Cost-Effectiveness of Medial Patellofemoral Ligament Reconstruction for First-Time Patellar Dislocations: A Markov Analysis
MPFLR was shown to be the dominant cost-effective treatment strategy for first-time patellar dislocations based on the Monte Carlo microsimulation and probabilistic sensitivity analysis, and despite increased up-front costs, MPFLR was found to save costs in the long term. Patients who underwent an initial trial of nonoperative management experienced an increased risk of recurrent dislocations that ultimately resulted in an average cost for the nonoperative group that exceeded that of the MPFLR group because of the increased downstream costs incurred for recurrent dislocations. While this study supports the long-term cost-saving potential of MPFLR, these findings should be interpreted within the context of individual patient characteristics and clinical judgment.
Authors
- Jocelyn R. Wittstein (ORCID: https://orcid.org/0000-0001-8096-3170)
- Jacob F. Oeding (ORCID: https://orcid.org/0000-0002-4562-4373)
- John Twomey‐Kozak (ORCID: https://orcid.org/0000-0001-9073-3539)
- Alex M. Meyer (ORCID: https://orcid.org/0000-0002-2484-9426)
- Kendall E. Bradley (ORCID: https://orcid.org/0000-0003-2904-3189)
- Jonathan F. Dickens (ORCID: https://orcid.org/0000-0002-4189-0287)
- Eoghan T. Hurley (ORCID: https://orcid.org/0000-0002-7696-2981)
- Samuel G Lorentz (ORCID: https://orcid.org/0000-0003-1058-1796)
- Alison P. Toth (ORCID: https://orcid.org/0000-0002-4556-645X)
- Mark A. Glover (ORCID: https://orcid.org/0000-0002-7349-1475)
- Annunziato Amendola (ORCID: https://orcid.org/0000-0002-1239-644X)
Institutions
- Duke University Hospital (US)
Publication Details
- Journal
- The American Journal of Sports Medicine
- Published
- 2025-07-20
- DOI
- https://doi.org/10.1177/03635465251350394
- Citations
- 1
- Primary Topic
- Lower Extremity Biomechanics and Pathologies
- Type
- article
- Field-Weighted Citation Impact
- 0.67