Surgical versus non-surgical interventions for treating patellar dislocation

Smith, Toby; Donell, Simon; Song, Fujian; Hing, Caroline B.

doi:10.1002/14651858.cd008106.pub3

Cited by 120 publications

(95 citation statements)

References 58 publications

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“…21 A recent Cochrane review of six studies with 344 participants found that participants managed surgically had a significantly lower risk of recurrent dislocation following first-time dislocation at 2 to 9 years of follow-up compared with those managed conservatively. 22 There were no differences in physical function scores. The authors, however, pointed out that the quality of evidence was very low because of the high risk of bias and the imprecision of the effect estimates.…”

Section: Discussionmentioning

confidence: 86%

“…The authors, however, pointed out that the quality of evidence was very low because of the high risk of bias and the imprecision of the effect estimates. 22 They recommended that adequately powered, multicentre, randomised controlled trials are needed to substantiate this evidence. 22 Erickson et al 23 carried out a systematic review of four metaanalyses on surgical treatment of first-time patellar dislocations.…”

Section: Discussionmentioning

confidence: 99%

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Management of traumatic patellar dislocation in a regional hospital in Hong Kong

Lee

Yau

2016

Hong Kong Med J

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Management of traumatic patellar dislocation in a regional hospital in Hong Kong

Lee

Yau

2016

Hong Kong Med J

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“…Because the evidence in the literature is unsatisfying, no optimal treatment choice is available for this issue (18). Complexity of patellofemoral instability can make the decision of treatment more difficult.…”

Section: Discussionmentioning

confidence: 99%

Results of Conservative Treatment of First Time Acute Lateral Patella Dislocation

Gül¹,

Çetinkaya²,

Buyukkuscu³

et al. 2017

JAREM

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Objective: Acute patellar dislocations account for 2-3% of all knee injuries. Patients with first-time acute lateral patellar dislocations can be conservatively treated. This study aimed to evaluate the conservative treatment method and clinical outcomes in these patients.Methods: Between 2013 and 2016, patients with traumatic first-time acute patellar dislocation were retrospectively evaluated. Clinically, patients with positive knee joint medial retinaculum tenderness, joint effusion, and positive patellar scaring test results were evaluated. The diagnosis of these patients was supported using direct anteroposterior and lateral knee radiographs and magnetic resonance imaging. The patients' visual pain scale evaluations were performed before and after treatment. Kujala functional assessment scoring was performed only after treatment. Wilcoxon statistical analysis was used to evaluate dependent groups.Results: The mean follow-up period of the patients was 13 months (range, 7-34 months). Three patients were female and 12 were male. Fifteen patient's mean preoperative VAS (Görsel Ağrı Skoru) scores were 8.6 points (range, 7-10), and 1.4 points (range, 0-3) after treatment. The decrease in VAS score was statistically significant (p<0.05). The Kujala score was 87.2 (range, 80-96) in the final evaluations. According to this score, 5 patients were rates as excellent and 10 as good and there were no patients who were worse. Conclusion:The most important aspect of this study is the observation that conservative treatment can achieve good functional outcomes for MPFL tears from bone adherence sites during first-time traumatic patellar dislocation. We conclude that conservative treatment can provide a successful outcome when appropriate patient selection is done.

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“…Functional rehabilitation is the mainstay of nonoperative management with particular focus on gait, core stability, and quadriceps strengthening [50]. A small number of older randomized trials comparing operative and nonoperative treatment of initial patellar dislocation found no benefit from immediate medial retinacular repair [51,52].…”

Section: Nonoperative Managementmentioning

confidence: 99%

Patellofemoral Joint Instability: A Review of Current Concepts

Kader¹,

Matar²,

Caplan³

2016

jot

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The patellofemoral joint remains the enigma of orthopedics and sports medicine. Patellar dislocation is a common problem in the younger and athletic population and it is more disabling than cruciate ligament injuries. The pathology is often multifactorial and complex with no one factor being the sole defining etiology. The current management of patella dislocation has been linked with poor patient satisfaction possibly due to a prolonged period of conservative treatment and the general tendency to delay surgical intervention. This review will address the main abnormal anatomical factors contributing to patellar instability, their clinical and radiological diagnoses, and the role of various surgical interventions, including the medial patellofemoral ligament reconstruction in stabilizing the patella.

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Surgical versus non-surgical interventions for treating patellar dislocation

Cited by 120 publications

References 58 publications

Management of traumatic patellar dislocation in a regional hospital in Hong Kong

Management of traumatic patellar dislocation in a regional hospital in Hong Kong

Results of Conservative Treatment of First Time Acute Lateral Patella Dislocation

Patellofemoral Joint Instability: A Review of Current Concepts

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