Comparison of patellar anchor fixation graft and graft through patellar tunnel reconstruction of medial patellofemoral ligament in the treatment of recurrent patellar dislocation: A protocol for a meta-analysis of comparative studies

作者全名："Tian, Jian; Yang, Jingfan; Dong, Wei; Zhang, Xiaoyan; Liu, Weitong; Chen, Jiankun; Yin, Hong; Zhou, Xing; Yuan, Changfei; Li, Jinlei"

作者地址："[Tian, Jian] Chongqing Med Univ, Youyang Hosp Branch Affiliated Hosp 1, Chongqing, Peoples R China; [Yang, Jingfan; Dong, Wei; Zhang, Xiaoyan; Liu, Weitong; Chen, Jiankun; Yuan, Changfei; Li, Jinlei] Kunming Municipal Hosp Tradit Chinese Med, 25 Dongfeng East Rd, Kunming 650599, Yunnan, Peoples R China; [Yin, Hong] Kunming Univ Sci & Technol Hosp, Kunming, Yunnan, Peoples R China; [Zhou, Xing] Zhejiang Chinese Med Univ, Affiliated Hosp 1, Hangzhou, Peoples R China"

通信作者："Li, JL (通讯作者)，Kunming Municipal Hosp Tradit Chinese Med, 25 Dongfeng East Rd, Kunming 650599, Yunnan, Peoples R China."

来源：MEDICINE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000928222100020

JCR分区：Q2

影响因子：1.6

年份：2023

卷号：102

期号：3

开始页：　

结束页：　

文献类型：Review

关键词：anchor fixation; medial patellofemoral ligament; protocol; recurrent patellar dislocation; through patellar tunnel

摘要："Background: Recurrent patellar dislocation (RPD) occurs in people who have their own patellofemoral dysplasia and who have not been properly treated after their first patellar dislocation. For RPD where conservative treatment is ineffective, medial patellofemoral ligament (MPFL) reconstruction is the first choice for surgical treatment, but there are various and controversial ways of MPFL reconstruction and fixation. Initially, more scholars adopted the patellar lateral tunneling (PT) approach to contain and stabilize the graft, but with the newer materials and techniques, some experts adopted the lateral patellar anchor fixation (AF) of the graft, which can avoid the collateral damage caused by the patellar lateral tunneling and can obtain the same definite efficacy. Therefore, a meta-analysis must be performed to provide evidence whether there is a difference between AF and PT reconstruction of the MPFL in the treatment of RPD. Methods: We will search, with no time restriction, without any restriction of language and status, the time from the establishment of the database to October 2022, on the following databases: PubMed (MEDLINE), Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science, Chinese National Knowledge Infrastructure (CNKI), Wanfang Data (WF), Chinese Scientific Journals Database (VIP), and Chinese databases SinoMed (CBM) electronic databases. The electronic database search will be supplemented by a manual search of the reference lists of included articles. We will apply the risk-of-bias tool of the Cochrane Collaboration for randomized controlled trials to assess the methodological quality. Risk-of-Bias Assessment Tool for Non-randomized Studies was used to evaluate the quality of comparative studies. Statistical analysis will be conducted using RevMan 5.4 software. Results: This systematic review and meta-analysis will evaluate the functional outcomes of the two fixation modalities, AF and PT, in reconstructing MPFL for RPD. Conclusion: The findings of this study will provide a basis for clinical judgment of whether there is a difference between the two forms of AF and PT reconstructed MPFL for RPD."

基金机构：Science and Technology Planning Project of Yunnan Provincial Science and Technology Department [2019FF002(-085)]

基金资助正文："The study is supported by the Science and Technology Planning Project of Yunnan Provincial Science and Technology Department (Grant number: 2019FF002(-085)). The funders had and will not have a role in any of the aspects in the study design, data collection and analysis, publication or development of the manuscript."