No abstract

PurposePatellofemoral pathology is common, and patellofemoral dislocation mainly affects adolescents and young adults. We conducted a meta-analysis exclusively of RCTs to compare the clinical outcomes of patellar dislocation patients managed operatively versus non-operatively.MethodsAfter systematic review of electronic databases and websites, a total of 7 RCTs reporting data on 402 subjects were included. The methodological quality of the literature was assessed using the PEDro critical appraisal tool. Mean differences (MDs) and risk ratio (RR) were calculated for the pooled effects. Heterogeneity was assessed using the I2 test.ResultsData synthesis showed a lower rate of recurrent patellar dislocation post-treatment in patients managed operatively compared to non-operatively (P = 0.01).ConclusionThe results suggest a difference in outcomes between the treatment strategies. However the limited number of studies and high risk of inherent bias indicate that future studies involving more patients in better-designed randomized controlled trials will be required.Virtual slidesThe virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/8011948721221355.

The purpose of this study was to compare the clinical effects of patelloplasty and traditional patellar management in total knee arthroplasty (TKA) for osteoarthritis. A total of 152 patients with osteoarthritis treated with TKA between January 2004 and December 2005 were retrospectively studied. The patients were randomly divided into 2 groups: the patelloplasty group (group A; n=76) and the traditional treatment group (group B; n=76). Knee Society Score (KSS), Feller patellar score, Lonner patellar score, patient satisfaction, joint range of motion (ROM), and incidence of postoperative anterior knee pain were compared between the groups. Mean follow-up was 55 months (range, 48-71 months) for 132 patients, including 68 patients in group A and 64 in group B. Significant differences were found in KSS functional score, Feller patellar score, Lonner patellar score, and patient satisfaction, but no significant differences were found in ROM and total KSS score between the groups postoperatively. Group A obtained higher KSS scores and patient satisfaction than group B, with no significant difference in postoperative anterior knee pain. Postoperative radiographs revealed a significant difference in patellofemoral congruence between the groups. Patelloplasty relieves pain, enhances patient satisfaction, and improves function better than traditional patellar management in TKA with patellar nonresurfacing.