MPFL in First-Time Dislocators. Review uri icon

Overview

abstract

  • PURPOSE OF REVIEW: Historically, the standard of care for patients with an acute patella dislocation has been non-operative with the exception being those with a loose body or osteochondral fracture requiring fixation or removal. RECENT FINDINGS: Recent literature has brought into question this standard of care approach and defined a higher risk subset of first-time dislocators who may benefit from early operative treatment. In addition, these studies suggest that operative treatment not only reduces the risk of recurrence but may improve outcomes overall and specifically in the pediatric population. Though the "high risk" population of first-time dislocators has been more clearly defined, how we treat them remains controversial. We continue to need more evidence-based guidelines to help us manage who we should be fixing and how we should be fixing them. We currently have several multi-center studies in progress, including one specifically looking at the question of medial patellofemoral ligament reconstruction in first-time pediatric and adolescent dislocators.

publication date

  • June 1, 2018

Identity

PubMed Central ID

  • PMC5970108

Scopus Document Identifier

  • 85045755374

Digital Object Identifier (DOI)

  • 10.1007/s00167-015-3716-3

PubMed ID

  • 29682680

Additional Document Info

volume

  • 11

issue

  • 2