Purpose: This study aimed to identify the most effective method for the treatment of the symptomatic bipartite patella.
Methods: A systematic review of the literature was completed, and all studies assessing the management of a bipartite patella were included. Owing to the paucity of randomised controlled trials, a narrative review of 22 studies was completed. A range of treatments were assessed: conservative measures, open and arthroscopic fixation or excision and soft tissue release and excision.
Results: All of the methods provided results ranging from good to excellent, with acceptable complication rates.
Conclusions: This is a poorly answered treatment question. No firm guidance can be given as to the most appropriate method of treating the symptomatic bipartite patella. This study suggests that there are a number of effective treatments with acceptable complication rates and it may be that treatments that conserve the patella are more appropriate for larger fragments.
Level Of Evidence: IV.
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| http://dx.doi.org/10.1007/s00167-014-3498-z | DOI Listing |
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