Table 1 Current evidence on conservative vs. surgical treatment on patients with first-time lateral patella dislocation. Only studies with Level of Evidence 1 or 2 were taken into account
Author | Year | Randomization | Evidence Level | Surgical Procedure | Outcome Parameters | N | Mean Follow-Up Time | Findings | Misc |
|---|---|---|---|---|---|---|---|---|---|
Apostolovic [3] | 2011 | no | 2 | loose body removal/refixation, medial capsular repair, lateral retinacular release | Cincinnati Score, recurrence rate | 37 | 6 years | no difference | |
Christiansen [4] | 2008 | yes | 1 | MPFL repair | recurrence rate, Kujala Score, KOOS Score | 80 | 2 years | no difference | |
Bitar [5] | 2012 | yes | 1 | MPFL reconstruction | recurrence rate, Kujala Score | 41 | 44 months | surgery significantly superior in all parameters | |
Camanho [6] | 2009 | yes | 2 | MPFL repair | recurrence rate, Kujala Score | 33 | 3 years | surgery superior in all parameters | only “statistical trends” |
Sillanpää [7] | 2008 | no | 2 | MPFL repair | recurrence rate, “return to sports”, Kujala Score | 61 | 7 years | surgery superior in “return to sports”, rest: no difference | |
Sillanpää [8] | 2009 | yes | 1 | medial repair or Roux-Goldthwait procedure | recurrence rate, “return to sports”, Kujala Score | 40 | 7 years | surgery superior in recurrence rate, rest: no difference | |
Petri [9] | 2013 | yes | 1 | MPFL repair | recurrence rate, Kujala Score, patient satisfaction | 20 | 2 years | no difference | power 25% |