Conservative Versus Surgical Treatment for Primary Patellar Dislocation

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Surgical versus non-surgical interventions for treating patellar dislocation.

BACKGROUND Patellar dislocation occurs when the patella disengages completely from the trochlear (femoral) groove. Following reduction of the dislocation, conservative (non-surgical) rehabilitation with physiotherapy may be used. Since recurrence of dislocation is common, some surgeons have advocated surgical intervention rather than non-surgical interventions. This is an update of a Cochrane r...

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Operative versus conservative treatment for patellar dislocation: a meta-analysis of 7 randomized controlled trials

PURPOSE Patellofemoral pathology is common, and patellofemoral dislocation mainly affects adolescents and young adults. We conducted a meta-analysis exclusively of RCTs to compare the clinical outcomes of patellar dislocation patients managed operatively versus non-operatively. METHODS After systematic review of electronic databases and websites, a total of 7 RCTs reporting data on 402 subjec...

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First patellar dislocation: from conservative treatment to return to sport.

Treatment of first patellar dislocation is usually conservative and the subsequent rehabilitation program is based on specifically formulated objectives, which can be divided into different stages: stage 1: resolution of pain, swelling and inflammation; stage 2: recovery of joint motion and flexibility; stage 3: recovery of muscle strength; stage 4: recovery of motor patterns and coordination; ...

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First-time patellar dislocation: surgery or conservative treatment?

Primary patellar dislocation injures the medial patellofemoral ligament (MPFL), the major soft-tissue stabilizer of the patella, which may lead to recurrent patellar instability. Recurrent patellar dislocation are common and may require surgical intervention. The variation in location of injury of the MPFL and the presence of an osteochondral fracture produces challenges in clinical decision ma...

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Primary traumatic patellar dislocation

Acute traumatic patellar dislocation is a common injury in the active and young adult populations. MRI of the knee is recommended in all patients who present with acute patellar dislocation. Numerous operative and non-operative methods have been described to treat the injuries; however, the ideal management of the acute traumatic patellar dislocation in young adults is still in debate. This art...

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ژورنال

عنوان ژورنال: Deutsches Aerzteblatt Online

سال: 2020

ISSN: 1866-0452

DOI: 10.3238/arztebl.2020.0279