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Diagnostic Pathology
Published in: Diagnostic Pathology 1/2014

Open Access 01-12-2014 | Research

Operative versus conservative treatment for patellar dislocation: a meta-analysis of 7 randomized controlled trials

Authors: Biao Cheng, Xing Wu, Heng’an Ge, Ye qing Sun, Qiang Zhang

Published in: Diagnostic Pathology | Issue 1/2014

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Abstract

Purpose

Patellofemoral pathology is common, and patellofemoral dislocation mainly affects adolescents and young adults. We conducted a meta-analysis exclusively of RCTs to compare the clinical outcomes of patellar dislocation patients managed operatively versus non-operatively.

Methods

After systematic review of electronic databases and websites, a total of 7 RCTs reporting data on 402 subjects were included. The methodological quality of the literature was assessed using the PEDro critical appraisal tool. Mean differences (MDs) and risk ratio (RR) were calculated for the pooled effects. Heterogeneity was assessed using the I2 test.

Results

Data synthesis showed a lower rate of recurrent patellar dislocation post-treatment in patients managed operatively compared to non-operatively (P = 0.01).

Conclusion

The results suggest a difference in outcomes between the treatment strategies. However the limited number of studies and high risk of inherent bias indicate that future studies involving more patients in better-designed randomized controlled trials will be required.

Virtual slides

The virtual slide(s) for this article can be found here: http://​www.​diagnosticpathol​ogy.​diagnomx.​eu/​vs/​8011948721221355​.
Appendix
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Metadata
Title
Operative versus conservative treatment for patellar dislocation: a meta-analysis of 7 randomized controlled trials
Authors
Biao Cheng
Xing Wu
Heng’an Ge
Ye qing Sun
Qiang Zhang
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Diagnostic Pathology / Issue 1/2014
Electronic ISSN: 1746-1596
DOI
https://doi.org/10.1186/1746-1596-9-60

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