Back to Trials
NCT06883396Recruiting

JUPITER 4.0 - Risk Factors for Failure of Isolated Medial Patellofemoral Ligament Reconstruction

Hospital for Special Surgery, New York

Start Date

1/1/2023

Completion Date

12/1/2027

Summary

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.

Detailed Description

The JUPITER group consists of high-volume patellofemoral surgeons across the United States, and was organized to facilitate the collection of clinical and radiographic outcomes following surgical and non-surgical treatment of patellar instability. With this study (JUPITER 4.0), the group aims to prospectively enroll a new cohort of consecutive patients with recurrent patellar instability that would undergo isolated MPFL reconstruction regardless of radiographic measurements or anatomic risk factors to address two specific aims - 1) what patient, injury, and surgical factors lead to recurrent instability following isolated MPFL reconstruction and 2) the creation of an instability severity index score, with the long-term objective of identifying preoperatively, patients with a high risk of failure of an isolated MPFL reconstruction who may be better served with concomitant bony procedure.

Eligibility Criteria

Age Range: 10 years to 35 years

Inclusion Criteria: * 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 Exclusion Criteria: * 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

Interventions

PROCEDURE

Medial Patellofemoral Ligament (MPFL) Reconstruction

Interested in This Trial?

Contact the trial locations directly using the information below to learn more about enrollment.

Expressing interest lets you review the study and consent before we connect you with the research site.

Conditions

Patellar Dislocation, RecurrentPatellar DislocationPatellar InstabilityPatellofemoral DislocationPatellofemoral Joint DislocationPatellofemoral Disorder

Locations

Stanford University

Redwood City, California 94063

United States

University of Florida

Gainesville, Florida 32607

United States

Midwest Orthopaedics at Rush

Chicago, Illinois 60612

United States

University of Iowa

Iowa City, Iowa 52242

United States

Massachusetts General Hospital

Boston, Massachusetts 02114

United States

Boston Children's Hospital

Boston, Massachusetts 02115

United States

Mayo Clinic

Rochester, Minnesota 55905

United States

Mount Sinai

New York, New York 10012

United States

NYU Langone Health

New York, New York 10016

United States

Hospital for Special Surgery

New York, New York 10021

United States

Duke Health

Wake Forest, North Carolina 27587

United States

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio 45229

United States

Cleveland Clinic

Cleveland, Ohio 44195

United States

Ohio State University Wexler Medical Center

Dublin, Ohio 43016

United States

Oregon Health & Science University

Portland, Oregon 97239

United States

Scottish Rite for Children

Dallas, Texas 75219

United States