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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Related Experiment Video

Updated: May 27, 2026

Anterior Cruciate Ligament Transection and Synovial Fluid Lavage in a Rodent Model to Study Joint Inflammation and Posttraumatic Osteoarthritis
06:28

Anterior Cruciate Ligament Transection and Synovial Fluid Lavage in a Rodent Model to Study Joint Inflammation and Posttraumatic Osteoarthritis

Published on: September 2, 2025

Surgical versus non-surgical interventions for treating patellar dislocation.

Caroline B Hing1, Toby O Smith, Simon Donell

  • 1Department of Trauma & Orthopaedic Surgery, Watford General Hospital, Watford, UK. CaroH2712@aol.com.

The Cochrane Database of Systematic Reviews
|November 11, 2011
PubMed
Summary

Surgical versus non-surgical treatment for primary patellar dislocation shows no significant difference in recurrent dislocation rates or functional outcomes. More high-quality trials are needed to confirm these findings for both primary and recurrent cases.

Related Experiment Videos

Last Updated: May 27, 2026

Anterior Cruciate Ligament Transection and Synovial Fluid Lavage in a Rodent Model to Study Joint Inflammation and Posttraumatic Osteoarthritis
06:28

Anterior Cruciate Ligament Transection and Synovial Fluid Lavage in a Rodent Model to Study Joint Inflammation and Posttraumatic Osteoarthritis

Published on: September 2, 2025

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Rehabilitation Science

Background:

  • Patellar dislocation involves the patella completely disengaging from the femoral groove.
  • Conservative rehabilitation is common post-reduction, but surgical intervention is also considered due to frequent recurrence.
  • Recurrent patellar dislocations often prompt surgical consideration alongside rehabilitation.

Purpose of the Study:

  • To compare clinical and radiological outcomes of surgical versus non-surgical interventions for primary or recurrent patellar dislocation.
  • To evaluate the effectiveness of surgical interventions in managing patellar dislocations.
  • To assess patient-rated functional scores and recurrent dislocation rates following different treatment modalities.

Main Methods:

  • Searched multiple databases including Cochrane, MEDLINE, EMBASE, and PEDro up to August 2010.
  • Included randomized and quasi-randomized controlled trials comparing surgical and non-surgical treatments for lateral patellar dislocation.
  • Assessed risk of bias, recurrent dislocation frequency, and patient-rated knee function scores; pooled data where appropriate.

Main Results:

  • Five studies (339 participants) were included, all with methodological limitations.
  • No significant difference found between surgical and non-surgical management for primary patellar dislocation regarding recurrent dislocation risk, functional scores, or need for subsequent surgery.
  • Adverse events were reported in the surgical group; no RCTs addressed recurrent patellar dislocation.

Conclusions:

  • Insufficient high-quality evidence exists to support significant differences between surgical and non-surgical initial management for primary patellar dislocation.
  • No evidence compares surgical versus non-surgical approaches for recurrent patellar dislocation.
  • Recommendations include conducting adequately powered, multi-center randomized controlled trials adhering to contemporary standards.