AI Article Synopsis
- The treatment of acute patellar dislocation is debated among orthopedic surgeons, with a shift from traditional conservative methods to more surgical interventions due to high redislocation rates.
- Recent studies emphasize addressing both knee joint issues and contributing factors to instability, signifying a more comprehensive approach to treatment.
- Surgical procedures like medial patella-femoral ligament (MPFL) repair or reconstruction have become popular for improving long-term patellar stability, although further research is necessary to optimize outcomes.
Article Abstract
The treatment of acute patellar dislocation remains a topic of debate among orthopedic surgeons. While conservative treatment has traditionally been favored, recent studies have highlighted the high redislocation rate, prompting a reevaluation of treatment strategies. Current approaches recognize the importance of addressing not only the knee joint but also associated factors contributing to instability. Surgical intervention, particularly focusing on restoring patellar stability through medial patella-femoral ligament (MPFL), repair or reconstruction, has gained popularity. MPFL reconstruction can provide long-term stability of the patella, but further research is needed. When acute patellar dislocation is associated with abnormal bony factors, multiple surgical modalities are often required, with the goal of restoring the normal trajectory of the patella, maintaining the stability of the patellofemoral joint, and optimizing knee joint function. This review provides an overview of advances in the treatment of acute patellar dislocation and related problems, so as to provide reference for clinicians.
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| http://dx.doi.org/10.12200/j.issn.1003-0034.20221335 | DOI Listing |
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