Table 4.
Analysis of MPFL outcomes between patients with allergies with and without psychiatric diagnoses
| No PRAs (n = 94) |
PRAs without psychiatric disorder (n = 35) |
PRAs with psychiatric disorder (n = 12) |
p-Value | |
|---|---|---|---|---|
| Age at time of surgery (years) | 24 ± 9 | 28 ± 11 | 26 ± 5 | 0.04* |
| Sex | ||||
| Male | 31 (33%) | 10 (29%) | 2 (17%) | 0.49 |
| Female | 63 (67%) | 25 (71%) | 10 (83%) | |
| Sports participation | 42 (45%) | 16 (46%) | 6 (50%) | 1.00 |
| Concomitant procedures | ||||
| Primary TTO | 43 (46%) | 15 (43%) | 6 (50%) | 0.91 |
| Meniscectomy | 3 (3%) | 2 (6%) | 0 (0%) | 0.75 |
| Chondroplasty | 45 (48%) | 13 (37%) | 4 (33%) | 0.66 |
| Loose body removal | 10 (11%) | 5 (14%) | 0 (0%) | 0.46 |
| Subsequent surgery | ||||
| Any reoperation | 7 (7%) | 5 (14%) | 2 (17%) | 0.30 |
| Revision | 2 (2%) | 0 (0%) | 1 (8%) | 0.25 |
| Removal of hardware | 2 (2%) | 1 (3%) | 0 (0%) | 1.00 |
| MUA | 2 (2%) | 3 (9%) | 0 (0%) | 0.15 |
| Secondary TTO | 1 (1%) | 1 (3%) | 0 (0%) | 0.33 |
| TKA | 0 (0%) | 0 (0%) | 1 (8%) | 0.09 |
| Follow-up time (months) | 45 ± 27 | 52 ± 26 | 49 ± 34 | 0.29 |
| Outcomes | ||||
| Recurrent instability | 11 (12%) | 3 (9%) | 3 (25%) | 0.25 |
| VAS (overall) | 15 ± 21 | 13 ± 19 | 9 ± 19 | 0.30 |
| VAS (sports) | 28 ± 28 | 21 ± 25 | 33 ± 31 | 0.31 |
| Kujala score | 85 ± 16 | 86 ± 13 | 79 ± 20 | 0.67 |
| MPFL-RSI score | 59 ± 27 | 64 ± 28 | 52 ± 29 | 0.35 |
| Satisfaction score | 83 ± 27 | 88 ± 21 | 76 ± 31 | 0.47 |
| Would repeat surgery | 77 (82%) | 32 (91%) | 8 (67%) | 0.13 |
| Return to sport | 20 (48%) | 7 (44%) | 2 (33%) | 0.86 |
| Return to sport at presymptomatic level | 15 (36%) | 5 (31%) | 0 (0%) | 0.15 |
|
Time to return to sport (months) |
9 ± 5 | 11 ± 8 | 11 ± 6 | 0.74 |
Results reported as n (%) or mean ± standard deviation (SD)
BMI body mass index, TTO tibial tubercle osteotomy, MUA manipulation under anesthesia, TKA total knee arthroplasty, VAS visual analog scale, MPFL-RSI Medial Patellofemoral Ligament-Return to Sport after Injury
*Indicates statistically significant values