Purpose: To provide recommendations for the treatment of patients with first-time patellar dislocation (FTPD). Part 2 focused on nonoperative treatment, bracing, rehabilitation, indications for surgery and surgical strategies.

Methods: The consensus was performed according to the European Society for Sports Traumatology, Knee Surgery and Arthroscopy consensus methodology.

Results: The consensus comprised 32 questions and statements, 19 of which will be presented in this part. Eight statements achieved strong agreement (median 9; range 7-9), and 11 statements achieved relative agreement (median 9; range 5-9). None were Grade A, 2 were Grade B, 11 were Grade C and 5 were Grade D. In summary, treatment decisions for FTPD should prioritize individualized care, balancing patient-specific risks and demands. Surgical options are increasingly considered for skeletally immature patients and those with increased recurrence risk. Medial patellofemoral ligament (MPFL) reconstruction is the preferred surgical technique for addressing medial soft tissue stabilizers, offering better outcomes than repair methods. Combining MPFL reconstruction with corrections of relevant bony risk factors might further reduce the risk of recurrence and revision surgery, although specific thresholds for intervention remain debated. Physical therapy is recommended as an essential complement to both operative and nonoperative treatments, but bracing offers no clear long-term benefit. Chondral or osteochondral lesions should be repaired when the defect is at least 1 cm² in the patellofemoral joint contact area. Fragment refixation or other cartilage restoration techniques are preferred, and delayed repair is favoured over fragment removal when immediate surgery is not needed.

Conclusion: The consensus consists of recommendations for evaluation and treatment strategies for managing FTPD. High levels of agreement were reached by experts throughout Europe. In areas without clear scientific evidence, this consensus aimed at providing recommendations and guidance on the basis of expert opinion and pointed out areas where further studies are necessary.

Level of evidence: Level I consensus.

目的：为首次髌骨脱位（FTPD）患者的治疗提供建议。第二部分侧重于非手术治疗、支撑、康复、手术适应症和手术策略。

方法：根据欧洲运动创伤学会、膝关节手术和关节镜共识方法达成共识。

结果：共识包括32个问题和声明：共识包括32个问题和声明，其中19个将在本部分中介绍。8项陈述达成了高度一致（中位数为9；范围为7-9），11项陈述达成了相对一致（中位数为9；范围为5-9）。总之，FTPD的治疗决策应优先考虑个体化治疗，平衡患者的特定风险和需求。对于骨骼不成熟的患者和复发风险较高的患者，越来越多地考虑选择手术治疗。髌股关节内侧韧带（MPFL）重建术是解决内侧软组织稳定器问题的首选手术技术，其疗效优于修复方法。将MPFL重建与相关骨性风险因素的矫正相结合，可进一步降低复发和翻修手术的风险，但干预的具体阈值仍存在争议。建议将物理治疗作为手术治疗和非手术治疗的重要补充，但支撑疗法并不能带来明显的长期益处。软骨或骨软骨损伤应在髌股关节接触区缺损面积至少达到1平方厘米时进行修复。碎片再固定或其他软骨修复技术是首选，在不需要立即手术的情况下，延迟修复比碎片移除更受欢迎。

结论：共识包括对治疗FTPD的评估和治疗策略的建议。欧洲各地的专家达成了高度一致。在没有明确科学证据的领域，该共识旨在根据专家意见提供建议和指导，并指出需要进一步研究的领域。

证据等级：一级共识。