What is the best approach to tackle patellar instability

Training or surgery?

  • Treatment options: reconstruction, repair or conservative management 
  • Largest reduction of instability and (re)luxations after MPFL reconstruction
  • Critical note: complications not well described

Patients with complaints due to patellar instability recover better after surgery than after training. Two or more years after the initiation of complaints, reconstruction of the medial patellofemoral ligament (MPFL) showed to be the best available therapy regarding recurrent instability, (sub)luxations, symptoms, and limitations during daily activities. This is concluded by American researchers who extracted data of 789 patients from 13 randomised trials and combined these in a network meta-analysis.


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