Non-operative Treatment in First-time Patellar Dislocation

Fundacion Clinica Valle del Lili

Status: Enrolling

Conditions: Patellar Dislocation

Treatments: Other: Standard care; Other: Taping; Device: Sham taping

Study type: Interventional

Funder types: Other

Identifiers

NCT06086080

1906 (Other Identifier)

Details and patient eligibility

About

Study to evaluate the conservative treatment of patients after their first episode of primary lateral patellar dislocation. Randomized controlled trial with 2 groups: standard treatment (2-weeks with brace) followed by physical therapy, compared with knee taping and physical therapy. 1-year follow-up. Measurements include physical exam, radiographs and MRI. Outcomes: recurrence, lateral patellar tilt, functional scores, apprehension, pain.

Hypothesis: less recurrence in the knee taping group, as well as better functional scores.

Full description

Patients between 10-40 years old with first patellar dislocation are invited to participate in this conservative treatment study.

Patients are excluded if they have bilateral acute patellar dislocation, previous surgeries in the affected knee, osteochondral fracture, open patellar dislocation.

This is a randomized controlled trial with four groups of treatment:

1. Standard treatment (2-weeks with a knee brace) and physical therapy
2. Knee taping and physical therapy (1-week with knee brace)

Sample size: 50 patients / knees Outcomes of interest: recurrence in patellar dislocation, functional scores (Banff, Norwich), return to sport, patellar tilt

Enrollment: 50 estimated patients

Sex: All

Ages: 10 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with first episode of acute lateral patellar dislocation during the last 7 days.

Exclusion criteria

* Patients with acute bilateral patellar dislocation.

• Patients with open patellar dislocation.
• Patients with previous knee surgery in the same knee.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: Double Blind

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50 participants in 2 patient groups

Control group

Other group

Description:

Standard care: knee brace for 2 weeks, physical therapy, sham taping (2-weeks)

Treatment:

Device: Sham taping

Other: Standard care

Intervention group

Experimental group

Description:

Knee taping for 4-weeks, knee brace for 1 week, physical therapy

Treatment:

Other: Taping

Other: Standard care