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October 2, 2025EFORT Open ReviewsOpen Access

The dynamic reconstruction of the medial patellofemoral ligament shows good subjective outcomes but high rates of recurrent instability: a systematic review and meta-analysis

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Authors

JEJonas EckGSGuido SchwarzerAFAndreas Frodl

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Overview

Systematic review reports subjective improvements in outcomes but high recurrent instability rates in patients.

Key Points

  • Patients reported favorable outcomes with an overall mean Kujala score of 86.74 after surgery, showing improved function.
  • The rate of recurrent instability post-surgery was 13%, indicating a significant concern for treated knees.
  • Using a random-effects meta-analysis, six studies with 267 knees provided data for the evaluation of this surgical technique.
  • Despite successes in patient-reported outcomes, the high rate of recurrent instability suggests dMPFLr has notable limitations.

Cite This Study

Eck et al. (2025) studied this question.

synapsesocial.com/papers/68de68e583cbc991d0a20ea2https://doi.org/10.1530/eor-2024-0179
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Medial patellofemoral ligament reconstruction after patellar instability: a systematic review of when and for whom to operate2025
  2. 2Outcome after isolated medial patellofemoral ligament reconstruction is dependent on age but not on body mass index or gender2025
  3. 3Medial Patellofemoral Ligament/Medial Quadriceps Tendon Femoral Ligament (MPFL/MQTFL) Reconstruction With Double-Bundle Semitendinosus Allograft2025
  4. 4Lateral Retinacular Release During MPFL Reconstruction: A Randomized Clinical Trial2025
  5. 5Outcomes of Allograft Medial Patellofemoral Ligament Reconstruction in Patients Under 18: A Retrospective Cohort Study2025