SynthesisJournal of orthopaedic surgery and research2023
Conservative management following patellar dislocation: a level I systematic review.
Synthesis in Journal of orthopaedic surgery and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 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
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Combined medial patellofemoral ligament and medial quadriceps tendon-femoral ligament reconstruction for patellar instability: a systematic review.Journal of orthopaedic surgery and research · 2026Pooled it
- A systematic review of outcomes reported in randomized controlled trials involving people with patellar dislocations.Bone & joint open · 2025Pooled it
- Optimizing medial patellofemoral ligament reconstruction: a randomized trial of 3D-printed guide plates for enhanced femoral tunnel accuracy and early functional recovery.Journal of orthopaedic surgery and research · 2026Trial
- Double-Bundle Medial Patellofemoral Ligament Reconstruction Using Free Rectus Femoris Autograft.Arthroscopy techniques · 2026Article
- Differential Quadriceps Muscle Activation Preoperatively and at the Time of Return to Sport After Medial Patellofemoral Ligament Reconstruction.Orthopaedic journal of sports medicine · 2026Article
- Reconstruction of the medial patellofemoral ligament using a double-bundle semitendinosus tendon graft and a single suture anchor.Journal of orthopaedic surgery and research · 2026Article
- Comparative cadaveric biomechanical analysis of vastus medialis advancement and medial patellofemoral ligament reconstruction.Journal of orthopaedic surgery and research · 2026Article
- A retrospective Follow-Up after derotational distal femoral osteotomy combined with medial patellofemoral ligament reconstruction for the treatment of recurrent patellar dislocation.Journal of orthopaedic surgery and research · 2026Article
- Bilateral Trochleoplasty Procedures Following Bilateral Femoral Rotational Osteotomies for Bilateral Dejour Type D Trochlear Dysplasia.Ochsner journal · 2026Article
- Conservative Management of Focal Chondral Lesions of the Knee and Ankle: Current Concepts.Cells · 2025Review
- Approach to Patellar Dislocation Treatment: Review and Prospects.Orthopaedic surgery · 2025Review
- Predisposing Anatomical Patellofemoral Factors for Subsequent Patellar Dislocation.Life (Basel, Switzerland) · 2025Article
- The 50 most cited articles on patellofemoral instability: A bibliometric and network analysis of research trends and impact.Journal of orthopaedics · 2025Article
- Prediction of patellofemoral instability by quantitative ultrasound elastography device: a feasibility study.BMC musculoskeletal disorders · 2025Article
- Isokinetic Strength Profiles Among Youth after Medial Patellofemoral Ligament Reconstruction.International journal of sports physical therapy · 2025Article
- The Benefits of a Rehabilitation Program Following Medial Patellofemoral Ligament Reconstruction.Life (Basel, Switzerland) · 2024Article
- 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
- Non-operative Management of Acute Knee Injuries.Current reviews in musculoskeletal medicine · 2024Review
- Physical Therapy Management of the First-Time Patellar Instability Event.Video journal of sports medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatellar instability is a common and disabling clinical condition. Treatment of acute primary patellar dislocation aims to reduce the risk of recurrence or painful subluxation and improve function. However, the actual clinical efficacy of any management modality following an acute dislocation has never been demonstrated in prospective or retrospective studies, and the optimal way in which the various management modalities should be used is at best unclear.
methodsA search was conducted in PubMed, Bireme and Embase databases. Inclusion criteria followed the acronym PICOS, (P) subjects with patellar instability, (I) therapeutic interventions, (C) placebo or control or surgical treatments, (O) rate of dislocations and function, and (S) clinical trials. The Medical Subject Headings (MeSH) terms used were: (("patellar instability") OR ("patellar dislocation")) AND ((physiotherapy) OR (rehabilitation) OR ("conservative treatment") OR (therapy) OR (therapeutic)). The risk of bias was analysed using the PeDRO scale.
resultsSeven randomized controlled trials including 282 patients were considered. The quality of studies detailing the results of conservative treatment was higher than that of surgical procedures, but all studies have relatively low methodological quality. Four studies compared physiotherapeutic interventions with surgical procedures, and three studies compared conservative intervention techniques.
conclusionAn unstructured lower limb physical therapy programme evidences similar outcomes to specific exercises. Surgical management is associated with a lower rate of re-dislocation; however, whether surgery produces greater functional outcomes than conservative management is still unclear. The use of a knee brace with a limited range of motion, stretching and neuromuscular exercises are the most commonly recommended physiotherapy methodologies.
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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.