ReviewKnee surgery & related research2023
A systematic review and meta-analysis comparing conservative and surgical treatments for acute patellar dislocation in children and adolescents.
Review in Knee surgery & related research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 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
13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- Performance of artificial intelligence in automated measurement of patellofemoral joint parameters: a systematic review.Journal of orthopaedic surgery and research · 2025Pooled it
- Surgical management of first-time patellar dislocations in paediatric patients may lower rates of redislocation compared to conservative management: A systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Pooled 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
- Patellofemoral Instability in the Adolescent Age Group.Indian journal of orthopaedics · 2026Review
- Impact of Lower Extremity Torsion on Clinical Outcomes Following Medial Patellofemoral Ligament Reconstruction.Orthopaedic journal of sports medicine · 2026Article
- Radiographic Predictors of Excessive Lower Limb Torsion in Patients With Recurrent Patellar Dislocation.Orthopaedic journal of sports medicine · 2026Article
- Approach to Patellar Dislocation Treatment: Review and Prospects.Orthopaedic surgery · 2025Review
- Do Social Determinants of Health Impact the Initial Evaluation and Management of Pediatric Patients With First-Time Patellofemoral Dislocation?Journal of pediatric orthopedics · 2025Article
- Reconstruction of the Medial Patellofemoral Ligament Through a Double Bundle of a Single Patellar Tract and Quadriceps Tendon: A Modified Technique.Arthroscopy techniques · 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
- Risk factors and treatment rationale for patellofemoral instability in the pediatric population.Journal of the Pediatric Orthopaedic Society of North America · 2024Review
- Non-operative Management of Acute Knee Injuries.Current reviews in musculoskeletal medicine · 2024Review
- Association between joint dislocation and malignant hyperthermia.Anaesthesia reportsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study sought to clarify treatment evidence to treat patellar dislocation by evaluating which treatment could yield better improvement of clinical outcomes for acute patellar dislocation in children and adolescents 18 years of age or younger. MATERIALS AND
methodsMEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials electronic databases were searched for relevant articles comparing clinical outcomes of conservative and surgical treatments for acute patellar dislocation in children and adolescents published from March 2008 to August 2022. Data searching, extraction, analysis, and quality assessment were performed on the basis of the Cochrane Collaboration guidelines. The quality assessment of each study was investigated using the Physiotherapy Evidence Database (PEDro) critical appraisal scoring system and Newcastle-Ottawa Quality Assessment Scale scores. To calculate the overall combined effect size for each outcome, Review Manager Version 5.3 (The Cochrane Collaboration, Software Update, Oxford) was employed.
resultsThree randomized controlled trials (RCTs) and one prospective study were investigated. In terms of pain [mean difference (MD) 6.59, 95% confidence interval (CI) 1.73-11.45, I
conclusionsDespite better pain outcomes with conservative group, the present study revealed no significant differences in clinical outcomes between conservative treatment and surgical treatment in children and adolescents with acute patellar dislocation. Since there are no significant differences in clinical outcomes between the two groups, routine surgical treatment is not advocated for treating acute patellar dislocation in children and adolescents.
Indexed as
Identifiers
What OpenQuestion holds
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.