Treatment of a medial plica in the knee among German knee surgeons – The Plica Survey

IF 1.5 Q3 ORTHOPEDICS

Asia-Pacific Journal of Sport Medicine Arthroscopy Rehabilitation and Technology Pub Date : 2025-02-01 DOI:10.1016/j.asmart.2025.01.003

Svea Faber , Philipp W. Winkler , Ralf Henkelmann , Theresa Diermeier , Wolf Petersen , Maurice Balke , Sebastian Metzlaff , Sebastian Colcuc , Gerald Zimmermann , Philip P. Roessler , Thomas R. Niethammer

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引用次数: 0

Abstract

Purpose

The MPP (medial patella plica) has garnered increasing clinical attention due to its potential role in patellofemoral pain syndromes. While often an anatomical relic without pathological significance, inflammation or mechanical irritation of this structure can lead to plica syndrome, causing significant clinical symptoms. The purpose of this study was to analyze the current care situation regarding plica syndrome of the knee among a large number of experienced knee surgeons.

Methods

An online survey targeting the current care practices for plica syndrome was conducted among members of the German Knee Society (DKG). The survey was comprised 15 questions regarding diagnostic and treatment approaches. Data were collected anonymously and analyzed using IBM SPSS Statistics Version 26.0.

Results

A total of 238 surgeons participated. Most respondents (84 %) agreed that plica syndrome could cause patellofemoral pain. The typical patient profile was predominantly female (77.7 %), aged 21–30 years (57.6 %). The majority of surgeons use magnetic resonance imaging (MRI) combined with clinical examination (58.0 %) to diagnose an MPP, and 54.2 % of surgeons resected the plica upon finding significant intraoperative evidence of impact on the patellofemoral joint. Hemarthrosis and persistent pain were the most reported complications, though 83.2 % of surgeons observed a complication rate below 11 %.

Conclusion

This study provides a comprehensive overview of current practices and opinions regarding plica syndrome among experienced German knee surgeons. It emphasizes the need for further research to standardize diagnostic and therapeutic approaches, aiming to optimize patient outcomes in plica-related knee pathologies.

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来源期刊

Asia-Pacific Journal of Sport Medicine Arthroscopy Rehabilitation and Technology Multiple-

CiteScore

3.80

自引率

0.00%

发文量

审稿时长

98 days

期刊介绍： The Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology (AP-SMART) is the official peer-reviewed, open access journal of the Asia-Pacific Knee, Arthroscopy and Sports Medicine Society (APKASS) and the Japanese Orthopaedic Society of Knee, Arthroscopy and Sports Medicine (JOSKAS). It is published quarterly, in January, April, July and October, by Elsevier. The mission of AP-SMART is to inspire clinicians, practitioners, scientists and engineers to work towards a common goal to improve quality of life in the international community. The Journal publishes original research, reviews, editorials, perspectives, and letters to the Editor. Multidisciplinary research with collaboration amongst clinicians and scientists from different disciplines will be the trend in the coming decades. AP-SMART provides a platform for the exchange of new clinical and scientific information in the most precise and expeditious way to achieve timely dissemination of information and cross-fertilization of ideas.