ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
Surgery for patellar dislocation has evolved towards anatomical reconstructions with assessment and treatment of anatomical risk factors.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Medial quadriceps tendon-femoral ligament reconstruction for recurrent patellofemoral instability: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Pooled it
- Good clinical outcomes after patellar cartilage repair with no evidence for inferior results in complex cases with the need for additional patellofemoral realignment procedures: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- The impact of increasing femoral width on anatomic risk factors for patellar instability in paediatric patients: a retrospective MRI case-control study.BMC musculoskeletal disorders · 2026Article
- MPFL reconstruction vs. Insall procedure for adolescent patellar instability: nine-year follow-up on osteoarthritis, redislocations, and return to sports.BMC musculoskeletal disorders · 2025Article
- Decreased Association Between Patellar Axial Malalignment and Patellar Height and Increased Association Between Patellar Axial Malalignment and Tibial Tubercle-Trochlear Groove During Weightbearing.Clinical orthopaedics and related research · 2025Observational
- Enhanced early rehabilitation and pain management with all-arthroscopic medial patellofemoral ligament reconstruction: A comparative study.Journal of experimental orthopaedics · 2025Article
- Current Concept Review: Medial Patellofemoral Ligament Reconstruction: From Rehabilitation to Return to Sport.International journal of sports physical therapy · 2025Article
- Predictors and Early Treatment of Knee Arthrofibrosis After Arthroscopic Knee Ligament Reconstruction Surgery in Adolescent Patients.Orthopaedic journal of sports medicine · 2024Article
- All-Suture Anchor Onlay Fixation for Medial Patellofemoral Ligament Reconstruction: A Biomechanical Comparison of Fixation Constructs.Orthopaedic journal of sports medicine · 2024Article
- The Benefits of a Rehabilitation Program Following Medial Patellofemoral Ligament Reconstruction.Life (Basel, Switzerland) · 2024Article
- Medial Patellofemoral Ligament Reconstruction: A Case Report for an Integrated Rehabilitation Approach.Cureus · 2024Article
- Chronic Patellar Dislocation Treated With Extensive Lateral Release and Vastus Medialis Obliquus Advancement: A Case Report.Case reports in orthopedics · 2024Article
- Patellar Dislocation: Workup and Decision-Making.Cureus · 2023Review
- Axial orientation of the femoral trochlea is superior to femoral anteversion for predicting patellar instability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- The influence of primary treatment approach on outcomes in patients with osteochondral fracture after patellar dislocation: a case series.Knee surgery & related research · 2023Article
- Incidence and concomitant chondral injuries in a consecutive cohort of primary traumatic patellar dislocations examined with sub-acute MRI.International orthopaedics · 2023Article
- Prediction of Subsequent Contralateral Patellar Dislocation after First-Time Dislocation Based on Patellofemoral Morphologies.Journal of clinical medicine · 2022Article
- A Scientometric Analysis of Studies on Patellar Dislocation.Orthopaedic journal of sports medicine · 2022Review
- Outcomes following the operative treatment of intra-articular fracture combined with medial patellofemoral ligament reconstruction after patellar dislocation.Knee surgery & related research · 2022Article
- Increased tibial tubercle-trochlear groove and patellar height indicate a higher risk of recurrent patellar dislocation following medial reefing.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIncreasing knowledge on the treatment of patellar dislocation has resulted in the development of new surgical techniques for patella stabilisation. National incidence and trends in surgery for patellar dislocation were examined using data from the Finnish National Hospital Discharge Register (NHDR). The hypothesis was that an increased understanding of the pathophysiology of patellar instability has increased the popularity of reconstructing damaged structures and modification of anatomical risk factors.
methodsData from the years 1997-2016 were collected from the NHDR database using ICD-10 diagnostic codes and the Nomesco Classification of Surgical Procedures (NCSP) codes. Surgical procedures were categorised into subgroups representing the main surgical approaches of patellar dislocation. Total incidence of surgery for patellar dislocation and change in incidence during the study period were calculated.
resultsA total of 9702 operations for patellar dislocation were performed during the study period. Median (IQR) patient age at time of primary surgery was 23 (18-34) years. The total incidence of surgeries remained stable across the study period at of 8.9 per 100,000 person-years. Incidences of ligament reconstruction, femoral osteotomies and osteochondral fragment reimplantation operations multiplied during the study period. Ligament reconstruction procedures were the most performed operations at the end of the study period.
conclusionThe incidence of surgical procedures for patellar dislocation remained unchanged during the years 1997-2016. Ligament reconstruction procedures increased in popularity. Surgical techniques have shifted towards the reconstruction of damaged structures and the modification of congenital anatomical risk factors for patellar dislocation. Diversified surgical techniques have enabled the tailoring and combining of stabilizing procedures according to the patient's individual anatomy.
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