Evidence map›Paper›PMID 31286929›Full record

Trial reportBMC musculoskeletal disorders2019

Recurrent lateral patella dislocation affects knee function as much as ACL deficiency - however patients wait five times longer for treatment.

Truls Martin Straume-Næsheim, Per-Henrik Randsborg, Jan Rune Mikaelsen, Einar Andreas Sivertsen, Brian Devitt, Lars-Petter Granan, Asbjørn Årøen

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02263807 (RCT Study), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT02263807 nacompletednot on this map

RCT Study:Knee Function in Patients With Two or More Episodes of Patella Dislocations

TypeinterventionalSponsorAsbjorn AroenRan2010 to 2022Enrolled61ConditionsJoint InstabilityArmsMPFL Group, Control
3 · Its place in the literature

Who cites it

26 citing papers in PubMed.

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  4. Risk Factor Evaluation for Loose Body Following First-Time Patellar Dislocation in Pediatric Patients.Journal of the Pediatric Orthopaedic Society of North America · 2026
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  8. Review
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  15. Rehabilitation after surgery for patellar instability.Journal of experimental orthopaedics · 2024
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  17. Observational
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  20. Medial patellofemoral ligament reconstruction for recurrent patellar dislocation allows a good rate to return to sport.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Truls Martin Straume-NæsheimThe Department of Orthopaedic Surgery, Akershus University Hospital, 1478, Lørenskog, Norway. trul@ahus.no.ORCID http://orcid.org/0000-0002-7467-7757
Per-Henrik RandsborgThe Department of Orthopaedic Surgery, Akershus University Hospital, 1478, Lørenskog, Norway.
Jan Rune MikaelsenThe Department of Orthopaedic Surgery, Akershus University Hospital, 1478, Lørenskog, Norway.
Einar Andreas SivertsenDepartment of Orthopaedic Surgery, Lovisenberg Diaconal Hospital, Oslo, Norway.
Brian DevittOrthoSport Victoria, Melbourne, Australia.
Lars-Petter GrananOslo University Hospital, Oslo, Norway.
Asbjørn ÅrøenThe Department of Orthopaedic Surgery, Akershus University Hospital, 1478, Lørenskog, Norway.

Funding

Helse Sør-Øst RHF 2016094
6 · The paper itself

Abstract

backgroundSurgical treatment of young patients with recurrent lateral patella dislocation (RLDP) is often recommended because of loss of knee function that compromises their level of activity or even their daily life functioning. This situation is comparable to young patients with an anterior cruciate ligament (ACL) rupture. The purpose of this study was therefore to explore the time from injury to surgery and the pre-operative symptoms and knee function of young RLPD patients scheduled for stabilizing surgery and compare this group to age and sex-matched ACL-deficient patients.

methodForty-seven patients with unilateral RLPD listed for isolated medial patellofemoral ligament reconstruction were included in the study (RLPD-group). This group was compared to an age, sex and BMI matched ACL patient group obtained from the Norwegian knee ligament registry (ACL-group) for the following outcome measures: the knee injury and osteoarthritis outcome score (KOOS) assessed on the day of surgery and time from injury to surgery.

resultsThe RLPD-group scored significantly lower than the ACL-group for the three KOOS subscales "Pain" (73.6 vs. 79.8, p < 0.05), "Symptoms" (71.7 vs. 79.3, p < 0.05) and "ADL" (84.7 vs 89.5, p < 0.05). The lowest KOOS values were found for Sports/Recreation (53.5 vs. 51.3, p = 0.65) and Quality of life (37.6 vs. 36.7, p = 0.81). The average time from primary injury to surgery was 6 months for the ACL group and 31 months for the RLPD group.

conclusionRLPD affected knee function as much as ACL deficiency, and was associated with more pain. Still the RLDP patients waited on average 5 times longer for surgery.

trial registrationThe patients with RLPD consisted of patients who were examined for possible recruitment for a concurrent prospective randomized controlled trial comparing conservative treatment and isolated surgical medial patellofemoral ligament (MPFL) reconstruction (Clinical trials no: NCT02263807 , October 2014).

Indexed as

Activities of Daily LivingAdolescentAdultAnterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionArthroscopyFemaleHumansJoint InstabilityKnee JointMalePatellar DislocationProspective StudiesQuality of LifeRecurrenceReoperationComparative studyIndication for surgeryPatella dislocationSymptoms and function evaluationTime to surgeryYoung adults and adolescents

Identifiers

PMID31286929
PMCPMC6615144

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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.