American Orthopaedic Society for Sports Medicine Annual Meeting

American Orthopaedic Society for Sports Medicine Annual Meeting

Source:

Quinlan NJ, et al. MPFL reconstruction in the pediatric population: Does skeletal maturity affect outcomes and surgical success? Presented at: American Orthopaedic Society for Sports Medicine and Arthroscopy Association of North America Combined Meeting; July 7-11, 2021; Nashville, Tennessee.

Disclosures: Quinlan reports no relevant financial disclosures.
July 12, 2021
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MPFL reconstruction has similar outcomes in skeletally mature, immature pediatric patients

Source:

Quinlan NJ, et al. MPFL reconstruction in the pediatric population: Does skeletal maturity affect outcomes and surgical success? Presented at: American Orthopaedic Society for Sports Medicine and Arthroscopy Association of North America Combined Meeting; July 7-11, 2021; Nashville, Tennessee.

Disclosures: Quinlan reports no relevant financial disclosures.
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NASHVILLE, Tenn. — According to a presenter, medial patellofemoral ligament reconstruction yielded positive and comparable outcomes in skeletally mature and skeletally immature pediatric patients with patellar instability.

“The issue in skeletally immature patients is that [Schottle’s point] is in close proximity to the distal femoral physis, so there has been various techniques that have been described to minimize physeal damage,” Noah J. Quinlan, MD, an orthopedics resident at the University of Utah School of Medicine, said during his presentation at the American Orthopaedic Society for Sports Medicine and Arthroscopy Association of North America Combined Meeting.

To determine the effect of skeletal maturity on medial patellofemoral ligament (MPFL) outcomes, Quinlan and colleagues performed a retrospective chart review of data from 21 skeletally immature patients (mean age of 13 years) and 67 skeletally mature patients (mean age of 15 years) who underwent primary MPFL reconstruction with a minimum 1-year follow-up.

Noah J. Quinlan
Noah J. Quinlan

Primary outcome measures included IKDC scores, VAS pain scores, sport participation, sport avoidance, stiffness that limits activity, patient satisfaction and revision.

At final follow-up, both skeletally immature and mature cohorts had mean IKDC scores of 79 and similar VAS pain scores, satisfaction and incidences of revision. Nine skeletally immature patients (43%) and 22 skeletally mature patients (32%) returned to sport participation, while five immature (24%) and 18 mature (27%) patients avoided sports due to the knee. Three skeletally immature patients (14%) and 14 skeletally mature patients (21%) reported activity-limiting stiffness.

“The skeletally immature group did have a higher rate of subjective-reported subsequent knee injury, but there was no real difference in the rate of actual dislocations or need for revision instability procedures,” Quinlan added.