Rare Diseases Symptoms Automatic Extraction
Home
A random Abstract
Our Project
Our Team
Treating patella instability in skeletally immature patients.
[trochlear dysplasia]
The
purpose
of
this
study
was
to
comprehensively
and
systematically
review
the
current
evidence
for
orthopaedic
treatment
of
immature
and
adolescent
patients
with
acute
and
chronic
patellar
instability
.
We
searched
the
online
databases
PubMed
,
CINAHL
,
EMBASE
,
Cochrane
Central
Register
of
Controlled
Trials
,
and
Cochrane
Database
of
Systematic
Reviews
for
relevant
publications
on
patellar
instability
.
All
dates
and
languages
were
included
.
Twenty
articles
reporting
on
a
total
of
456
knees
in
425
patients
(
131
male
patients
,
294
female
patients
)
followed-up
for
56
.
7
±
42
.
2
months
on
average
were
included
in
the
analysis
.
Two
studies
focused
specifically
on
conservative
versus
surgical
treatment
in
acute
dislocations
and
reported
no
difference
in
outcomes
after
7
and
14
years
,
even
in
the
face
of
slight
trochlear
dysplasia
.
For
recurrent
instability
,
we
found
consistent
beneficial
effects
from
surgical
stabilization
on
clinical
scores
,
postoperative
stability
,
and
radiographic
assessment
.
There
is
no
evidence
for
growth
disturbance
with
surgical
patellar
stabilization
in
immature
patients
.
The
current
best
evidence
does
not
support
the
superiority
of
surgical
intervention
over
conservative
treatment
in
an
acute
patellar
dislocation
.
However
,
anatomic
variations
and
their
effect
on
healing
should
be
considered
and
included
in
decision
making
.
In
recurrent
patellar
instability
in
pediatric
and
adolescent
patients
with
normal
or
restored
knee
anatomy
,
reconstruction
of
the
medial
patellofemoral
ligament
(
MPFL
)
is
the
most
effective
treatment
option
and
can
be
done
safely
,
together
with
extensor
realignment
as
needed
.
Level
IV
,
systematic
review
of
mixed
-level
studies
.
Diseases
Validation
Diseases presenting
"we found consistent beneficial effects from surgical stabilization on clinical scores"
symptom
trochlear dysplasia
You can validate or delete this automatically detected symptom
Validate the Symptom
Delete the Symptom