- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05868434
MPFLR With Fascia Lata Allograft, Based on Isometry Assessment + Elmslie-Trillat TTO
Medial Patellofemoral Ligament Reconstruction (MPFLR) With Fascia Lata Allograft, Based on Isometry Assessment Combined With Elmslie-Trillat Tibial Tuberosity Osteotomy.
Study Overview
Status
Detailed Description
Medial Patellofemoral Ligament (MPFL) injury occurs in more than 95% of lateral patellar dislocations. Most of these injuries result in subsequent lateral patellar instability. Therefore, MPFL reconstruction (MPFLR) is often necessary. The aim of this study is to assess outcomes of MPFLR With Fascia Lata Allograft, Based on Isometry Assessment Combined With Elmslie-Trillat Tibial Tuberosity Osteotomy.
The primary outcome consists of The International Knee Documentation Committee Questionnaire (IKDC), the Knee injury and Osteoarthritis Outcome Score (KOOS) and retear rate.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Konrad Malinowski, MD PhD
- Phone Number: +48 509812212
- Email: malwin8@wp.pl
Study Locations
-
-
Łódzkie
-
Bełchatów, Łódzkie, Poland, 97-400
- Recruiting
- Artromedical Orthopaedic Clinic
-
Contact:
- Konrad Malinowski, MD PhD
- Phone Number: +48 509 812 212
- Email: malwin8@wp.pl
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Lateral patellar dislocation with subsequent instability
- Failure of non-operative treatment
Exclusion Criteria:
- Active inflammation of the knee;
- Previous surgeries on the patellofemoral joint;
- Fractures around the knee
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Main arm of the study
Medial Patellofemoral Ligament Reconstruction (MPFLR) With Fascia Lata Allograft, Based on Isometry Assessment Combined With Elmslie-Trillat Tibial Tuberosity Osteotomy will be performed in these patients.
|
Medial Patellofemoral Ligament Reconstruction (MPFLR) With Fascia Lata Allograft, Based on Isometry Assessment Combined With Elmslie-Trillat Tibial Tuberosity Osteotomy.
Management of any accompanying patellofemoral lesions will be performed as well.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Lateral patella stability - apprehension test
Time Frame: At the 12 month of the follow-up.
|
Apprehension test at 30 degrees of knee flexion
|
At the 12 month of the follow-up.
|
|
Lateral patella stability - lateral luxation test
Time Frame: At the 12 month of the follow-up.
|
Lateral luxation test at 30 degrees of knee flexion
|
At the 12 month of the follow-up.
|
|
Lateral patella stability - apprehension test
Time Frame: At the 24 month of the follow-up.
|
Apprehension test at 30 degrees of knee flexion
|
At the 24 month of the follow-up.
|
|
Lateral patella stability - lateral luxation test
Time Frame: At the 24 month of the follow-up.
|
Lateral luxation test at 30 degrees of knee flexion
|
At the 24 month of the follow-up.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The functional assessment with the The International Knee Documentation Committee Questionnaire (IKDC)
Time Frame: At the 12 month of the follow-up.
|
Min of 0 max of 87 points, higher scores mean a better outcome
|
At the 12 month of the follow-up.
|
|
The functional assessment with the The International Knee Documentation Committee Questionnaire (IKDC)
Time Frame: At the 24 month of the follow-up.
|
Min of 0 max of 87 points, higher scores mean a better outcome
|
At the 24 month of the follow-up.
|
|
The functional assessment with the Knee injury and Osteoarthritis Outcome Score
Time Frame: At the 12 month of the follow-up.
|
Min of 0 max of 100 points, higher scores mean a better outcome
|
At the 12 month of the follow-up.
|
|
The functional assessment with the Knee injury and Osteoarthritis Outcome Score
Time Frame: At the 24 month of the follow-up.
|
Min of 0 max of 100 points, higher scores mean a better outcome
|
At the 24 month of the follow-up.
|
|
ROM
Time Frame: At the 12 month of the follow-up.
|
Knee range of motion assessed by the means of goniometer.
|
At the 12 month of the follow-up.
|
|
ROM
Time Frame: At the 24 month of the follow-up.
|
Knee range of motion assessed by the means of goniometer.
|
At the 24 month of the follow-up.
|
Collaborators and Investigators
Investigators
- Principal Investigator: Konrad Malinowski, MD PhD, Artromedical Orthopaedic Clinic, Bełchatów, Poland
Publications and helpful links
General Publications
- Ryan PC, Ross BJ, Stamm MA, Sherman WF, Heard WMR, Mulcahey MK. Concomitant Tibial Tubercle Osteotomy Reduces the Risk of Revision Surgery After Medial Patellofemoral Ligament Reconstruction for the Treatment of Patellar Instability. Arthroscopy. 2023 Feb 18:S0749-8063(23)00170-6. doi: 10.1016/j.arthro.2023.02.006. Online ahead of print.
- Agarwalla A, Gowd AK, Liu JN, Puzzitiello RN, Yanke AB, Verma NN, Forsythe B. Concomitant Medial Patellofemoral Ligament Reconstruction and Tibial Tubercle Osteotomy Do Not Increase the Incidence of 30-Day Complications: An Analysis of the NSQIP Database. Orthop J Sports Med. 2019 Apr 12;7(4):2325967119837639. doi: 10.1177/2325967119837639. eCollection 2019 Apr.
- Franciozi CE, Ambra LF, Albertoni LJB, Debieux P, Granata GSM Jr, Kubota MS, Carneiro M, Abdalla RJ, Luzo MVM, Cohen M. Anteromedial Tibial Tubercle Osteotomy Improves Results of Medial Patellofemoral Ligament Reconstruction for Recurrent Patellar Instability in Patients With Tibial Tuberosity-Trochlear Groove Distance of 17 to 20 mm. Arthroscopy. 2019 Feb;35(2):566-574. doi: 10.1016/j.arthro.2018.10.109. Epub 2019 Jan 4.
- Aliberti GM, Kraeutler MJ, Miskimin C, Scillia AJ, Belk JW, Mulcahey MK. Autograft Versus Allograft for Medial Patellofemoral Ligament Reconstruction: A Systematic Review. Orthop J Sports Med. 2021 Oct 19;9(10):23259671211046639. doi: 10.1177/23259671211046639. eCollection 2021 Oct.
- Allen MM, Krych AJ, Johnson NR, Mohan R, Stuart MJ, Dahm DL. Combined Tibial Tubercle Osteotomy and Medial Patellofemoral Ligament Reconstruction for Recurrent Lateral Patellar Instability in Patients With Multiple Anatomic Risk Factors. Arthroscopy. 2018 Aug;34(8):2420-2426.e3. doi: 10.1016/j.arthro.2018.02.049. Epub 2018 May 19.
- Lobner S, Krauss C, Reichwein F, Patzer T, Nebelung W, Venjakob AJ. Surgical treatment of patellar instability: clinical and radiological outcome after medial patellofemoral ligament reconstruction and tibial tuberosity medialisation. Arch Orthop Trauma Surg. 2017 Aug;137(8):1087-1095. doi: 10.1007/s00402-017-2705-z. Epub 2017 May 16.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 3-pro-ar-2023
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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