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Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 8/2012

01-08-2012 | Basic Science

Tape versus cast for non-operative treatment of primary patellar dislocation: a randomized controlled trial

Authors: Akkie Rood, Harm Boons, Joris Ploegmakers, William van der Stappen, Sander Koëter

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 8/2012

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Abstract

Purpose

We hypothesized that taping results in better short-term functional outcome and comparable redislocation rates.

Methods

In a prospective randomised clinical trial, 18 patients with a primary patellar dislocation ≥18 years old without accompanying fractures or previous surgery to the knee were included. After 1 week of dorsal splinting, they were randomized into two groups: taping and cylinder cast immobilization. Physical examination and knee function according to the Lysholm Knee Scoring Scale were taken at 1-, 6- and 12-week and at 1- and 5-year follow-up. We also compared the redislocation rates.

Results

Taping resulted in a significantly better Lysholm score at 6 and 12 weeks post-dislocation (P < 0.05), and also after 5-year follow-up (P < 0.01). Knee function was better at 1-year follow-up. There were no cases of recurrent dislocation.

Conclusion

Tape bandage immobilization seems superior to a cylinder cast even after 5 years.
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Metadata
Title
Tape versus cast for non-operative treatment of primary patellar dislocation: a randomized controlled trial
Authors
Akkie Rood
Harm Boons
Joris Ploegmakers
William van der Stappen
Sander Koëter
Publication date
01-08-2012
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 8/2012
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-012-1521-8

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