Poster 266: Outcomes of Surgical Stabilization for Recurrent Patellar Instability in Competitive Wrestlers: Outcomes, Reoperations, and Return to Play at 6 years Mean Follow Up

Objectives: The purpose of this study was to assess return play (RTP), patient-reported outcomes (PRO), and reoperation rates following patellofemoral stabilization surgeries (PSS) for recurrent patellar instability (RPI) in a cohort competitive wrestlers. Methods: All wrestlers with history an RPI subsequent PSS at single institution between 2000 2020 were identified. Primary ranged from MPFL reconstruction (n = 31; 50%) or repair 22; 33.5%), other 9; 14.5%) the form tibial tubercle osteotomy (TTO), lateral retinaculum release (LRR), medial reefing (MRR). Exclusion criteria included revision PSS, concomitant anterior cruciate ligament multi knee injury. patients contacted determination reinjury rates, current sport status, PROs. Surgical failure defined as dislocation despite operative management need secondary PSS. Results: Ultimately, 62 knees 56 mean follow-up time 6.6 years (range, 2.0 – 18.8 years). RTP occurred 55.3% 8.8 ± 6.7 months. Among no differences observed (P .676), postoperative pain .176), Tegner activity level .801), International Knee Documentation Committee .378), Lysholm .402), Kujala scores .370). Recurrent most common complication 21% knees. types, had lowest rate (6.5% vs. 27.3% 55.6%; P .005), surgical (9.7% 31.8% .008). Kaplan-Meier survivorship free entire 91.9% 1 year, 77.7% 5 years, 65.7% 15 years. highest when compared up 10 after index surgery (90.3% 64.1% 27.8%; .048). Conclusions: remains concern may serve more durable treatment option lower surgery. [Table: see text]