Regarding “Primary Medial Patellofemoral Ligament Repair Versus Reconstruction: Rates and Risk Factors for Instability Recurrence in a Young, Active Patient Population”

Studies comparing outcomes of different treatments are always intriguing, so I read the article by Puzzitiello et al. with interest.1 Based on telephonic mean follow-up of approximately 5 years, the authors found greater rate of re-dislocation following medial patellofemoral ligament (MPFL) repair/imbrication in 19 knees as compared with reconstruction using hamstring autograft, hamstring allograft, or tibialis anterior allograft in 32 knees. The authors are to be congratulated for undertaking this retrospective review, but I did not find where follow-up duration was analyzed between the repair and reconstructed groups, so I would like to see that comparison.