Surgical treatment of patellar dislocation: A network meta-analysis of randomized control trials and cohort studies
BackgroundCurrently, there are many surgical options for patellar dislocation. The purpose of this study is to perform a network meta-analysis of the randomized controlled trials (RCTs) and cohort studies to determine the better treatment.MethodWe searched the Pubmed, Embase, Cochrane Central Regist...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1003796/full |
| _version_ | 1797856334394163200 |
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| author | Mingqing Fang Mingqing Fang Zijun Cai Zijun Cai Linyuan Pan Linyuan Pan Yilan Ding Yueyao Zhang Siyuan Cheng Yifan Wang Jialin Gao Yusheng Li Yusheng Li Wenfeng Xiao Wenfeng Xiao |
| author_facet | Mingqing Fang Mingqing Fang Zijun Cai Zijun Cai Linyuan Pan Linyuan Pan Yilan Ding Yueyao Zhang Siyuan Cheng Yifan Wang Jialin Gao Yusheng Li Yusheng Li Wenfeng Xiao Wenfeng Xiao |
| author_sort | Mingqing Fang |
| collection | DOAJ |
| description | BackgroundCurrently, there are many surgical options for patellar dislocation. The purpose of this study is to perform a network meta-analysis of the randomized controlled trials (RCTs) and cohort studies to determine the better treatment.MethodWe searched the Pubmed, Embase, Cochrane Central Register of Controlled Trials, Web of Science, clinicaltrials.gov and who.int/trialsearch. Clinical outcomes included Kujala score, Lysholm score, International Knee Documentation Committee (IKDC) score, redislocation or recurrent instability. We conducted pairwise meta-analysis and network meta-analysis respectively using the frequentist model to compare the clinical outcomes.ResultsThere were 10 RCTs and 2 cohort studies with a total of 774 patients included in our study. In network meta-analysis, double-bundle medial patellofemoral ligament reconstruction (DB-MPFLR) achieved good results on functional scores. According to the surface under the cumulative ranking (SUCRA), DB-MPFLR had the highest probabilities of their protective effects on outcomes of Kujala score (SUCRA 96.5 %), IKDC score (SUCRA 100.0%) and redislocation (SUCRA 67.8%). However, DB-MPFLR (SUCRA 84.6%) comes second to SB-MPFLR (SUCRA 90.4%) in Lyshlom score. It is (SUCRA 70%) also inferior to vastus medialis plasty (VM-plasty) (SUCRA 81.9%) in preventing Recurrent instability. The results of subgroup analysis were similar.ConclusionOur study demonstrated that MPFLR showed better functional scores than other surgical options. |
| first_indexed | 2024-04-09T20:38:48Z |
| format | Article |
| id | doaj.art-24037acc2d2c41339fe2d2a43388f20d |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-09T20:38:48Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-24037acc2d2c41339fe2d2a43388f20d2023-03-30T05:59:59ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-03-011010.3389/fsurg.2023.10037961003796Surgical treatment of patellar dislocation: A network meta-analysis of randomized control trials and cohort studiesMingqing Fang0Mingqing Fang1Zijun Cai2Zijun Cai3Linyuan Pan4Linyuan Pan5Yilan Ding6Yueyao Zhang7Siyuan Cheng8Yifan Wang9Jialin Gao10Yusheng Li11Yusheng Li12Wenfeng Xiao13Wenfeng Xiao14Department of Orthopedics, Xiangya Hospital, Central South University, Changsha, ChinaXiangya School of Medicine, Central South University, Changsha, ChinaDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, ChinaNational Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, ChinaNational Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, ChinaXiangya School of Medicine, Central South University, Changsha, ChinaXiangya School of Medicine, Central South University, Changsha, ChinaXiangya School of Medicine, Central South University, Changsha, ChinaXiangya School of Medicine, Central South University, Changsha, ChinaXiangya School of Medicine, Central South University, Changsha, ChinaDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, ChinaNational Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, ChinaNational Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, ChinaBackgroundCurrently, there are many surgical options for patellar dislocation. The purpose of this study is to perform a network meta-analysis of the randomized controlled trials (RCTs) and cohort studies to determine the better treatment.MethodWe searched the Pubmed, Embase, Cochrane Central Register of Controlled Trials, Web of Science, clinicaltrials.gov and who.int/trialsearch. Clinical outcomes included Kujala score, Lysholm score, International Knee Documentation Committee (IKDC) score, redislocation or recurrent instability. We conducted pairwise meta-analysis and network meta-analysis respectively using the frequentist model to compare the clinical outcomes.ResultsThere were 10 RCTs and 2 cohort studies with a total of 774 patients included in our study. In network meta-analysis, double-bundle medial patellofemoral ligament reconstruction (DB-MPFLR) achieved good results on functional scores. According to the surface under the cumulative ranking (SUCRA), DB-MPFLR had the highest probabilities of their protective effects on outcomes of Kujala score (SUCRA 96.5 %), IKDC score (SUCRA 100.0%) and redislocation (SUCRA 67.8%). However, DB-MPFLR (SUCRA 84.6%) comes second to SB-MPFLR (SUCRA 90.4%) in Lyshlom score. It is (SUCRA 70%) also inferior to vastus medialis plasty (VM-plasty) (SUCRA 81.9%) in preventing Recurrent instability. The results of subgroup analysis were similar.ConclusionOur study demonstrated that MPFLR showed better functional scores than other surgical options.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1003796/fullnetwork meta-analysismedial patellofemoral ligament reconstructionmedial soft tissue surgerysingle bundledouble bundlepatellar dislocation |
| spellingShingle | Mingqing Fang Mingqing Fang Zijun Cai Zijun Cai Linyuan Pan Linyuan Pan Yilan Ding Yueyao Zhang Siyuan Cheng Yifan Wang Jialin Gao Yusheng Li Yusheng Li Wenfeng Xiao Wenfeng Xiao Surgical treatment of patellar dislocation: A network meta-analysis of randomized control trials and cohort studies Frontiers in Surgery network meta-analysis medial patellofemoral ligament reconstruction medial soft tissue surgery single bundle double bundle patellar dislocation |
| title | Surgical treatment of patellar dislocation: A network meta-analysis of randomized control trials and cohort studies |
| title_full | Surgical treatment of patellar dislocation: A network meta-analysis of randomized control trials and cohort studies |
| title_fullStr | Surgical treatment of patellar dislocation: A network meta-analysis of randomized control trials and cohort studies |
| title_full_unstemmed | Surgical treatment of patellar dislocation: A network meta-analysis of randomized control trials and cohort studies |
| title_short | Surgical treatment of patellar dislocation: A network meta-analysis of randomized control trials and cohort studies |
| title_sort | surgical treatment of patellar dislocation a network meta analysis of randomized control trials and cohort studies |
| topic | network meta-analysis medial patellofemoral ligament reconstruction medial soft tissue surgery single bundle double bundle patellar dislocation |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1003796/full |
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