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- Issue 39
- Development of a return to play…
Development of a return to play checklist following patellar instability surgery: a Delphi‑based consensus
- Both conservative and surgical management of patella instability have a high re-injury rate.
BACKGROUND & OBJECTIVE
Recurrent patella instability has been reported in 15-50% of those managed conservatively after patella dislocation. Surgical intervention has therefore become the gold standard management, with soft tissue procedures like a medial patellofemoral ligament reconstruction and bony procedures such as a tibial tubercle osteotomy. Despite the reliance on surgery, there is a relatively high failure rate of these two procedures - 28% and 17% respectively.
A recent systematic review highlighted a lack of consensus over return to play (RTP) criteria following patella instability surgery. Using the Delphi method, the authors of this paper sought to define an expert-led consensus on a RTP checklist to reduce room for error for clinicians involved in rehabilitation post-surgery.
This paper offers an objective guide for clinicians (beyond simple time frames) that did not previously exist.
The Delphi technique is a process of questionnaires, through a series of iterations, that aims to draw a consensus from a selected panel of experts in a specific field (1). In this study, 19 participants (18 sports medicine surgeons and