{"doi":"10.1055/a-2232-4856","title":"Postoperative Bracing after Medial Patellofemoral Ligament Reconstruction","abstract":"Abstract It is unclear if bracing is necessary after isolated medial patellofemoral ligament reconstruction (MPFLr) for recurrent patellar instability. We hypothesize that patients who did not use a brace will have similar outcomes to those who were braced postoperatively. A retrospective review of patients who underwent isolated MPFLr from January 2015 to September 2020 at a single institution was performed. Those with less than 6 weeks of follow-up were excluded. The braced group was provided a hinged-knee brace postoperatively until the return of quadriceps function, which was determined by the treating physical therapist (brace, “B”; no brace, “NB”). Time to straight leg raise (SLR) without lag, recurrent instability, and total re-operations were determined. Univariate analysis and logistic regression were used to evaluate outcomes (statistical significance, p < 0.05). Overall, 229 isolated MPFLr were included (B: 165 knees, 146 patients; NB: 64 knees, 58 patients). Baseline demographics were similar (all p > 0.05). Median time to SLR without lag was shorter in the NB group (41 days [interquartile range [IQR]: 20–47] vs. 44 days [IQR: 35.5–88.3], p = 0.01), while return to sport times were equivalent (B: 155 days [IQR: 127.3–193.8] vs. NB: 145 days [IQR: 124–162], p = 0.31). Recurrent instability rates were not significantly different (B: 12 knees [7.27%] vs. NB: 1 knee [1.56%], p = 0.09), but the re-operation rate was higher in the brace group (20 knees [12.1%] vs. 0 [0%], p = 0.001). Regression analysis identified brace use (odds ratio [OR]: 19.63, 95% confidence interval [CI]: 1.43–269.40, p = 0.026) and female patients (OR: 2.79, 95% CI: 1.01–7.34, p = 0.049) to be associated with needing reoperation. Recurrent instability rates and return to sport times were similar between patients who did or did not use a hinged knee brace after isolated MPFLr. Re-operation rates were higher in the braced group. Retrospective Comparative Study, Level III","journal":"The Journal of Knee Surgery","year":2023,"id":355424,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":6,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9564,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1103807,"name":"Meaghan A. Tranovich","orcid":null,"position":1,"is_corresponding":false},{"id":1103390,"name":"Olivia C. O’Reilly","orcid":"0000-0002-5639-3160","position":2,"is_corresponding":false},{"id":361535,"name":"Matthew Bollier","orcid":"0000-0002-2612-1367","position":3,"is_corresponding":false},{"id":740035,"name":"Kyle R. Duchman","orcid":"0000-0003-1485-224X","position":4,"is_corresponding":false},{"id":361530,"name":"Brian R. Wolf","orcid":"0000-0002-2529-8056","position":5,"is_corresponding":false},{"id":447546,"name":"Robert W. Westermann","orcid":"0000-0002-5289-4689","position":6,"is_corresponding":false},{"id":701859,"name":"Andrew L. Schaver","orcid":"0000-0003-0673-0023","position":0,"is_corresponding":true}],"reference_count":18,"raw_metadata":null,"created_at":"2026-07-19T01:13:16.394812Z","pmid":"38113911","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}