Medial Patellofemoral Ligament (MPFL) Reconstruction Research Perspective

Another research perspective published in Healio on a project led by Banff Sport Medicine Orthopaedic surgeon, Dr Laurie Hiemstra, and Research Director, Sarah Kerslake!

Hiemstra, L. A., & Kerslake, S. (2019). Age at Time of Surgery but Not Sex Is Related to Outcomes After Medial Patellofemoral Ligament Reconstruction. The American Journal of Sports Medicine, 47(7), 1638–1644. https://doi.org/10.1177/0363546519841371

“By stratifying for pathoanatomic risk factors, this study has clarified that females do not have poorer outcomes following [medial patellofemoral ligament] MPFL reconstruction based on their sex,” Laurie Hiemstra, MD, told Healio.com/Orthopedics.

“Previous research has correlated female sex with poorer outcomes after patellar stabilization surgery, however females demonstrate a greater number of pathoanatomic risk factors, which adversely influence outcomes. Likewise, individuals who dislocate at a young age are likely to have a greater number of pathoanatomic risk factors.”

Read more about this Perspective here.

Banff Sport Medicine Research team part of award-winning research!

Banff Sport Medicine Surgeon, Dr Mark Heard, was the presenting author and member of the Stability research study team that received the prestigious Jan I. Gillquist Scientific Research Award at the recent International Society of Arthroscopy, Knee Surgery & Orthopaedic Sports Medicine (ISAKOS) Congress.

The Stability team were one of four finalists selected based on the quality of their research and presentation, which was entitled:

“Anterior Cruciate Ligament Reconstruction with or without a Lateral Extra-Articular Tenodesis: Analysis of Complications from the ISAKOS-sponsored Stability Study”

Group photo: (L to R): Dr Femi Ayeni (ISAKOS), Dr Mark Heard (Stability Co-lead), Dr Dianne Bryant (Stability Co-lead), Dr Alan Getgood (Stability Co-lead), and Dr Jason Koh (ISAKOS)

Hot off the press research paper!

Read the most recent publication from the Banff Sport Medicine Foundation’s research group.

Hiemstra, L. A., & Kerslake, S. (2019). Age at Time of Surgery but Not Sex Is Related to Outcomes After Medial Patellofemoral Ligament Reconstruction. The American Journal of Sports Medicinehttps://doi.org/10.1177/0363546519841371

 

Article synopsis

Patellofemoral instability is a term used to describe a range of injuries that occur when the patella, which is the kneecap, dislocates from its original position. It’s a common knee injury particularly in children and adolescents, whom also have an increased risk of re-dislocating their kneecap after the initial injury, a condition referred to as ‘recurring instability’.

Gender has been proposed to have an influence on patellofemoral instability and potentially recurring instability as well. A medial patellofemoral ligament (MPFL) reconstruction is an accepted surgical procedure that aims to stabilize the patella after injury, particularly in children and adolescents that are at high risk of recurring instability.

This first of its kind study aimed to investigate whether age at the time of surgery or gender influenced patient-reported quality of life and clinical outcome after MPFL reconstruction for recurrent lateral patellofemoral instability.

Overall this study found that “neither age at first dislocation nor sex influences quality of life outcomes after MPFL reconstruction”.

Age at the time of surgery did, however, correlate with outcome. Patients scored lower on a patient-reported disease-specific quality of life and clinical outcome score for each 10-year increase in age at time of surgery. This finding suggests that earlier stabilization of patients presenting with symptomatic recurrent patellofemoral instability may result in better outcomes”.

“Knees 4 Skis”

“Knees 4 Skis”

Do you want to get your knees ready to enjoy skiing this winter? Are you interested in how to avoid knee injuries, or how to return to skiing after a knee injury? Then this is the talk at the Thrive Health and Wellness Festival is for you! Dr. Mark Heard from Banff Sport Medicine will enthusiastically share his love of skiing as well as what he has learned from over 25 years of preventing and treating knee injuries in ski athletes. Dr. Heard will be joined by Lynne Richardson, local Physiotherapist from Rocky Mountain Rehab & Sports Medicine Clinic. Lynne will combine her personal ski racing and physiotherapy knowledge to share some valuable advice to get you ready for ski season.

The Thrive Health and Wellness Festival takes place in Canmore October 25th – 28th!

AAC 2018

AAC 2018 Awards:

Awarded the Best Clinical Research Paper by the Arthroscopy Association of Canada (AAC) at the 2018 Canadian Orthopaedic Association Meeting in Victoria for “Patient-reported Quality-of-Life is Lower in Patients with Graft Laxity following Hamstring Autograft ACL Reconstruction”

Awarded a Best Poster Award by the Arthroscopy Association of Canada (AAC) at the 2018 Canadian Orthopaedic Association Meeting in Victoria for “Which Risk Factors Predict Outcome following Isolated MPFL-R? A Multivariate Regression Analysis”

Banff Sport Medicine Recent Publications

Recent Publications

  • Jordan MJ, Doyle-Baker P, Heard M, Aagaard P, Herzog W. A Retrospective Analysis of Concurrent Pathology in ACL-Reconstructed Knees of Elite Alpine Ski Racers. Orthop J Sports Med. 2017 Jul 10;5(7):2325967117714756.
  • Hiemstra LA, Kerslake S, Arendt EE. Clinical Rehabilitation of Anterior Knee Pain – Current Concepts. Am J Orthop 2017 Mar/Apr;46(2):82-86.
  • Hiemstra, LA, Kerslake, S. Lafave, MR. Quality-of Life Outcomes of Patients following Patellofemoral Stabilization Surgery: The influence of Trochlear Dysplasia. J Knee Surg 2017 Feb. 20
  • Hiemstra, LA, Kerslake, S. Lafave, MR. Medial Patellofemoral Ligament Reconstruction Femoral Tunnel Accuracy: Relationship to Disease-Specific Quality of Life. Orthop J Sports Med 2017 Feb 7;5(2)
  • Hiemstra LA, Kerslake S, O’Brien CL, Lafave MR. Accuracy and Learning Curve of Femoral Tunnel Placement in Medial Patellofemoral Ligament Reconstruction. J Knee Surg 2017 Feb. 13
  • Lafave MR, Hiemstra L, Kerslake S, Heard M, Buchko G. Validity, Reliability, and Responsiveness of the Anterior Cruciate Ligament Quality of Life Measure: A Continuation of Its Overall Validation. Clin J Sport Med. 2017 Jan;27(1):57-63.
  • Hiemstra LA, Kerslake S, Heard M, Buchko G, Lafave M. Outcomes of surgical stabilization in patients with combined ACL deficiency and patellofemoral instability — A case series. Knee. 2016 Dec;23(6):1106-1111. Epub 2016 Oct 31.
  • Yeung M, Leblanc MC, Ayeni OR, Khan M, Hiemstra LA, Kerslake S, Peterson D. Indications for Medial Patellofemoral Ligament Reconstruction: A Systematic Review. J Knee Surg. Oct;29(7):543-554, 2016. Epub 2015 Oct 29.

Banff Sport Medicine Awards

Awards

  • ISAKOS / Patellofemoral Foundation Travelling Fellowship (2014), awarded to Dr. L.A. Hiemstra
  • Outstanding Research Award for Excellence in Sports Medicine Research by the American Medical Society for Sports Medicine, Rendevous II Meeting (2008)  for “The Effect of Knee Immobilization on Postoperative Pain Following an Anterior Cruciate Ligament (ACL) Reconstruction: A Randomized Clinical Trial”
  • Outstanding Research Award by the Canadian Academy of Sport Medicine Annual Meeting (2008) for “The Effect of Knee Immobilization on Postoperative Pain Following an Anterior Cruciate Ligament (ACL) Reconstruction: A Randomized Clinical Trial”

A Gallery of Our Photograph Contributors

Photographs compliments of our generous patients and colleagues. If you would like to donate a photograph for our website please email it to sarah@banffsportmed.ca.

 

Fellowship Offered in Sport Medicine and Arthroscopic Reconstruction of the Knee and Shoulder

Banff Sport Medicine, in affiliation with the University of Calgary Section of Orthopaedics, is pleased to offer a fellowship in Sport Medicine and Arthroscopic Reconstruction of the Knee and Shoulder. The program is based in Banff, Alberta, Canada. Currently, this program is designed around a 1-year fellowship, and is open to all graduates of Canadian Orthopaedic programs, as well as any international institutions which meet the training criteria. Graduates of Canadian programs and self-funded applicants will be given preference. Read More>