SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2014
Surgical versus non-surgical management for primary patellar dislocations: an up-to-date meta-analysis.
Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 7 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Age Is a Key Factor Influencing the Choice of Treatment for Primary Patellar Dislocation: A Systematic Review and Meta-analysis.Orthopaedic surgery · 2024Pooled it
- MPFL repair after acute first-time patellar dislocation results in lower redislocation rates and less knee pain compared to rehabilitation: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Conservative Versus Surgical Treatment for Primary Patellar Dislocation.Deutsches Arzteblatt international · 2020Pooled it
- Does surgical treatment produce better outcomes than conservative treatment for acute primary patellar dislocations? A meta-analysis of 10 randomized controlled trials.Journal of orthopaedic surgery and research · 2020Pooled it
- Surgical versus nonsurgical treatment of primary acute patellar dislocation: A systematic review and meta-analysis.Medicine · 2019Pooled it
- Surgical versus conservative treatment of primary patellar dislocation. A systematic review and meta-analysis.International orthopaedics · 2016Pooled it
- Surgical versus conservative management of acute patellar dislocation in children and adolescents: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Pooled it
- Predisposing Anatomical Patellofemoral Factors for Subsequent Patellar Dislocation.Life (Basel, Switzerland) · 2025Article
- Patellar Dislocation: Workup and Decision-Making.Cureus · 2023Review
- Initial conservative treatment of osteochondral fracture of the patella following first-time patellar dislocation.BMC musculoskeletal disorders · 2020Article
- Comparison Between Surgical and Nonsurgical Treatment for Primary Patellar Dislocations in Adolescents: A Systematic Review and Meta-analysis of Comparative Studies.Orthopaedic journal of sports medicine · 2020Review
- Surgical medial patellofemoral ligament reconstruction versus non-surgical treatment of acute primary patellar dislocation: a prospective controlled trial.International orthopaedics · 2019Article
- Recent developments in evaluation and treatment of lateral patellar instability.Journal of experimental orthopaedics · 2018Review
- Optimized cartilage visualization using 7-T sodium ((23)Na) imaging after patella dislocation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
- Management of Acute Patellar Dislocation: A Case Report.Journal of chiropractic medicine · 2015Article
- I.S.Mu.L.T. first-time patellar dislocation guidelines.Muscles, ligaments and tendons journalArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this up-to-date meta-analysis was to compare the effects of surgical versus non-surgical treatment of patients following primary patellar dislocation and to provide the best evidence currently available. A comprehensive literature search was conducted using multiple databases, including Medline, Embase, and Cochrane Registry of Clinical Trials. All databases were searched from the earliest records to May 2013. Eligible studies were selected, and data were extracted by two independent investigators. The primary outcome variable was the frequency of recurrent patellar dislocation. The other outcomes included knee function scores, patient-rated outcomes, and radiographic examination. If appropriate, meta-analysis of these variables was performed. Nine independent trials were found to match the inclusion criteria. The pooled results demonstrated that the incidence of recurrent patellar dislocation and Hughston visual analog scale was significantly lower in the surgical treatment group than that in the non-surgical treatment group (P < 0.05). There was no statistically significant difference between the two treatment groups in frequency of subsequent surgical interventions, percentage of excellent or good subjective opinion, Kujala score, pain score on visual analog scale, and severity of patellofemoral joint osteoarthrosis (P > 0.05). This up-to-date meta-analysis indicates that surgical treatment was associated with a lower risk of recurrent patellar dislocation, but a lower Hughston VAS than non-surgical treatment for primary patellar dislocation. More large high-quality trials and further studies are needed to overcome the limitations of small sample sizes, and varieties of different surgical procedures or non-surgical management strategies adopted in the included trials.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.