Anatomical Reconstruction of The Medial Patellofemoral Ligament for Recurrent Patellar Dislocation: Functional Evaluation and Follow-Up Analysis.
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Objective To evaluate functional outcomes, recurrence rates, and satisfaction in patients undergoing anatomical reconstruction of the MPFL. Methods Longitudinal observational study of 44 patients operated on between January 2010 and January 2024. Demographic and clinical variables were recorded; pre- and postoperative Kujala, Lysholm, Tegner, IKDC, and KOOS scales; ranges of motion; recurrence; and satisfaction. Analysis with paired/independent Student's t-test and chi-square/Fisher (p = 0.05). Results Significant improvement in all scores (p < 0.001). Recurrence rate 15.9% (n = 7) at 37.2 months of follow-up. High satisfaction in 65.8% (n = 29). Factors associated with complications: shorter stature, lower preoperative flexion, low target IKDC, and absence of previous activity. Conclusion Anatomical reconstruction of the MPFL offers favorable functional results and low recurrence in the Mexican population. Level of Evidence IV.
