SynthesisDeutsches Arzteblatt international2020
Conservative Versus Surgical Treatment for Primary Patellar Dislocation.
Synthesis in Deutsches Arzteblatt international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.
What it found
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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.
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Who cites it
36 citing papers in PubMed, 50 citations in OpenAlex.
- Medial Patellofemoral Ligament Reconstruction vs Nonoperative Treatment for Recurrent Lateral Patellar Dislocation: Three-Year Results From a Randomized Controlled Trial.The American journal of sports medicine · 2026Trial
- Offset-Reducing and Sulcus-Deepening Trochleoplasty for the Combined Treatment of Patellar Instability and Anterior Knee Pain Using Vicryl Sutures.Arthroscopy techniques · 2026Article
- Primary Lateral Patellar Dislocation Associated with an Increased Sulcus Angle in an African Child: A Case Report of Synthetic Graft-Assisted Medial Patellofemoral Ligament Reconstruction.Reports (MDPI) · 2026Article
- Distal cortical notching significantly decreases tibial stability following tibial tubercle osteotomy: An in vitro porcine biomechanical study.Journal of experimental orthopaedics · 2026Article
- Differential effects of knee flexion on Caton-Deschamps, patellotrochlear and Insall-Salvati indices: A dynamic magnetic resonance imaging-controlled study.Journal of experimental orthopaedics · 2026Article
- Very low dislocation rate and good clinical outcome after Bereiter trochleoplasty and additional procedures following the Copenhagen patella-femoral instability algorithm: One- and two-years outcomes from a consecutive cohort of 368 cases.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Surgical Techniques to Address Patellofemoral Instability: An Individualized Approach.Arthroscopy techniques · 2025Article
- Anchor-Free Minimally Invasive Double-Bundle Medial Patellofemoral Ligament Reconstruction With Medial Retinacular Tightening for the Treatment of Recurrent Patella Dislocation.Arthroscopy techniques · 2025Article
- Thin flap sulcus-deepening trochleoplasty in patellar instability yields good functional outcomes without progressive cartilage deterioration in the short-term follow-up-A retrospective single-surgeon cohort study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Predisposing Anatomical Patellofemoral Factors for Subsequent Patellar Dislocation.Life (Basel, Switzerland) · 2025Article
- Robotic-assisted vs. traditional medial patellofemoral ligament reconstruction: a comparative study of surgical precision and clinical outcomes.BMC surgery · 2025Article
- Management of first-time patellar dislocation: The ESSKA 2024 formal consensus-Part 1.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Mid-term Follow-up Outcomes for Medial Patellofemoral Ligament Reconstruction After Acute First-Time Patellar Dislocation Using Nonresorbable Suture Tape: A Case Series.Orthopaedic journal of sports medicine · 2025Article
- A Landscape of Recent Literature on the Predictors of Success and Failure in Medial Patellofemoral Ligament Reconstruction.Orthopedic reviews · 2025Article
- Managing patellofemoral instability in in-season athletes: a review.Annals of joint · 2025Review
- Is There a Strength Deficit of the Quadriceps Femoris Muscle in Patients Treated Conservatively or Surgically after Primary or Recurrent Patellar Dislocations? A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2024Review
- Tibial Tubercle Trochlear Groove Distance Does Not Correlate With Patellar Tendon Length in Patients Who Underwent Anterior Cruciate Ligament Reconstruction.Arthroscopy, sports medicine, and rehabilitation · 2024Article
- Incidental Finding of an Atypical Cartilaginous Tumor in an Adult Female with Recurrent Patellar Dislocation: Single-stage Extended Curettage using Freezing Nitrogen Ethanol Composite followed by Medial Patello-Femoral Ligament Reconstruction.Acta medica Philippina · 2024Article
- The 100 Top-Cited Articles on Medial Patellofemoral Ligament: A Bibliometric Analysis and Review.Orthopaedic journal of sports medicine · 2024Article
- Isolated medial patellofemoral ligament reconstruction improves static bipedal balance control in young patients with recurrent lateral patellar instability.Journal of orthopaedic surgery and research · 2023Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary patellar dislocation is often the initial manifestation of patellofemoral instability. Its long-term consequences can include recurrent dislocation and permanent dysfunction of the knee joint. There is no consensus on the optimal treatment of primary patellar dislocation in the relevant literature. The main prerequisite for a good long-term result is a realistic assessment of the risk of recurrent dislocation.
methodsWe carried out a systematic literature search in OvidSP (a search engine for full-text databases) and MEDLINE to identify suitable stratification models with respect to the risk of recurrent dislocation.
resultsIn the ten studies included in the current analysis, eight risk factors for recurrence after primary patellar dislocation were identified. Six studies revealed a higher risk in younger patients, particularly those under 16 years of age. The sex of the patient had no clear influence. In two studies, bilateral instability was identified as a risk factor. Two anatomical risk factors-a high-riding patella (patella alta) and trochlear dysplasia-were found to have the greatest influence in six studies. In a metaanalysis of five studies, patella alta predisposed to recurrent dislocation with an odds ratio (OR) of 4.259 (95% confidence interval [1.9; 9.188]). Moreover, a pathologically increased tibial tuberosity to trochlear groove (TT-TG) distance and rupture of the medial patellofemoral ligament (MPFL) on the femoral side were associated with higher recurrence rates. Patients with multiple risk factors in combination had a very high risk of recurrence.
conclusionThe risk of recurrent dislocation after primary patellar dislocation is increased by a number of risk factors, and even more so when multiple such risk factors are present. Published stratification models enable an assessment of the individual risk profile. Patients at low risk can be managed conservatively; surgery should be considered for patients at high risk.
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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.