MPFL - Long-term follow-up after treatment of acute first-time patellar dislocation in children
Children with a first-time patellar dislocation often have a high risk of recurrence. This is a long-term follow-up of patients from a previously published prospective randomized study with a two-year follow-up period. We compared surgical repair of the medial patellofemoral ligament (MPFL) with non-surgical treatment using a soft patellar stabilizing orthosis. Our primary question was whether MPFL suturing could reduce the recurrence rate and provide better objective and subjective knee function. In this project, we are examining long-term results. We are following up 74 patients more than 10 years after their initial injury to analyze treatment results and the relationship between anatomical risk factors and recurrence. The goal is to improve care and knee-related quality of life for this patient group.
Marie Askenberger, MD, PhD, is the responsible researcher. Other participants include Associate Professor Johan von Heideken, MD, PhD.
Risk of complications in planned orthopedic surgery in children and adolescents with cerebral palsy
Children and adolescents with cerebral palsy (CP) often undergo orthopedic procedures to correct muscle and skeletal deformities. This project examines the risk of complications after planned orthopedic surgeries, with a particular focus on the relationship between complications and:
- Gross motor function according to the Gross Motor Function Classification System (GMFCS).
- Anatomical location of the procedure.
- Type of surgery (skeletal vs. soft tissue).
The study includes 1,514 individuals born between 1990 and 2019 who underwent a total of 2,983 operations. Data were collected from CPUP (Follow-up Program for Cerebral Palsy) and the Swedish Patient Registry. The aim of the project is to improve risk assessment and optimize care for patients with CP undergoing orthopedic surgery.
This study is part of doctoral student Anna Telleus's thesis work, with Associate Professor Per Åstrand as the responsible researcher and main supervisor. Other participants include Professor Eva Boström, Associate Professor Johan von Heideken, Associate Professor Fredrik Granath (Unit for Clinical Epidemiology, Karolinska Institutet), and Professor Gunnar Hägglund (Department of Clinical Sciences, Lund University, Lund).