SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016
Surgical versus conservative management of acute patellar dislocation in children and adolescents: a systematic review.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 4 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
54 citing papers in PubMed, 4 syntheses or guidelines pooled it, 112 citations in OpenAlex.
- Frequency of Adjunctive MRI Findings on First-Time Patellar Dislocations in Pediatric Patients: A Systematic Review.The American journal of sports medicine · 2026Pooled it
- Age Is a Key Factor Influencing the Choice of Treatment for Primary Patellar Dislocation: A Systematic Review and Meta-analysis.Orthopaedic surgery · 2024Pooled it
- Surgical versus nonsurgical treatment of primary acute patellar dislocation: A systematic review and meta-analysis.Medicine · 2019Pooled it
- Trochleoplasty procedures show complication rates similar to other patellar-stabilizing procedures.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Pooled it
- Government Insurance and Higher Area Deprivation Index Associated With Increased Time to Care in Patients With Traumatic Patellar Instability.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Biomechanical Comparison of Patellar Fixation Techniques in Medial Patellofemoral Ligament Reconstruction: A Pediatric Cadaveric Study.Orthopaedic journal of sports medicine · 2026Article
- Management of first-time patellar dislocation: The ESSKA 2024 formal consensus-Part 2.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Patellofemoral Joint Anatomy Is Associated With Landing Mechanics After Operative Treatment for Patellar Instability.Orthopaedic journal of sports medicine · 2025Article
- Physeal-Sparing Medial Patellofemoral Ligament Reconstruction With Medial Patellotibial Ligament Augmentation for Recurrent Patellar Instability.Arthroscopy techniques · 2025Article
- Midterm Outcomes of Medial Patellofemoral Ligament Reconstruction in Adolescent Athletes: Comparison Between Acute and Recurrent Patella Dislocation.Journal of clinical medicine · 2025Article
- Outcomes following surgical management of patellar instability in hypermobile patients are favourable compared to non-operative management in non-hypermobile patients: A systematic review and meta-analysis.Journal of experimental orthopaedics · 2025Review
- Prognostic Factors of First-Time Athletic Patellar Dislocation That Favor Surgical Intervention: A Systematic Review.Cureus · 2025Review
- Total knee arthroplasty and medial patellofemoral ligament reconstruction for knee osteoarthritis with habitual patellar dislocation: a case report.Frontiers in surgery · 2025Article
- Translation and Validation of the Spanish Version of the Banff Patellofemoral Instability Instrument 2.0.Orthopaedic journal of sports medicine · 2024Article
- Minipatellar Tunnels for Transosseous Fixation of Medial Patellofemoral Ligament Graft Using High-strength Suture.Arthroscopy techniques · 2024Article
- Review
- Patient-reported Outcomes Following Nonoperative Treatment of Pediatric First-Time Patellar Dislocation.Journal of the Pediatric Orthopaedic Society of North America · 2024Article
- Arthroscopic medial patellofemoral ligament reconstruction with polyethylene suture combined with medial retinaculum plication for the treatment of acute patellar dislocation in young and middle-aged patients with a follow-up of at least 2 years.BMC musculoskeletal disorders · 2024Article
- Risk factors and treatment rationale for patellofemoral instability in the pediatric population.Journal of the Pediatric Orthopaedic Society of North America · 2024Review
- Adaptation of the Banff Patellofemoral Instability Instrument (BPII) 2.0 into Swedish.Acta orthopaedica · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe goal of this study was to perform a comparative review to determine whether there is a significant difference in the rate of repeat dislocation and clinical outcome between surgical and conservative management of acute patellar dislocation in children and adolescents.
methodsA systematic review of the MEDLINE database was performed. English-language clinical outcome studies with a primary outcome/treatment specific to acute patella dislocation in a paediatric population were included. Eleven studies met inclusion criteria; Chi-square analysis, independent t tests and weighted mean pooled cohort statistics were performed where appropriate.
resultsA total of 470 conservatively managed and 157 operatively treated knees were included. Conservatively managed patients were on average 17.0 years and had a mean follow-up of 3.9 years; surgically managed patients were on average 16.1 years and had a mean follow-up of 4.7 years. Conservatively managed knees had a 31% rate of recurrent dislocation rate compared to 22% in surgical knees (p = 0.04). Trochlear dysplasia and skeletal immaturity confer greater risk for recurrent instability. Surgical treatment may provide clinically important quality of life and sporting benefit.
conclusionsSurgical treatment of first time patella dislocation in children and adolescents is associated with a lower risk of recurrent dislocation and higher health-related quality of life and sporting function. There is a paucity of evidence on MPFL reconstruction for first time traumatic patella dislocation in this population. LEVEL OF EVIDENCE: IV.
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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.