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Chiropractic Research Review

Patellar Dislocation Doesn't Have to Mean Surgery

A continuing source of debate in the health care arena centers around the utilization of surgical procedures. To assess whether initial surgery was beneficial for patients with primary dislocation of the patella, 55 patients underwent nonsurgical, closed treatment and 70 patients were operated on using surgical realignment procedures.

Surgery gave no benefit based on two years of follow-up.

Recurrent instability episodes (redislocation or recported subluxation) occurred in 20 nonsurgical and 18 surgical patients. Serious postsurgical complications occurred in four patients.

Conclusion: Conservative and operative care gave almost identical results in terms of post-treatment stability and function. The reocurrence of patellar dislocation may be more frequent than reported, regardless of the form of intervention. The authors of this study suggest that surgical management should not be recommended for primary dislocation of the patella.

Nikku R, Nietosvaara Y, et al. Operative versus closed treatment of primary dislocation of the patella-similar 2-year results in 125 randomized patients. Acta Orthopedica Scandinavica, 1997;68(5), pp419-23.

Chiropractic Research Review

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