar instability.

Journal of experimental orthopaedics | 2018 | Zimmerer A, Sobau C, Balcarek P

Conflict of interest statement: ETHICS APPROVAL AND CONSENT TO PARTICIPATE: Not applicable CONSENT FOR PUBLICATION: Not applicable COMPETING INTERESTS: The authors declare that they have no competing interests. PUBLISHER’S NOTE: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. 12. J Exp Orthop. 2024 Oct 22;11...

PubMed Narrative Review Evidence Moderate

Quadriceps Tendon Autograft Medial Patellofemoral Ligament Reconstruction.

Current reviews in musculoskeletal medicine | 2018 | Fink C, Steensen R, Gföller P, Lawton R

Conflict of interest statement: CONFLICT OF INTEREST: Christian Fink is a consultant for Karl Storz, Medacta and Zimmer Biomet and reports royalties from Karl Storz. The other authors have no conflict of interest. HUMAN AND ANIMAL RIGHTS AND INFORMED CONSENT: This article does not contain any studies with human or animal subjects performed by any of the authors. 19. Arthroscopy...

PubMed Narrative Review Evidence Moderate

Rehabilitation After Medial Patellofemoral Ligament Reconstruction.

Sports medicine and arthroscopy review | 2017 | McGee TG, Cosgarea AJ, McLaughlin K, Tanaka M

[Indexed for MEDLINE] 2. Ann Jt. 2022 Jan 15;7:2. doi: 10.21037/aoj-2020-02. eCollection 2022. Evaluation and management of patellar instability. Dennis ER(1), Gruber S(1), Marmor WA(1), Shubin Stein BE(1). Author information: (1)The Patellofemoral Center, Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA. Patellar instability is a common clinica...

PubMed Narrative Review Evidence Moderate

Adolescent patellar instability: current concepts review.

The bone & joint journal | 2017 | Clark D, Metcalfe A, Wogan C, Mandalia V

[Indexed for MEDLINE] 5. Knee Surg Sports Traumatol Arthrosc. 2025 Dec;33(12):4197-4206. doi: 10.1002/ksa.12637. Epub 2025 Mar 7. Management of first-time patellar dislocation: The ESSKA 2024 formal consensus-Part 2. Balcarek P(1), Blønd L(2), Beaufils P(3), Askenberger M(4), Stephen JM(5), Akmeşe R(6), El Attal R(7), Chouliaras V(8), Ferrua P(9), Minguell Monart J(10), Pagenst...

PubMed Narrative Review Evidence Moderate

Failed medial patellofemoral ligament reconstruction: Causes and surgical strategies.

World journal of orthopedics | 2017 | Sanchis-Alfonso V, Montesinos-Berry E, Ramirez-Fuentes C, Leal-Blanquet J

Conflict of interest statement: Conflict-of-interest statement: Authors declare no conflict of interests for this article. 17. J Knee Surg. 2021 Jul;34(8):906-912. doi: 10.1055/s-0039-3402031. Epub 2020 Jan 6. Bilateral Hidden Isokinetic Quadriceps Performance before and after MPFL Reconstruction in Pediatric Patients. Małecki K(#)(1), Niedzielski K(#)(1), Flont P(1), Fabis-Str...

PubMed Narrative Review Evidence Moderate

MPFL reconstruction: technique and results.

Clinics in sports medicine | 2014 | Reagan J, Kullar R, Burks R

[Indexed for MEDLINE] 11. J Exp Orthop. 2018 Jan 10;5(1):3. doi: 10.1186/s40634-017-0119-z. Recent developments in evaluation and treatment of lateral patellar instability. Zimmerer A(1), Sobau C(1), Balcarek P(2). Author information: (1)Arcus Sportklinik, Pforzheim, Germany. (2)Arcus Sportklinik, Pforzheim, Germany. balcarek@sportklinik.de. Recent years have been characterized...

PubMed Original Article Evidence Unclassified

Patellar Instability.

Journal unavailable | 2026 | Wolfe S, Varacallo MA, Thomas JD, Carroll JJ

Conflict of interest statement: Disclosure: Steve Wolfe declares no relevant financial relationships with ineligible companies. Disclosure: Matthew Varacallo declares no relevant financial relationships with ineligible companies. Disclosure: Joshua Thomas declares no relevant financial relationships with ineligible companies. Disclosure: Jeffrey Carroll declares no relevant fin...

PubMed Original Article Evidence Unclassified

Anatomic physeal-sparing MPFL reconstruction in skeletally immature patients shows favourable outcomes at a minimum of 24-month follow-up.

Journal of experimental orthopaedics | 2024 | Ntagiopoulos P, Pozzi P, Kalinterakis G, Fligkos D

Conflict of interest statement: The authors declare no conflict of interest. 13. Orthop Clin North Am. 2003 Jul;34(3):385-96. doi: 10.1016/s0030-5898(03)00033-6. Acute and recurrent patellar instability in the young athlete. Hinton RY(1), Sharma KM. Author information: (1)Department of Orthopaedic Surgery, Union Memorial Hospital, The Johnston Professional Building, #400, 3333...

PubMed Original Article Evidence Unclassified

Anatomical Characteristics Contributing to Patellar Dislocations Following MPFL Reconstruction: A Dynamic Simulation Study.

Journal of biomechanical engineering | 2023 | Watts JC, Farrow LD, Elias JJ

[Indexed for MEDLINE] 7. Video J Sports Med. 2022 Jan 4;2(1):26350254211035396. doi: 10.1177/26350254211035396. eCollection 2022 Jan-Feb. Complex Patellofemoral Reconstruction for Recurrent Instability. Floyd ER(1)(2), Kennedy NI(3), Tagliero AJ(3), Carlson GB(1), LaPrade RF(1). Author information: (1)Twin Cities Orthopedics, Edina-Crosstown, Edina, Minnesota, USA. (2)Georgetow...

PubMed Original Article Evidence Unclassified

Complex Patellofemoral Reconstruction for Recurrent Instability.

Video journal of sports medicine | 2022 | Floyd ER, Kennedy NI, Tagliero AJ, Carlson GB

Conflict of interest statement: One or more of the authors has declared the following potential conflict of interest or source of funding: R.F.L. received research grants from Smith & Nephew and Ossur; received royalties from Arthrex, Ossur, and Smith & Nephew; is a consultant for Arthrex, Ossur, Smith & Nephew, and Linvatex; is a member of the editorial board for AOSSM, JEO, a...

PubMed Original Article Evidence Unclassified

Editorial Commentary: Two Fixation Points Are Better for Medial Patellofemoral Ligament Reconstruction-To Minimize Complications, Bone Tunnels Should Be Avoided.

Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association | 2022 | Strickland S

[Indexed for MEDLINE] 20. Arthroscopy. 2024 Apr;40(4):1277-1278. doi: 10.1016/j.arthro.2023.10.042. Epub 2024 Jan 11. Editorial Commentary: When Managing Patellofemoral Instability, Mind Your P's and Q's: Medial Patellofemoral Ligament Versus Medial Quadriceps Tendon Femoral Ligament Versus Medial Patellofemoral Complex. Matzkin E. Comment on Arthroscopy. 2024 Apr;40(4):1264-12...

Crossref Journal Article Evidence Unclassified

Poster 244: Pain Catastrophizing in Patellar Instability Patients Undergoing MPFL Reconstruction

Orthopaedic Journal of Sports Medicine | 2022 | Athan Zavras, Nicholas Trasolini, Justin Walsh, Adam Yanke

Objectives: Pain catastrophizing was established as a way to measure patient perception and response to pain, as represented by three subscores: rumination, magnification, and helplessness. Prior clinical studies have demonstrated the close relationship between pain catastrophizing and persistent postoperative pain after total knee arthroplasty. Among patellofemoral instability...

Crossref Journal Article Evidence Unclassified

Paper 54: MPFL Repair has a Higher Failure Rate at Long-term Follow-up compared to MPFL Reconstruction for Recurrent Patellar Instability

Orthopaedic Journal of Sports Medicine | 2022 | Ryan Wilbur, Bryant Song, Jory Wasserburger, Christopher Camp

Objectives: The medial patellofemoral ligament (MPFL) is the primary soft tissue restraint to lateral patellar translation and is often disrupted with a lateral patellar dislocation. Surgical management for recurrent patellar instability focuses on restoring MPFL function with repair or reconstruction techniques. Recent studies have favored reconstruction over repair, but no lo...

PubMed Original Article Evidence Unclassified

Bilateral Hidden Isokinetic Quadriceps Performance before and after MPFL Reconstruction in Pediatric Patients.

The journal of knee surgery | 2021 | Małecki K, Niedzielski K, Flont P, Fabis-Strobin A

[Indexed for MEDLINE] Conflict of interest statement: None declared. 18. Curr Rev Musculoskelet Med. 2018 Jun;11(2):209-220. doi: 10.1007/s12178-018-9476-1. Quadriceps Tendon Autograft Medial Patellofemoral Ligament Reconstruction. Fink C(1)(2), Steensen R(3), Gföller P(4), Lawton R(4)(5). Author information: (1)Gelenkpunkt - Sports and Joint Surgery, Olympiastr 39, 6020, Innsb...

Crossref Journal Article Evidence Unclassified

Return To Sport Following Stabilization Surgery For Recurrent Patellar Instability In Patients Undergoing Isolated Mpfll Reconstruction Vs. Combined Mpfl Reconstruction And Tibial Tubercle Osteotomy

Orthopaedic Journal of Sports Medicine | 2020 | Stephanie Joelle Swensen, Joseph Nguyen, William A. Marmor, Simone Gruber

Objectives: Acute patellar instability is a common and disabling injury among young athletes and the risk of recurrence is as high as 80% in certain populations. The essential lesion of lateral patellar dislocations is MPFL rupture. However, bony risk factors for dislocation have also been identified, including patella alta, trochlear dysplasia, and a lateralized tibial tubercl...

Crossref Journal Article Evidence Unclassified

MPFL GRAFT TENSIONING TO TREAT PATELLAR INSTABILITY RELATED TO PATELLA ALTA: DYNAMIC SIMULATION

Orthopaedic Journal of Sports Medicine | 2020 | Travis Jones, Kerwyn C. Jones, John J. Elias

Background: Medial patellofemoral ligament (MPFL) reconstruction is a popular treatment for lateral patellar instability. For knees with patella alta, however, tibial tuberosity distalization is the most common approach due to concerns about graft tensioning. A MPFL graft is tensioned intra-operatively to prevent lateral subluxation without over-constraining the patella by allo...

Crossref Journal Article Evidence Unclassified

Short Oblique Patellar Tunnels for Patellar Fixation Do Not Increase Fracture Risk in MPFL Reconstruction: A Retrospective Cohort Study

Orthopaedic Journal of Sports Medicine | 2020 | Milos Lesevic, Matthew Deasey, Zachary Burnett, David Diduch

Objectives: The current standard of care for recurrent patellar instability is reconstruction of the medial patellofemoral ligament (MPFL), the primary soft tissue constraint to lateral subluxation of the patella. Historically, transpatellar bone tunnels have been associated with increased rates of patella fracture. To avoid this dreaded outcome, many surgeons now employ suture...

PubMed Narrative Review Evidence Moderate

Acute and recurrent patellar instability in the young athlete.

The Orthopedic clinics of North America | 2003 | Hinton RY, Sharma KM

[Indexed for MEDLINE] 14. J Knee Surg. 2014 Apr;27(2):139-46. doi: 10.1055/s-0033-1360652. Epub 2013 Nov 13. Medial patellofemoral ligament (MPFL) reconstruction for the treatment of patellofemoral instability. Csintalan RP(1), Latt LD(2), Fornalski S(3), Raiszadeh K(4), Inacio MC(5), Fithian DC(4). Author information: (1)Department of Orthopedics, Southern California Permanent...

Crossref Journal Article Evidence Unclassified

Early Results of Patients With Recurrent Patellar Instability Treated With MPFL Reconstruction

Orthopaedic Journal of Sports Medicine | 2017 | Ömer Naci Ergin, Mehmet Ekinci, Fuat Bilgili, Yücel Bilgin

Introduction: MPFL reconstruction is an evidence-based and successful technique in treating patients with recurrent patellar instability without alignment problems or who have not yet undergone skeletal maturity for distal realignment surgery. Aim: The aim of this study is to report early results of patients who underwent MPFL reconstruction Method: 21 patients with lateral pat...

PubMed Original Article Evidence Unclassified

Medial patellofemoral ligament (MPFL) reconstruction for the treatment of patellofemoral instability.

The journal of knee surgery | 2014 | Csintalan RP, Latt LD, Fornalski S, Raiszadeh K

[Indexed for MEDLINE] 15. Curr Rev Musculoskelet Med. 2022 Dec;15(6):597-605. doi: 10.1007/s12178-022-09792-1. Epub 2022 Nov 11. Return to Play Considerations After Patellar Instability. Lampros RE(1), Tanaka MJ(2). Author information: (1)Sports Physical Therapy, Massachusetts General Hospital, Boston, MA, USA. (2)Department of Orthopaedic Surgery, Massachusetts General Hospita...