The management of the painful bipartite patella: a systematic review

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 contro...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2016-09, Vol.24 (9), p.2798-2805
Main Authors: McMahon, Samuel E., LeRoux, Johannes A., Smith, Toby O., Hing, Caroline B.
Format: Article
Language:English
Subjects:
Arthralgia - etiology
Arthralgia - therapy
Bone Diseases, Developmental - complications
Bone Diseases, Developmental - therapy
Humans
Knee
Lower Extremity Deformities, Congenital - complications
Lower Extremity Deformities, Congenital - therapy
Medicine
Medicine & Public Health
Orthopedics
Patella - abnormalities
Treatment Outcome
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Summary: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. Level of evidence IV.
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-014-3498-z