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3rd Edition of

World Orthopedics Conference

September 15-17, 2025 | London, UK

Ortho 2025

Improving the management of First-Time and Recurrent Lateral Patellar Dislocations (FTRLPD) in acute orthopaedic care: A clinical audit against BOAST and ESSKA guidelines

Speaker at World Orthopedics Conference 2025 - Lewis Patrick
National Health Service (NHS), United Kingdom
Title : Improving the management of First-Time and Recurrent Lateral Patellar Dislocations (FTRLPD) in acute orthopaedic care: A clinical audit against BOAST and ESSKA guidelines

Abstract:

Background: Lateral patellar dislocation, particularly first-time events (FTPD), can result in recurrent instability, chronic pain, and reduced function if not managed according to established standards. This audit evaluated current practice within NHS Greater Glasgow and Clyde against updated BOAST and ESSKA guidelines.

Methods: A retrospective audit was conducted of all patients coded with patellar dislocation between 1st February 2025 and 10th June 2025. Inclusion was limited to first-time lateral dislocations (n=32). Standards were based on BOAST and ESSKA recommendations covering: imaging, immobilisation, weightbearing advice, MRI access, and follow-up timing. A second cycle comparing recurrent dislocation management was also performed, referencing 2024 audit data.

Results: Immobilisation: 100% (32/32) received splint, brace, or crutches.
•X-ray Imaging: 100% received AP/lateral views; 0% received Skyline (Merchant) view.
•MRI: 44% received no MRI; only 9% within 2 weeks.
•Weightbearing Advice: Only 3% (1/32) had documented advice on discharge.
•Follow-up: 69% were seen in Virtual Fracture Clinic (VFC) within 72 hours.
In the recurrent cohort (n=13), only 1 patient received full imaging views; MRI access and follow-up were also below guideline expectations.

Conclusions & Recommendations:
Key gaps identified include inconsistent MRI access, omission of skyline views, poor documentation of weightbearing status, and delays in VFC review.

Recommendations include:
•Protocolising radiology requests with mandatory skyline views
•Streamlining MRI referral pathways
•Introducing ED discharge proformas
•Reviewing VFC triage processes
A re-audit is planned following implementation of these interventions.

Biography:

Lewis Patrick, National Health Service (NHS), United Kingdom

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