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- W2054183283 endingPage "101" @default.
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- W2054183283 abstract "Acute patellar dislocations can result in patellar instability, pain, recurrent dislocations, decreased level of sporting activity, and patellofemoral arthritis. The initial management of a first-time traumatic patellar dislocation is controversial with no evidence-based consensus to guide decision making. Most first-time traumatic patellar dislocations have been traditionally treated nonoperatively; however, there has been a recent trend in initial surgical management. We performed a systematic review of Level I-IV studies to make evidence-based medicine recommendations on how a clinician should approach the diagnosis and treatment of a first-time traumatic dislocation. More specifically we answer the primary question of when initial treatment should consist of operative versus closed management. Based on the review of 70 articles looking at study design, mean followup, subjective and validated outcome measures, redislocation rates, and long-term symptoms, we recommend initial nonoperative management of a first-time traumatic dislocation except in several specific circumstances. These include the presence of an osteochondral fracture, substantial disruption of the medial patellar stabilizers, a laterally subluxated patella with normal alignment of the contralateral knee, or a second dislocation, or in patients not improving with appropriate rehabilitation." @default.
- W2054183283 created "2016-06-24" @default.
- W2054183283 creator A5011277451 @default.
- W2054183283 creator A5078747796 @default.
- W2054183283 date "2007-02-01" @default.
- W2054183283 modified "2023-10-06" @default.
- W2054183283 title "First-time Traumatic Patellar Dislocation" @default.
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- W2054183283 doi "https://doi.org/10.1097/blo.0b013e31802eb40a" @default.
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