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.
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 language | English |
|---|---|
| Pages (from-to) | 2798-2805 |
| Number of pages | 8 |
| Journal | Knee Surgery, Sports Traumatology, Arthroscopy |
| Volume | 24 |
| Issue number | 9 |
| Early online date | 7 Jan 2015 |
| DOIs | |
| Publication status | Published - Sep 2016 |
Keywords
- Patella
- Bipartite
- Multipartite