About this trial

The goal of this observational study is to learn about the outcomes of medial patellofemoral ligament (MPFL) reconstruction for the treatment of recurrent patellar instability. The main questions it aims to answer are:

* What are the risk factors for recurrent patellar instability after MPFL reconstruction? * What functional outcomes do patients report after MPFL reconstruction?

Participants undergoing MPFL reconstruction will answer survey questions about their knee and activity level 1 year and 2 years after surgery.

Eligibility criteria

Qualifiers

10-35 years old

Recurrent patellar instability with at least one episode defined as either (1) a dislocated patella requiring reduction in the emergency department or (2) a convincing history for dislocation, associated with full giving way, and the following physical findings: (a) hemarthrosis or effusion, (b) tenderness along the medial retinaculum, and (c) apprehension when laterally directed force was applied to the patella or (3) MRI-documented dislocation with associated bone bruises

Disqualifiers

Previous ipsilateral knee surgery

Obligatory/fixed/habitual patella dislocation or subluxation

Unloadable inferior or lateral chondral damage on the patella that would require a tibial tubercle transfer for unloading purposes

Pathologic tibiofemoral instability

Trial design

Treatments tested in this trial

  • Medial Patellofemoral Ligament (MPFL) Reconstruction

Treatment groups

850 Participants
are divided into 1 treatment group

Locations

16
California
Stanford University94063, Redwood City United States
Florida
University of Florida32607, Gainesville United States
Illinois
Midwest Orthopaedics at Rush60612, Chicago United States
Iowa
University of Iowa52242, Iowa City United States

Sponsors and collaborators

Hospital for Special Surgery, New York

Lead sponsor

American Orthopaedic Society for Sports Medicine

Collaborator

Orthopedic Research and Education Foundation

Collaborator

Children's Hospital Medical Center, Cincinnati

Collaborator