The management of the painful bipartite patella: a systematic review

Samuel E. McMahon, Johannes A. LeRoux, Toby O. Smith, Caroline B. Hing

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Abstract

Purpose: This study aimed to identify the most effective method for the treatment of the symptomatic bipartite patella.

Methods: A systematic review of the literature was completed, and all studies assessing the management of a bipartite patella were included. Owing to the paucity of randomised controlled trials, a narrative review of 22 studies was completed. A range of treatments were assessed: conservative measures, open and arthroscopic fixation or excision and soft tissue release and excision.

Results: All of the methods provided results ranging from good to excellent, with acceptable complication rates.

Conclusions: This is a poorly answered treatment question. No firm guidance can be given as to the most appropriate method of treating the symptomatic bipartite patella. This study suggests that there are a number of effective treatments with acceptable complication rates and it may be that treatments that conserve the patella are more appropriate for larger fragments.
Original languageEnglish
Pages (from-to)2798-2805
Number of pages8
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume24
Issue number9
Early online date7 Jan 2015
DOIs
Publication statusPublished - Sep 2016

Keywords

  • Patella
  • Bipartite
  • Multipartite

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