Research Information System
Cyprus Journal of Medical Sciences, vol.9, no.4, pp.236-240, 2024 (ESCI, TRDizin)
BACKGROUND/AIMS: To compare the effects of suture-anchored and unanchored repairs on clinical outcomes in primary medial patellofemoral ligament (MPFL) repair techniques. MATERIALS AND METHODS: A total of 16 patients who underwent surgery between 2021 and 2023 were retrospectively analyzed. Postoperative assessments included range of motion, apprehension tests, pain with squatting, Tegner-Lysholm Knee Scoring Scale, Kujala Anterior Knee Pain Score, recurrence, Q Angle, Sulcus angle and Insall-Salvati Index. RESULTS: Among the 16 patients assessed, eight patients (50%) underwent primary repair with a suture anchor, while the remaining eight patients (50%) underwent repair without a suture anchor. The range of motion of the lower extremity was symmetrical to that of the contralateral side at the last follow-up in all patients. No implant-related complications were observed in any patient. Statistical analysis showed no significant differences between the two groups regarding functional scores, physical examination findings, radiological findings, and recurrence (p>0.05). CONCLUSION: Primary repair of the MPFL with or without suturing can effectively prevent the recurrence of patellar dislocation and instability and provide satisfactory clinical and radiological outcomes. Although the successful primary repair results question the necessity of anchor use, anchor use should not be avoided in primary repair cases if necessary.