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Critical Reviews™ in Physical and Rehabilitation Medicine

Published 4 issues per year

ISSN Print: 0896-2960

ISSN Online: 2162-6553

SJR: 0.141 SNIP: 0.129 CiteScore™:: 0.6 H-Index: 18

Indexed in

A Systematic Review Investigating the Early Rehabilitation of Patients Following Medial Patellofemoral Ligament Reconstruction for Patellar Instability

Volume 19, Issue 2, 2007, pp. 79-95
DOI: 10.1615/CritRevPhysRehabilMed.v19.i2.10
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ABSTRACT

The objectives of this review were to determine the optimal postoperative weight-bearing status for medial patellofemoral ligament reconstruction (MPFL) patients; whether MPFL reconstruction patients should be immobilized postoperatively using knee braces, and for how long; and when and how these patients should commence exercising postoperatively. A literature search using the electronic databases AMED, British Nursing Index, CINAHL, Cochrane database, Embase, Medline (via Ovid), Physiotherapy Evidence Database (PEDro), PsycINFO, Pubmed, and Zetoc was performed from their inception to May 2007. All English language, human subject, clinical studies reporting the rehabilitation and outcome of patients following a MPFL reconstruction were included. Eight papers were evaluated. Three reviewers independently assessed the methodological quality of each of the studies using the CASP appraisal tool. The review reported that there appeared to be little differences in radiological or clinical outcomes between patients who were full weight bearing, began immediate active exercises, and were not immobilized in a knee brace, compared to those who were initially non−weight bearing, instructed not to exercise their knee, and were immobilized in a knee brace during the initial postoperative weeks. This should, however, be interpreted with caution since the evidence presented with numerous methodological limitations. Future study is recommended to address these methodological weaknesses.

CITED BY
  1. Stupay Kristen L., Swart Eric, Shubin Stein Beth E., Widespread Implementation of Medial Patellofemoral Ligament Reconstruction for Recurrent Patellar Instability Maintains Functional Outcomes at Midterm to Long-Term Follow-up While Decreasing Complication Rates: A Systematic Review, Arthroscopy: The Journal of Arthroscopic & Related Surgery, 31, 7, 2015. Crossref

  2. Carolan-Olah Mary C., Educational and intervention programmes for gestational diabetes mellitus (GDM) management: An integrative review, Collegian, 23, 1, 2016. Crossref

  3. AKASAKA Kiyokazu, FUKUDA Toshiyuki, SAWADA Yutaka, IZUMI Mihoko, Systematic Reviews of Sports Physiotherapy, Rigakuryoho kagaku, 23, 3, 2008. Crossref

  4. Lightsey Harry M., Wright Margaret L., Trofa David P., Popkin Charles A., Ahmad Christopher S., Redler Lauren H., Rehabilitation variability following medial patellofemoral ligament reconstruction, The Physician and Sportsmedicine, 46, 4, 2018. Crossref

  5. Niemuth Elizabeth, Monson Jill, Surgical Rehabilitation for Select Patellar Stabilizing Procedures, in Patellofemoral Pain, Instability, and Arthritis, 2020. Crossref

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