- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05533671
Conservative Versus Operative - First Time Patella Dislocations
September 16, 2025 updated by: Columbia University
Conservative Versus Surgical Management of First Time Patella Dislocations
There is no consensus regarding whether rehabilitation or surgical management is best for the management of a primary patellar dislocation.
Consequently this prospective randomized controlled aims to compare the incidence of recurrent knee dislocations and patient reported outcomes of patients with primary patellar dislocations managed with surgery (medial patellofemoral ligament reconstruction) compared to non-operative management (a standardized rehabilitation protocol, control group).
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Detailed Description
Long term sequalae of first-time patellar dislocations include recurrent knee instability, osteoarthritis, and a decreased quality of life, and yet there is no consensus on the best management for these patients.
Despite an increasing trend toward investigating operative vs non-operative management of primary patellar dislocations, scarce level-1 evidence exists comparing the two treatment modalities.
Indeed, the few meta-analyses suggesting improved outcomes of operative treatment for first time patellar dislocations mainly utilize retrospective cohort studies.
A randomized-controlled trial of 39 patients with primary patellar dislocations with a mean age of 24 (21 operative vs 18 non-operative), found decreased rates of recurrent knee instability after a mean follow up of 44 months (0% in operative vs 35% in non-operative), and a higher Kujala knee score (88.9 in operative vs 70.8 in non-operative; p=0.001).
A controlled but non-randomized prospective controlled trial among 69 patients with a mean age of 18, (30 operative vs 39 non-operative), found lower rates of recurrent knee instability after a mean follow up of 24 months (0% in operative vs 20.5% in non-operative and a higher Kujala knee score (86.3 in operative group vs 80.03 in non-operative; p <0.05).The scarce randomized, prospective data investigating the appropriate management in primary patellar dislocations underscores the importance of the current study in providing high-quality evidence to the debate of how to best manage primary patellar dislocations.
This study aims to compare the incidence of recurrent knee dislocations and patient reported outcomes of patients with primary patellar dislocations managed with surgery (medial patellofemoral ligament reconstruction) compared to non-operative management (a standardized rehabilitation protocol, control group).
Study Type
Interventional
Enrollment (Estimated)
200
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: David Trofa, MD
- Phone Number: 212 305 5974
- Email: dpt2103@cumc.columbia.edu
Study Locations
-
-
New York
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New York, New York, United States, 10032
- Columbia University Irving Medical Center
-
Principal Investigator:
- David P Trofa, MD
-
Contact:
- David P Trofa, MD
- Phone Number: 212-305-5974
- Email: dpt2103@cumc.columbia.edu
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
12 years and older (Child, Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- age 12 and older
- patients seen by the Columbia University Shoulder Elbow and Sports Medicine Service
- patients who experience a first-time patella dislocation
Exclusion Criteria:
- coexistent ligament injury or osteochondral fracture necessitating acute surgical intervention
- previous knee surgery
- knee instability prior to injury
- inability or unwillingness to adhere to study participate
- lost to follow up
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Operative Group
This group will have surgical procedure called a medial patellofemoral reconstruction where the kneecap is anchored back into its correct position)
|
Surgery to correct dislocated (knocked out of place) knee cap.
This surgery anchors the kneecap back into the correct position and supports the kneecap.
|
|
Active Comparator: Non-operative group
This group will have physical therapy for their knee dislocation by following a specific rehabilitation plan.
|
Physical therapy by following a specific regimen.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Kujala Questionnaire Score at 2 weeks
Time Frame: Baseline and 2 weeks
|
The Kujala questionnaire assess symptoms and limitations that a patient may experience as a result of a knee injury.
Scores range from 0-100 with a higher score indicating less limitation.
Scores will be reported at each time point.
|
Baseline and 2 weeks
|
|
Change in Kujala Questionnaire Score at 6 weeks
Time Frame: Baseline and 6 weeks
|
The Kujala questionnaire assess symptoms and limitations that a patient may experience as a result of a knee injury.
Scores range from 0-100 with a higher score indicating less limitation.
Scores will be reported at each time point.
|
Baseline and 6 weeks
|
|
Change in Kujala Questionnaire Score at 3 months
Time Frame: Baseline and 3 months
|
The Kujala questionnaire assess symptoms and limitations that a patient may experience as a result of a knee injury.
Scores range from 0-100 with a higher score indicating less limitation.
Scores will be reported at each time point.
|
Baseline and 3 months
|
|
Change in Kujala Questionnaire Score at 6 months
Time Frame: Baseline and 6 months
|
The Kujala questionnaire assess symptoms and limitations that a patient may experience as a result of a knee injury.
Scores range from 0-100 with a higher score indicating less limitation.
Scores will be reported at each time point.
|
Baseline and 6 months
|
|
Change in Kujala Questionnaire Score at 1 year
Time Frame: Baseline and 1 year
|
The Kujala questionnaire assess symptoms and limitations that a patient may experience as a result of a knee injury.
Scores range from 0-100 with a higher score indicating less limitation.
Scores will be reported at each time point.
|
Baseline and 1 year
|
|
Change in Kujala Questionnaire Score at 2 years
Time Frame: Baseline and 2 years
|
The Kujala questionnaire assess symptoms and limitations that a patient may experience as a result of a knee injury.
Scores range from 0-100 with a higher score indicating less limitation.
Scores will be reported at each time point.
|
Baseline and 2 years
|
|
Change in Kujala Questionnaire Score at 5 years
Time Frame: Baseline and 5 years
|
The Kujala questionnaire assess symptoms and limitations that a patient may experience as a result of a knee injury.
Scores range from 0-100 with a higher score indicating less limitation.
Scores will be reported at each time point.
|
Baseline and 5 years
|
|
Change in Kujala Questionnaire Score at 10 years
Time Frame: Baseline and 10 years
|
The Kujala questionnaire assess symptoms and limitations that a patient may experience as a result of a knee injury.
Scores range from 0-100 with a higher score indicating less limitation.
Scores will be reported at each time point.
|
Baseline and 10 years
|
|
Time to first re-dislocation
Time Frame: Up to 10 years
|
Time to first re-dislocation following intervention, measured in weeks
|
Up to 10 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) at 2 weeks
Time Frame: Baseline and 2 weeks
|
A computerized survey that asks a series of questions pertaining to a patient's physical function through a grading scale of activities of daily living.
The Patient-Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
A higher score is indicative of a greater level of physical function.
|
Baseline and 2 weeks
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) at 6 weeks
Time Frame: Baseline and 6 weeks
|
A computerized survey that asks a series of questions pertaining to a patient's physical function through a grading scale of activities of daily living.
The Patient-Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
A higher score is indicative of a greater level of physical function.
|
Baseline and 6 weeks
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) at 3 months
Time Frame: Baseline and 3 months
|
A computerized survey that asks a series of questions pertaining to a patient's physical function through a grading scale of activities of daily living.
The Patient-Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
A higher score is indicative of a greater level of physical function.
|
Baseline and 3 months
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) at 6 months
Time Frame: Baseline and 6 months
|
A computerized survey that asks a series of questions pertaining to a patient's physical function through a grading scale of activities of daily living.
The Patient-Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
A higher score is indicative of a greater level of physical function.
|
Baseline and 6 months
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) at 1 year
Time Frame: Baseline and 1 Year
|
A computerized survey that asks a series of questions pertaining to a patient's physical function through a grading scale of activities of daily living.
The Patient-Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
A higher score is indicative of a greater level of physical function.
|
Baseline and 1 Year
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) at 2 years
Time Frame: Baseline and 2 Years
|
A computerized survey that asks a series of questions pertaining to a patient's physical function through a grading scale of activities of daily living.
The Patient-Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
A higher score is indicative of a greater level of physical function.
|
Baseline and 2 Years
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) at 5 years
Time Frame: Baseline and 5 Years
|
A computerized survey that asks a series of questions pertaining to a patient's physical function through a grading scale of activities of daily living.
The Patient-Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
A higher score is indicative of a greater level of physical function.
|
Baseline and 5 Years
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) at 10 years
Time Frame: Baseline and 10 Years
|
A computerized survey that asks a series of questions pertaining to a patient's physical function through a grading scale of activities of daily living.
The Patient-Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
A higher score is indicative of a greater level of physical function.
|
Baseline and 10 Years
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) depression computer adaptive test (CAT) at 2 weeks
Time Frame: Baseline and 2 weeks
|
A computerized survey that asks a series of questions pertaining to distress a patient may experience as a result of their injury, which can be followed over time to determine the effectiveness of an intervention.
The Patient-Reported Outcome Measurement Information System (PROMIS) depression computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
A higher score is indicative of a greater level of depression.
|
Baseline and 2 weeks
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) depression computer adaptive test (CAT) at 6 weeks
Time Frame: Baseline and 6 weeks
|
A computerized survey that asks a series of questions pertaining to distress a patient may experience as a result of their injury, which can be followed over time to determine the effectiveness of an intervention.
The Patient-Reported Outcome Measurement Information System (PROMIS) depression computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
A higher score is indicative of a greater level of depression.
|
Baseline and 6 weeks
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) depression computer adaptive test (CAT) at 3 Months
Time Frame: Baseline and 3 Months
|
A computerized survey that asks a series of questions pertaining to distress a patient may experience as a result of their injury, which can be followed over time to determine the effectiveness of an intervention.
The Patient-Reported Outcome Measurement Information System (PROMIS) depression computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
A higher score is indicative of a greater level of depression.
|
Baseline and 3 Months
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) depression computer adaptive test (CAT) at 6 Months
Time Frame: Baseline and 6 Months
|
A computerized survey that asks a series of questions pertaining to distress a patient may experience as a result of their injury, which can be followed over time to determine the effectiveness of an intervention.
The Patient-Reported Outcome Measurement Information System (PROMIS) depression computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
A higher score is indicative of a greater level of depression.
|
Baseline and 6 Months
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) depression computer adaptive test (CAT) at 1 Year
Time Frame: Baseline and 1 Year
|
A computerized survey that asks a series of questions pertaining to distress a patient may experience as a result of their injury, which can be followed over time to determine the effectiveness of an intervention.
The Patient-Reported Outcome Measurement Information System (PROMIS) depression computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
A higher score is indicative of a greater level of depression.
|
Baseline and 1 Year
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) depression computer adaptive test (CAT) at 2 Years
Time Frame: Baseline and 2 Years
|
A computerized survey that asks a series of questions pertaining to distress a patient may experience as a result of their injury, which can be followed over time to determine the effectiveness of an intervention.
The Patient-Reported Outcome Measurement Information System (PROMIS) depression computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
A higher score is indicative of a greater level of depression.
|
Baseline and 2 Years
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) depression computer adaptive test (CAT) at 5 Years
Time Frame: Baseline and 5 Years
|
A computerized survey that asks a series of questions pertaining to distress a patient may experience as a result of their injury, which can be followed over time to determine the effectiveness of an intervention.
The Patient-Reported Outcome Measurement Information System (PROMIS) depression computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
A higher score is indicative of a greater level of depression.
|
Baseline and 5 Years
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) depression computer adaptive test (CAT) at 10 Years
Time Frame: Baseline and 10 Years
|
A computerized survey that asks a series of questions pertaining to distress a patient may experience as a result of their injury, which can be followed over time to determine the effectiveness of an intervention.
The Patient-Reported Outcome Measurement Information System (PROMIS) depression computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
A higher score is indicative of a greater level of depression.
|
Baseline and 10 Years
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) pain interference (PI) computer adaptive test (CAT) at 2 weeks
Time Frame: Baseline and 2 weeks
|
A computerized survey that asks a series of questions pertaining to pain a patient may experience from an injury and the way it influences different domains of their life, which can be followed over time to determine the effectiveness of an intervention.
The Patient-Reported Outcome Measurement Information System (PROMIS) pain interference (PI) computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
|
Baseline and 2 weeks
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) pain interference (PI) computer adaptive test (CAT) at 6 weeks
Time Frame: Baseline and 6 weeks
|
A computerized survey that asks a series of questions pertaining to pain a patient may experience from an injury and the way it influences different domains of their life, which can be followed over time to determine the effectiveness of an intervention.
The Patient-Reported Outcome Measurement Information System (PROMIS) pain interference (PI) computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
|
Baseline and 6 weeks
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) pain interference (PI) computer adaptive test (CAT) at 3 months
Time Frame: Baseline and 3 months
|
A computerized survey that asks a series of questions pertaining to pain a patient may experience from an injury and the way it influences different domains of their life, which can be followed over time to determine the effectiveness of an intervention.
The Patient-Reported Outcome Measurement Information System (PROMIS) pain interference (PI) computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
|
Baseline and 3 months
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) pain interference (PI) computer adaptive test (CAT) at 6 months
Time Frame: Baseline and 6 months
|
A computerized survey that asks a series of questions pertaining to pain a patient may experience from an injury and the way it influences different domains of their life, which can be followed over time to determine the effectiveness of an intervention.
The Patient-Reported Outcome Measurement Information System (PROMIS) pain interference (PI) computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
|
Baseline and 6 months
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) pain interference (PI) computer adaptive test (CAT) at 1 year
Time Frame: Baseline and 1 year
|
A computerized survey that asks a series of questions pertaining to pain a patient may experience from an injury and the way it influences different domains of their life, which can be followed over time to determine the effectiveness of an intervention.
The Patient-Reported Outcome Measurement Information System (PROMIS) pain interference (PI) computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
|
Baseline and 1 year
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) pain interference (PI) computer adaptive test (CAT) at 2 years
Time Frame: Baseline and 2 years
|
A computerized survey that asks a series of questions pertaining to pain a patient may experience from an injury and the way it influences different domains of their life, which can be followed over time to determine the effectiveness of an intervention.
The Patient-Reported Outcome Measurement Information System (PROMIS) pain interference (PI) computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
|
Baseline and 2 years
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) pain interference (PI) computer adaptive test (CAT) at 5 years
Time Frame: Baseline and 5 years
|
A computerized survey that asks a series of questions pertaining to pain a patient may experience from an injury and the way it influences different domains of their life, which can be followed over time to determine the effectiveness of an intervention.
The Patient-Reported Outcome Measurement Information System (PROMIS) pain interference (PI) computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
|
Baseline and 5 years
|
|
Change in the Patient-Reported Outcome Measurement Information System (PROMIS) pain interference (PI) computer adaptive test (CAT) at 10 years
Time Frame: Baseline and 10 years
|
A computerized survey that asks a series of questions pertaining to pain a patient may experience from an injury and the way it influences different domains of their life, which can be followed over time to determine the effectiveness of an intervention.
The Patient-Reported Outcome Measurement Information System (PROMIS) pain interference (PI) computer adaptive test (CAT) is reported as a T-score with a mean of 50 and a standard deviation of 10.
|
Baseline and 10 years
|
|
Percentage of participants who re-dislocate their knee after treatment at each time point within each group
Time Frame: 2 weeks 6 weeks, 3 months, 6 months, 1 year, 2 years, 5 years and 10 years
|
Percentage of group that experienced re-dislocation after treatment starts at each time point
|
2 weeks 6 weeks, 3 months, 6 months, 1 year, 2 years, 5 years and 10 years
|
|
Time to return to full activity or sports for each group
Time Frame: Up to 10 years
|
Time from treatment initiation to full return to pre-injury activity levels in each group, measured in weeks
|
Up to 10 years
|
|
Change in the Banff Patella Instability Instrument at 2 weeks
Time Frame: Baseline and 2 weeks
|
Quality of life survey developed in patients with patellofemoral instability that asks patients questions regarding how their patellofemoral injury has affected their life.
it is on a scale of 0-100 with higher scores indicating better outcomes.
|
Baseline and 2 weeks
|
|
Change in the Banff Patella Instability Instrument at 6 weeks
Time Frame: Baseline and 6 weeks
|
Quality of life survey developed in patients with patellofemoral instability that asks patients questions regarding how their patellofemoral injury has affected their life.
it is on a scale of 0-100 with higher scores indicating better outcomes.
|
Baseline and 6 weeks
|
|
Change in the Banff Patella Instability Instrument at 3 months
Time Frame: Baseline and 3 months
|
Quality of life survey developed in patients with patellofemoral instability that asks patients questions regarding how their patellofemoral injury has affected their life.
it is on a scale of 0-100 with higher scores indicating better outcomes.
|
Baseline and 3 months
|
|
Change in the Banff Patella Instability Instrument at 6 months
Time Frame: Baseline and 6 months
|
Quality of life survey developed in patients with patellofemoral instability that asks patients questions regarding how their patellofemoral injury has affected their life.
it is on a scale of 0-100 with higher scores indicating better outcomes.
|
Baseline and 6 months
|
|
Change in the Banff Patella Instability Instrument at 1 year
Time Frame: Baseline and 1 year
|
Quality of life survey developed in patients with patellofemoral instability that asks patients questions regarding how their patellofemoral injury has affected their life.
it is on a scale of 0-100 with higher scores indicating better outcomes.
|
Baseline and 1 year
|
|
Change in the Banff Patella Instability Instrument at 2 years
Time Frame: Baseline and 2 years
|
Quality of life survey developed in patients with patellofemoral instability that asks patients questions regarding how their patellofemoral injury has affected their life.
it is on a scale of 0-100 with higher scores indicating better outcomes.
|
Baseline and 2 years
|
|
Change in the Banff Patella Instability Instrument at 5 years
Time Frame: Baseline and 5 years
|
Quality of life survey developed in patients with patellofemoral instability that asks patients questions regarding how their patellofemoral injury has affected their life.
it is on a scale of 0-100 with higher scores indicating better outcomes.
|
Baseline and 5 years
|
|
Change in the Banff Patella Instability Instrument at 10 years
Time Frame: Baseline and 10 years
|
Quality of life survey developed in patients with patellofemoral instability that asks patients questions regarding how their patellofemoral injury has affected their life.
it is on a scale of 0-100 with higher scores indicating better outcomes.
|
Baseline and 10 years
|
|
Change in Norwich Patellar Instability Score at 2 weeks
Time Frame: Baseline and 2 weeks
|
Symptom survey that asks patients questions pertaining to symptoms they may be experiencing as a result of their knee injury.
Scored as a percentage, a higher percentage indicates worse symptoms and therefore a worse outcome.
|
Baseline and 2 weeks
|
|
Change in Norwich Patellar Instability Score at 6 weeks
Time Frame: Baseline and 6 weeks
|
Symptom survey that asks patients questions pertaining to symptoms they may be experiencing as a result of their knee injury.
Scored as a percentage, a higher percentage indicates worse symptoms and therefore a worse outcome.
|
Baseline and 6 weeks
|
|
Change in Norwich Patellar Instability Score at 3 months
Time Frame: Baseline and 3 months
|
Symptom survey that asks patients questions pertaining to symptoms they may be experiencing as a result of their knee injury.
Scored as a percentage, a higher percentage indicates worse symptoms and therefore a worse outcome.
|
Baseline and 3 months
|
|
Change in Norwich Patellar Instability Score at 6 months
Time Frame: Baseline and 6 months
|
Symptom survey that asks patients questions pertaining to symptoms they may be experiencing as a result of their knee injury.
Scored as a percentage, a higher percentage indicates worse symptoms and therefore a worse outcome.
|
Baseline and 6 months
|
|
Change in Norwich Patellar Instability Score at 1 year
Time Frame: Baseline and 1 year
|
Symptom survey that asks patients questions pertaining to symptoms they may be experiencing as a result of their knee injury.
Scored as a percentage, a higher percentage indicates worse symptoms and therefore a worse outcome.
|
Baseline and 1 year
|
|
Change in Norwich Patellar Instability Score at 2 years
Time Frame: Baseline and 2 years
|
Symptom survey that asks patients questions pertaining to symptoms they may be experiencing as a result of their knee injury.
Scored as a percentage, a higher percentage indicates worse symptoms and therefore a worse outcome.
|
Baseline and 2 years
|
|
Change in Norwich Patellar Instability Score at 5 years
Time Frame: Baseline and 5 years
|
Symptom survey that asks patients questions pertaining to symptoms they may be experiencing as a result of their knee injury.
Scored as a percentage, a higher percentage indicates worse symptoms and therefore a worse outcome.
|
Baseline and 5 years
|
|
Change in Norwich Patellar Instability Score at 10 years
Time Frame: Baseline and 10 years
|
Symptom survey that asks patients questions pertaining to symptoms they may be experiencing as a result of their knee injury.
Scored as a percentage, a higher percentage indicates worse symptoms and therefore a worse outcome.
|
Baseline and 10 years
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: David Trofa, MD, Associate Professor of Orthopaedic Surgery
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Zheng X, Hu Y, Xie P, Cui M, Ma X, Feng YE, Gu J, Gao S. Surgical medial patellofemoral ligament reconstruction versus non-surgical treatment of acute primary patellar dislocation: a prospective controlled trial. Int Orthop. 2019 Jun;43(6):1495-1501. doi: 10.1007/s00264-018-4243-x. Epub 2018 Nov 20.
- Bitar AC, Demange MK, D'Elia CO, Camanho GL. Traumatic patellar dislocation: nonoperative treatment compared with MPFL reconstruction using patellar tendon. Am J Sports Med. 2012 Jan;40(1):114-22. doi: 10.1177/0363546511423742. Epub 2011 Oct 19.
- Xing X, Shi H, Feng S. Does surgical treatment produce better outcomes than conservative treatment for acute primary patellar dislocations? A meta-analysis of 10 randomized controlled trials. J Orthop Surg Res. 2020 Mar 24;15(1):118. doi: 10.1186/s13018-020-01634-5.
- Liu Z, Yi Q, He L, Yao C, Zhang L, Lu F, Zhang X, Wu M, Geng B, Xia Y, Jiang J. Comparing Nonoperative Treatment, MPFL Repair, and MPFL Reconstruction for Patients With Patellar Dislocation: A Systematic Review and Network Meta-analysis. Orthop J Sports Med. 2021 Sep 28;9(9):23259671211026624. doi: 10.1177/23259671211026624. eCollection 2021 Sep.
- Mackay ND, Smith NA, Parsons N, Spalding T, Thompson P, Sprowson AP. Medial Patellofemoral Ligament Reconstruction for Patellar Dislocation: A Systematic Review. Orthop J Sports Med. 2014 Aug 8;2(8):2325967114544021. doi: 10.1177/2325967114544021. eCollection 2014 Aug.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Estimated)
September 1, 2026
Primary Completion (Estimated)
September 1, 2032
Study Completion (Estimated)
September 1, 2032
Study Registration Dates
First Submitted
September 4, 2022
First Submitted That Met QC Criteria
September 7, 2022
First Posted (Actual)
September 9, 2022
Study Record Updates
Last Update Posted (Actual)
September 22, 2025
Last Update Submitted That Met QC Criteria
September 16, 2025
Last Verified
September 1, 2025
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- AAAU0964
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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University Hospital, Basel, SwitzerlandUniversity Children's Hospital Basel; Lab. for Orthopaedic Biomechanics, University...CompletedPatella-DislocationSwitzerland
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Meir Medical CenterCompletedPatella-DislocationIsrael
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City, University of LondonOxford University Hospitals NHS TrustCompletedPatella Dislocation | Patella Dislocation RecurrentUnited Kingdom
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Finnish Defense ForcesTampere University HospitalTerminatedPatellofemoral Osteoarthritis | Patellar Instability | Patella-DislocationFinland
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Polish Mother Memorial Hospital Research InstituteCompletedChildren, Only | Patella Dislocation Recurrent
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Orthopedic Specialty InstituteTerminatedDislocated Patella | Torn Medial Patellofemoral LigamentUnited States
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Centre of Postgraduate Medical EducationRecruiting
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Hospices Civils de LyonCompletedEpisodic Patellar DislocationFrance
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Medical University of GrazCompleted
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Haraldsplass Deaconess HospitalHaukeland University HospitalCompletedDevelopment of a Test Battery for Measurement of Knee Function in Patients With Patellar InstabilityPatellofemoral Joint Dislocation | Joint Instability | PatellaNorway
Clinical Trials on medial patellofemoral reconstruction
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Banff Sport Medicine FoundationCanadian Orthopaedic Foundation; CONMED CorporationRecruitingTibial Tubercle Osteotomy | Patellofemoral Dislocation | Medial Patellofemoral Ligament ReconstructionCanada
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Hospital for Special Surgery, New YorkChildren's Hospital Medical Center, Cincinnati; American Orthopaedic Society... and other collaboratorsRecruitingPatellofemoral Joint Dislocation | Patellar Dislocation | Patellar Instability | Patellofemoral Dislocation | Patellofemoral Disorder | Patellar Dislocation, RecurrentUnited States
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Artromedical Konrad Malinowski ClinicRecruitingLateral Patellofemoral Dislocation Closed Traumatic | Lateral Patellar LuxationPoland
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McMaster UniversityArthroscopy Association of North AmericaNot yet recruitingPatellar Dislocation | Patellar (or Kneecap) Instability and Mal-alignment
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Orthopedic Specialty InstituteTerminatedDislocated Patella | Torn Medial Patellofemoral LigamentUnited States
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eMKa MED Medical CenterWroclaw Medical UniversityRecruitingMeniscus; Detachment, Current Injury | Detachment | Medial Mensical Tear | Medial Meniscus Knee InjuryPoland
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Artromedical Konrad Malinowski ClinicRecruitingAnterior Cruciate Ligament Injuries | Collateral Ligament, Knee; Sprain (Strain), MedialPoland
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Hospital for Special Surgery, New YorkMayo Clinic; Oregon Health and Science University; Inova Medical GroupEnrolling by invitationPatellar Instability
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Peking University Third HospitalRecruitingRecurrent Patellar DislocationChina
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Mostafa Hassanein, MscCompletedACL Injury | Knee Deformity | ACL - Anterior Cruciate Ligament Deficiency | Varus Deformity of Tibia (Disorder)Egypt