Cochrane · systematic review · CD008106
Surgical versus non‐surgical interventions for treating patellar dislocation
Smith, TO, Gaukroger, A, Metcalfe, A, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 6 · 100%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Show all 2 versionsSurgical compared with non‐surgical treatment for patellar dislocation
Population: people with lateral patellar dislocation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Number of participants sustaining recurrent patellar dislocationa Surgical vs non‐surgical treatment | RR 0.55 [0.4, 0.75] | 8 studies · 438 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Knee and physical functiona Measured using the Kujala patellofemoral disorders scorea Scale from: 0 to 100 (higher scores = better function) Surgical vs non‐surgical treatment | MD 5.73 | 7 studies · 401 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Adverse effects of treatment Overall incidence of complications Surgical vs non‐surgical treatment | RR 2.21 [0.73, 6.66] | 2 studies · 144 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Patient satisfactiona Reported as 'good' or 'excellent'. Surgical vs non‐surgical treatment | RR 1.01 [0.74, 1.38] | 3 studies · 176 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Patient‐reported knee instabilitya Incidence of patellar subluxation Surgical vs non‐surgical treatment | RR 0.75 [0.5, 1.12] | 5 studies · 256 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Subsequent requirement for surgery (reoperations) for complicationsa Incidence Surgical vs non‐surgical treatment | RR 0.45 [0.07, 2.73] | 3 studies · 195 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |