PMID- 38385776
OWN - NLM
STAT- MEDLINE
DCOM- 20240314
LR  - 20240314
IS  - 1433-7347 (Electronic)
IS  - 0942-2056 (Linking)
VI  - 32
IP  - 3
DP  - 2024 Mar
TI  - Derotational distal femoral osteotomy corrects excessive femoral anteversion in 
      patients with patellofemoral instability: A systematic review.
PG  - 713-724
LID - 10.1002/ksa.12097 [doi]
AB  - PURPOSE: Patellofemoral instability (PFI) is a common condition that can be 
      caused from multiple factors, including lower limb rotational malalignments. 
      Determining precise criteria for performing corrective torsional osteotomy can be 
      a daunting task due to the lack of consensus on normal and excessive values and 
      the limited evidence-based data in the postoperative results. The purpose was to 
      assess the clinical, functional and imaging outcomes following derotational 
      distal femoral osteotomy (DDFO) in patients with PFI and/or anterior knee pain 
      (AKP) associated with lower limb rotational malalignments. METHODS: Searches were 
      conducted on PubMed, EMBASE and Web of Science databases up to October 2023. 
      Studies reporting outcomes after DDFO in patients with PFI and/or AKP were 
      eligible for the systematic review. The primary outcome was imaging metrics, 
      especially femoral anteversion. Secondary outcomes included the patient-reported 
      outcome measures (PROMs) (clinical and functional). Quantitative synthesis 
      involved the use of weighted averages to calculate pre- to postoperative mean 
      differences (MD) and compare them against the minimal clinically important 
      difference (MCID). RESULTS: Ten studies (309 knees) were included with a mean 
      follow-up of 36.1 +/- 11.7 months. Imaging outcomes consistently indicated the 
      correction of femoral anteversion (MD = -19.4 degrees, 95% confidence interval: 
      -20.1 to -18.7) following DDFO. PROMs showed significant improvements in most 
      studies, exceeding the MCID. Patient satisfaction with the DDFO was high (93.3%). 
      CONCLUSIONS: The DDFO was an effective treatment option for correcting excessive 
      femoral anteversion in patients with PFI associated with clinically relevant 
      functional and clinical improvement and a high satisfaction rate. LEVEL OF 
      EVIDENCE: Level IV, systematic review of level II-IV studies.
CI  - (c) 2024 The Authors. Knee Surgery, Sports Traumatology, Arthroscopy published by 
      John Wiley & Sons Ltd on behalf of European Society of Sports Traumatology, Knee 
      Surgery and Arthroscopy.
FAU - Ribeiro, Ricardo
AU  - Ribeiro R
AD  - School of Medicine, Minho University, Braga, Portugal.
FAU - Gomes, Eluana
AU  - Gomes E
AD  - Clinica Espregueira-FIFA Medical Centre of Excellence, Porto, Portugal.
FAU - Ferreira, Barbara
AU  - Ferreira B
AD  - School of Medicine, Minho University, Braga, Portugal.
FAU - Figueiredo, Ines
AU  - Figueiredo I
AD  - School of Medicine, Minho University, Braga, Portugal.
FAU - Valente, Cristina
AU  - Valente C
AD  - Clinica Espregueira-FIFA Medical Centre of Excellence, Porto, Portugal.
AD  - Dom Henrique Research Centre, Porto, Portugal.
FAU - Delgado, Diego
AU  - Delgado D
AD  - Advanced Biological Therapy Unit, Hospital Vithas Vitoria, Vitoria-Gasteiz, 
      Spain.
FAU - Sanchez, Mikel
AU  - Sanchez M
AD  - Advanced Biological Therapy Unit, Hospital Vithas Vitoria, Vitoria-Gasteiz, 
      Spain.
AD  - Arthroscopic Surgery Unit, Hospital Vithas Vitoria, Vitoria-Gasteiz, Spain.
FAU - Andrade, Renato
AU  - Andrade R
AD  - Clinica Espregueira-FIFA Medical Centre of Excellence, Porto, Portugal.
AD  - Dom Henrique Research Centre, Porto, Portugal.
AD  - Porto Biomechanics Laboratory (LABIOMEP), Faculty of Sports, University of Porto, 
      Porto, Portugal.
FAU - Espregueira-Mendes, Joao
AU  - Espregueira-Mendes J
AUID- ORCID: 0000-0001-7429-4900
AD  - School of Medicine, Minho University, Braga, Portugal.
AD  - Clinica Espregueira-FIFA Medical Centre of Excellence, Porto, Portugal.
AD  - Dom Henrique Research Centre, Porto, Portugal.
AD  - ICVS/3B's-PT Government Associate Laboratory, Braga/Guimaraes, Portugal.
AD  - 3B's Research Group-Biomaterials, Biodegradables and Biomimetics, Headquarters of 
      the European Institute of Excellence on Tissue Engineering and Regenerative 
      Medicine, University of Minho, Braga, Portugal.
LA  - eng
PT  - Journal Article
PT  - Systematic Review
DEP - 20240222
PL  - Germany
TA  - Knee Surg Sports Traumatol Arthrosc
JT  - Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
JID - 9314730
SB  - IM
MH  - Humans
MH  - *Femur/surgery
MH  - Knee Joint/surgery
MH  - Treatment Outcome
MH  - Patient Satisfaction
MH  - Osteotomy/methods
MH  - Pain
MH  - *Patellofemoral Joint/surgery
OTO - NOTNLM
OT  - anterior knee pain
OT  - derotational
OT  - distal femoral
OT  - osteotomy
OT  - patellofemoral instability
EDAT- 2024/02/22 12:42
MHDA- 2024/03/14 06:47
CRDT- 2024/02/22 09:53
PHST- 2024/01/25 00:00 [revised]
PHST- 2023/12/13 00:00 [received]
PHST- 2024/02/04 00:00 [accepted]
PHST- 2024/03/14 06:47 [medline]
PHST- 2024/02/22 12:42 [pubmed]
PHST- 2024/02/22 09:53 [entrez]
AID - 10.1002/ksa.12097 [doi]
PST - ppublish
SO  - Knee Surg Sports Traumatol Arthrosc. 2024 Mar;32(3):713-724. doi: 
      10.1002/ksa.12097. Epub 2024 Feb 22.