The management of the painful bipartite patella: a systematic review

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

doi:10.1007/s00167-014-3498-z

The management of the painful bipartite patella: a systematic review

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

Research output: Contribution to journal › Article › peer-review

28 Citations (Scopus)

32 Downloads (Pure)

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 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	https://doi.org/10.1007/s00167-014-3498-z
Publication status	Published - Sept 2016

Keywords

Patella
Bipartite
Multipartite

Access to Document

10.1007/s00167-014-3498-z

Accepted manuscriptAccepted author manuscript, 332 KB

Cite this

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title = "The management of the painful bipartite patella: a systematic review",

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.",

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volume = "24",

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T1 - The management of the painful bipartite patella: a systematic review

AU - McMahon, Samuel E.

AU - LeRoux, Johannes A.

AU - Smith, Toby O.

AU - Hing, Caroline B.

PY - 2016/9

Y1 - 2016/9

N2 - 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.

AB - 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.

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KW - Bipartite

KW - Multipartite

U2 - 10.1007/s00167-014-3498-z

DO - 10.1007/s00167-014-3498-z

M3 - Article

SN - 0942-2056

VL - 24

SP - 2798

EP - 2805

JO - Knee Surgery, Sports Traumatology, Arthroscopy

JF - Knee Surgery, Sports Traumatology, Arthroscopy

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