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Current Reviews in Musculoskeletal Medicine

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01-06-2018 | Advances in Patellofemoral Surgery (L Redler, section editor)

Return to Play after Patellar Stabilization

Authors: Seth L. Sherman, Daniel P. Deasis, Andrew J. Garrone, Elliott E. Voss, Harvey A. Oliver

Published in: Current Reviews in Musculoskeletal Medicine | Issue 2/2018

Abstract

Purpose of Review

The purpose of this review is to evaluate the existing literature regarding return to play (RTP) and return to prior performance (RPP) following patellar stabilization surgery. It will also discuss suggested guidelines regarding RTP, and finally, to encourage future patellofemoral instability research to report and publish results of RTP rates using standardized RTP guidelines.

Recent Findings

There is a lack of validation and universal adoption of standardized RTP guidelines. This has led to a dearth of high-quality studies on RTP and RPP after patellar stabilization. The best available studies to date would suggest high RTP rates (84%–100%), average RPP rates (33%–77%), and a highly variable timeframe for return (3–12 months).

Summary

Patellofemoral instability can be a persistent and challenging problem, particularly in the young and active population for which it most often occurs. Much of the previous studies on patellofemoral instability evaluated success and failure as prevention of recurrent dislocation. However, prevention of recurrence alone may not be enough for many patients. The best available data on RTP and RPP following patellofemoral instability is based on lower quality of evidence studies, expert opinion, and published societal guidelines. Future research on this topic should include clinical validation of the International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine (ISAKOS) RTP guidelines and reporting of outcomes based on these guidelines in patellofemoral instability publications.

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Title: Return to Play after Patellar Stabilization
Authors: Seth L. Sherman
Daniel P. Deasis
Andrew J. Garrone
Elliott E. Voss
Harvey A. Oliver
Publication date: 01-06-2018
Publisher: Springer US
Published in: Current Reviews in Musculoskeletal Medicine / Issue 2/2018
Electronic ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-018-9484-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Return to Play after Patellar Stabilization

Abstract

Purpose of Review

Recent Findings

Summary

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

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The Swimmer’s Shoulder: Multi-directional Instability

Trochleoplasty: Indications and Technique

Patellar Instability in the Skeletally Immature

Predicting Risk of Recurrent Patellar Dislocation