Document Detail


Tape versus cast for non-operative treatment of primary patellar dislocation: a randomized controlled trial.
MedLine Citation:
PMID:  22526198     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: We hypothesized that taping results in better short-term functional outcome and comparable redislocation rates. METHODS: In a prospective randomised clinical trial, 18 patients with a primary patellar dislocation ≥18 years old without accompanying fractures or previous surgery to the knee were included. After 1 week of dorsal splinting, they were randomized into two groups: taping and cylinder cast immobilization. Physical examination and knee function according to the Lysholm Knee Scoring Scale were taken at 1-, 6- and 12-week and at 1- and 5-year follow-up. We also compared the redislocation rates. RESULTS: Taping resulted in a significantly better Lysholm score at 6 and 12 weeks post-dislocation (P < 0.05), and also after 5-year follow-up (P < 0.01). Knee function was better at 1-year follow-up. There were no cases of recurrent dislocation. CONCLUSION: Tape bandage immobilization seems superior to a cylinder cast even after 5 years.
Authors:
Akkie Rood; Harm Boons; Joris Ploegmakers; William van der Stappen; Sander Koëter
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-24
Journal Detail:
Title:  Archives of orthopaedic and trauma surgery     Volume:  -     ISSN:  1434-3916     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-4-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9011043     Medline TA:  Arch Orthop Trauma Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Orthopedic Surgery, UMC St Radboud Hospital, Geert Grooteplein 10, 6525 GA, Nijmegen, The Netherlands, akrood@hotmail.com.
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