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Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.
Mrs
Manjit
Aujla
+44 24 765 74996
REPPORT@warwick.ac.uk
More information about this study, what is involved and how to take part can be found on the study website.
Recurrent patellar dislocation
This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.
A kneecap (patellar) dislocation, where the kneecap comes out to the side of the knee, is very painful. It is a common problem for people in their teens and early twenties. After the first dislocation, the weakened muscles and structures around the knee can allow this to happen again. People often feel that the kneecap is going to dislocate and change their activities to prevent it coming out. This combination of repeated dislocations, and the feeling that it is going to happen, is unpleasant, painful, and stops people getting on with their normal lives (education, work and social activity). We do not know the best way to treat this problem. Some specialists believe that without surgery, dislocations and restriction will continue. Others believe that physiotherapy works well and avoids the risks and cost of surgery. We will offer and compare two different treatments to people who have repeated kneecap dislocation; personalised knee therapy, which includes physiotherapy and individual care and advice to prevent dislocation, or surgery which tightens structures around the knee to prevent dislocation.
Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.
The recruitment start and end dates are as follows:
2024 Protocol article in https://pubmed.ncbi.nlm.nih.gov/39174058/ (added 23/08/2024)
You can take part if:
You may not be able to take part if:
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 release4. 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.10. Unable to adhere to trial protocols or completion of questionnaires (the need to offer translations will be kept under review by the trial team).* These are uncommon, <10% of the population, and challenging to treat.
Previous participant exclusion criteria: 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 trial2. 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 release4. Severe trochlea dysplasia requiring trochleoplasty* 5. Malalignment of femur or tibia requiring corrective osteotomy (not including tibial tubercle osteotomy)* 6. Osteochondral/chondral injury requiring surgery7. Medial patellar dislocation8. Previous randomisation into the trial (i.e., the other knee)9. Unable to adhere to trial protocols or completion of questionnaires (the need to offer translations will be kept under review by the trial team)*These are uncommon, <10% of the population, and are challenging to treat
Below are the locations for where you can take part in the trial. Please note that not all sites may be open.
Mrs
Manjit
Aujla
+44 24 765 74996
REPPORT@warwick.ac.uk
More information about this study, what is involved and how to take part can be found on the study website.
The study is sponsored by University of Warwick and funded by NIHR Evaluation, Trials and Studies Co-ordinating Centre (NETSCC); Grant Codes: NIHR134398.
Your feedback is important to us. It will help us improve the quality of the study information on this site. Please answer both questions.
Or CPMS 55618
You can print or share the study information with your GP/healthcare provider or contact the research team directly.