A Prospective Cohort Study on Quality of Life among the Pediatric Population after Surgery for Recurrent Patellar Dislocation
Patellofemoral instability is a frequent cause of knee pathology affecting quality of life among the pediatric population. Here, we present a prospective cohort study which included patients who had undergone surgical management using the lateral release and medial imbrication approach (LRMI) or med...
Published in: | Children |
---|---|
Main Authors: | , , , , |
Format: | Text |
Language: | English |
Published: |
Multidisciplinary Digital Publishing Institute
2021
|
Subjects: | |
Online Access: | https://doi.org/10.3390/children8100830 |
id |
ftmdpi:oai:mdpi.com:/2227-9067/8/10/830/ |
---|---|
record_format |
openpolar |
spelling |
ftmdpi:oai:mdpi.com:/2227-9067/8/10/830/ 2023-08-20T04:09:39+02:00 A Prospective Cohort Study on Quality of Life among the Pediatric Population after Surgery for Recurrent Patellar Dislocation Alexandru Herdea Vlad Pencea Claudiu N. Lungu Adham Charkaoui Alexandru Ulici 2021-09-22 application/pdf https://doi.org/10.3390/children8100830 EN eng Multidisciplinary Digital Publishing Institute Pediatric Orthopedics https://dx.doi.org/10.3390/children8100830 https://creativecommons.org/licenses/by/4.0/ Children; Volume 8; Issue 10; Pages: 830 recurrent patellar dislocation knee injury medial patellofemoral ligament reconstruction Text 2021 ftmdpi https://doi.org/10.3390/children8100830 2023-08-01T02:45:48Z Patellofemoral instability is a frequent cause of knee pathology affecting quality of life among the pediatric population. Here, we present a prospective cohort study which included patients who had undergone surgical management using the lateral release and medial imbrication approach (LRMI) or medial patellofemoral ligament reconstruction (MPFL-R). The object of this study was to assess the quality of life among children that have undergone surgical treatment for patellar dislocation. Quality of life was assessed before and after surgery using the Pediatric International Knee Documentation Committee form (Pedi-IKDC), a questionnaire that aims to quantify knee functionality. Postoperative scarring was evaluated using The Stony Brook Scar Evaluation Scale. One hundred and eight patients were selected and grouped according to the type of procedure. Before surgery, the two groups had similar mean Pedi-IKDC scores (41,4 MPFL-R vs. 39,4 LRMI p = 0.314). Improvements were observed in the postoperative scores. The MPFL-R technique showed promising outcomes. When comparing the two surgical groups, there was a significant difference in favor of MPFL-R group (MPFL-R 77.71 points vs. LRMI 59.74 points, p < 0.0001–95% CI (11.22–24.72)). Using the Stony Brook Scar Evaluation Scale, a significant difference in scar quality in favor of MPFL-R was observed (4,5 MPFL-R vs. 2,77 LRMI p = 0.002). In conclusion, this study provides objective evidence-based outcome assessments that support the medial patellofemoral ligament reconstruction technique as the gold standard for patellofemoral instability. Text SCAR MDPI Open Access Publishing Children 8 10 830 |
institution |
Open Polar |
collection |
MDPI Open Access Publishing |
op_collection_id |
ftmdpi |
language |
English |
topic |
recurrent patellar dislocation knee injury medial patellofemoral ligament reconstruction |
spellingShingle |
recurrent patellar dislocation knee injury medial patellofemoral ligament reconstruction Alexandru Herdea Vlad Pencea Claudiu N. Lungu Adham Charkaoui Alexandru Ulici A Prospective Cohort Study on Quality of Life among the Pediatric Population after Surgery for Recurrent Patellar Dislocation |
topic_facet |
recurrent patellar dislocation knee injury medial patellofemoral ligament reconstruction |
description |
Patellofemoral instability is a frequent cause of knee pathology affecting quality of life among the pediatric population. Here, we present a prospective cohort study which included patients who had undergone surgical management using the lateral release and medial imbrication approach (LRMI) or medial patellofemoral ligament reconstruction (MPFL-R). The object of this study was to assess the quality of life among children that have undergone surgical treatment for patellar dislocation. Quality of life was assessed before and after surgery using the Pediatric International Knee Documentation Committee form (Pedi-IKDC), a questionnaire that aims to quantify knee functionality. Postoperative scarring was evaluated using The Stony Brook Scar Evaluation Scale. One hundred and eight patients were selected and grouped according to the type of procedure. Before surgery, the two groups had similar mean Pedi-IKDC scores (41,4 MPFL-R vs. 39,4 LRMI p = 0.314). Improvements were observed in the postoperative scores. The MPFL-R technique showed promising outcomes. When comparing the two surgical groups, there was a significant difference in favor of MPFL-R group (MPFL-R 77.71 points vs. LRMI 59.74 points, p < 0.0001–95% CI (11.22–24.72)). Using the Stony Brook Scar Evaluation Scale, a significant difference in scar quality in favor of MPFL-R was observed (4,5 MPFL-R vs. 2,77 LRMI p = 0.002). In conclusion, this study provides objective evidence-based outcome assessments that support the medial patellofemoral ligament reconstruction technique as the gold standard for patellofemoral instability. |
format |
Text |
author |
Alexandru Herdea Vlad Pencea Claudiu N. Lungu Adham Charkaoui Alexandru Ulici |
author_facet |
Alexandru Herdea Vlad Pencea Claudiu N. Lungu Adham Charkaoui Alexandru Ulici |
author_sort |
Alexandru Herdea |
title |
A Prospective Cohort Study on Quality of Life among the Pediatric Population after Surgery for Recurrent Patellar Dislocation |
title_short |
A Prospective Cohort Study on Quality of Life among the Pediatric Population after Surgery for Recurrent Patellar Dislocation |
title_full |
A Prospective Cohort Study on Quality of Life among the Pediatric Population after Surgery for Recurrent Patellar Dislocation |
title_fullStr |
A Prospective Cohort Study on Quality of Life among the Pediatric Population after Surgery for Recurrent Patellar Dislocation |
title_full_unstemmed |
A Prospective Cohort Study on Quality of Life among the Pediatric Population after Surgery for Recurrent Patellar Dislocation |
title_sort |
prospective cohort study on quality of life among the pediatric population after surgery for recurrent patellar dislocation |
publisher |
Multidisciplinary Digital Publishing Institute |
publishDate |
2021 |
url |
https://doi.org/10.3390/children8100830 |
genre |
SCAR |
genre_facet |
SCAR |
op_source |
Children; Volume 8; Issue 10; Pages: 830 |
op_relation |
Pediatric Orthopedics https://dx.doi.org/10.3390/children8100830 |
op_rights |
https://creativecommons.org/licenses/by/4.0/ |
op_doi |
https://doi.org/10.3390/children8100830 |
container_title |
Children |
container_volume |
8 |
container_issue |
10 |
container_start_page |
830 |
_version_ |
1774723255535403008 |