COLORADO SPRINGS, Colo. — Female patients had worse clinical outcomes after medial patellofemoral ligament reconstruction compared with male patients, according to results presented here.
Kirk A. Campbell, MD, and colleagues retrospectively evaluated Kujala score, VAS score, patient satisfaction, willingness to undergo surgery again, revisions, return to play and MPFL-return to sport after injury score among 131 patients who underwent MPFL reconstruction for symptomatic patellar instability. Researchers compared clinical outcomes between male (30%) and female (69.5%) patients.
“In terms of outcomes, there were no significant differences found between sexes in terms of VAS at rest, Kujala score or mean satisfaction,” Campbell said in his presentation at the American Orthopaedic Society for Sports Medicine Annual Meeting.
Campbell noted male patients had significantly higher return to sport rates compared with female patients. Male patients also had significantly lower VAS scores during sport activities, according to Campbell.
“The psychological ratings on return to sport after MPFL reconstruction was found to be significantly higher in male patients, with a score of 56 determined to be psychologically ready,” Campbell said. “None of the female patients met that.”
Although female patients tended to want to undergo the procedure again compared with male patients, he noted this was not significant.
“Subjective recurrent instability, again, no significant differences; although, it did trend to be a bit higher in our female patients,” Campbell said.