跳至主要内容
临床试验/ISRCTN16657952
ISRCTN16657952已完成未知

Synthetic versus autologous reconstruction (Syn-VAR) study for recurrent patellar instability: a prospective randomised pilot study

Western Health and Social Care Trust0 个研究点目标入组 20 人开始时间: 2017年3月3日最近更新:
适应症

试验速览

阶段
未知
状态
已完成
发起方
入组人数
20

研究概览

简要总结

2018 Protocol article in https://www.ncbi.nlm.nih.gov/pubmed/29724252 protocol Poster results see attached file ISRCTN16657952_POSTER.pptx (added 14/03/2023)

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • Current inclusion criteria as of 29/01/2018:
  • 1. Aged 14-25 years
  • 2. Confirmed medial patellofemoral ligament rupture on MRI
  • 3. Pre-operative AP, lateral and skyline radiographs
  • 4. Unilateral or bilateral symptoms
  • 5. Clinical signs of patellar instabiltity
  • 6. Closed proximal tibial physes
  • 7. Only patients with 2 or more dislocations will be considered for inclusion
  • Previous inclusion criteria from 08/09/2017 to 29/01/2018:
  • 1. Aged 14-25 years
  • 2. Confirmed medial patellofemoral ligament rupture on MRI
  • 3. Pre-operative AP, lateral and skyline radiographs
  • 4. Unilateral or bilateral symptoms
  • 5. Clinical signs of patellar instabiltity
  • 6. Closed proximal tibial physes
  • Original inclusion criteria:
  • 1. Aged 14-25 years
  • 2. Confirmed medial patellofemoral ligament rupture on MRI
  • 3. Pre-operative AP, lateral and skyline radiographs
  • 4. Unilateral or bilateral symptoms

排除标准

  • Current exclusion criteria as of 14/02/2018:
  • 1. Patients requiring bony transfer procedures (e.g., tibial tuberosity transfer)
  • 2. Patients requiring a lateral release or Z-lengthening of the lateral structures
  • 3. Patients with lateral compression signs on the skyline radiographs
  • 4. Patients with confirmed multi-ligamentous knee injury
  • 5. Patients with confirmed osteochondral lesions on MRI or plain radiograph pre-operatively
  • 6. Patients who have previously underwent surgery
  • 7. Abnormal hip or hindfoot pathology
  • 8. Excessive femoral anteversion (>30 degrees) and/or excessive external tibial torsion (>40 degrees)
  • 9. Excessive coronal plane deformity
  • 10. Dejour grade C/D trochlear dysplasia
  • 11. Excessive patellar tilt as measured by the Angle or Laurin and Fulkerson Angle methods.
  • 12. Skeletally immature patients
  • 13. Eastablish radiological changes of arthritis
  • 14. Patients with confirmed hypersensitivity to synthetic graft material
  • 15. A TT-TG distance >20mm on MRI/CT
  • Previous exclusion criteria from 08/09/2017 to 14/02/2018:
  • 1. Patients requiring bony transfer procedures (e.g., tibial tuberosity transfer)
  • 2. Patients requiring a lateral release or Z-lengthening of the lateral structures
  • 3. Patients with lateral compression signs on the skyline radiographs
  • 4. Patients with confirmed multi-ligamentous knee injury
  • 5. Patients with confirmed osteochondral lesions on MRI or plain radiograph pre-operatively
  • 6. Patients who have previously underwent surgery
  • 7. Abnormal hip or hindfoot pathology
  • 8. Excessive femoral anteversion (>30 degrees) and/or excessive external tibial torsion (>40 degrees)
  • 9. Excessive coronal plane deformity
  • 10. Dejour grade D trochlear dysplasia
  • 11. Excessive patellar tilt as measured by the Angle or Laurin and Fulkerson Angle methods.
  • 12. Skeletally immature patients
  • 13. Eastablish radiological changes of arthritis
  • 14. Patients with confirmed hypersensitivity to synthetic graft material
  • 15. Insall-Salvati >1.2, Gaton Dechamp <1.3 or TT-TG >20mm
  • Original exclusion criteria:
  • 1. Patients requring bony transfer procedures (e.g., tibial tuberosity transfer)
  • 2. Patients requiring a lateral release or Z-lengthening of the lateral structures
  • 3. Patients with lateral compression signs on the skyline radiographs
  • 4. Patients with confirmed multi-ligamentous knee injury
  • 5. Patients with confirmed osteochondral lesions on MRI or plain radiograph pre-operatively
  • 6. Patients who have previously underwent surgery

研究者

发起方
Western Health and Social Care Trust

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