REcurrent Patellar dislocation: Personalised therapy or OpeRative Treatment? (REPPORT)

niversity of Warwick0 个研究点目标入组 276 人2023年6月9日

概览

2024 Protocol article in https://pubmed.ncbi.nlm.nih.gov/39174058/ (added 23/08/2024)

注册库

who.int

开始日期

2023年6月9日

结束日期

2027年8月31日

最后更新

去年

研究类型

Interventional

性别

All

发起方

niversity of Warwick

•1\. Experienced at least two (self\-reported) lateral patellar dislocations affecting the same knee
•2\. Age 16 years or over

•Current participant exclusion criteria as of 18/06/2024:
•1\. Open growth plates on standard care imaging (typically but not restricted to MRI). Surgery in the skeletally immature requires different surgical techniques and is beyond the scope of this trial.
•2\. Presence of another knee condition which may cause instability (e.g., cruciate ligament instability, unstable meniscal tear)
•3\. Previous patellofemoral surgery, except simple arthroscopy with/without lateral release
•4\. Severe trochlea dysplasia which in the opinion of the treating clinician requires trochleoplasty.\*
•5\. Malalignment of femur or tibia requiring corrective osteotomy (not including tibial tubercle osteotomy).\*
•6\. Osteochondral/chondral injury requiring surgery, except removal of loose body.
•7\. Medial patellar dislocation or dislocations when the knee flexes (i.e., the patella is located in extension and dislocates every time the knee flexes).
•8\. Previous randomisation into the trial (i.e., the other knee).
•9\. Unable to have either physiotherapy or surgery.