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CompletedNCT04130412Updated Jun 4, 2020

Open Versus Arthroscopic Release for Lateral Patellar Compression Syndrome: Comparative Study

An interventional study of open release in Knee Arthroscopy, sponsored by Hawler Medical University. Completed. Open to participants aged 25 Years to 46 Years. Per ClinicalTrials.gov, last updated 2020-06-04.

Sponsored by Hawler Medical University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 3 years 7 months after the study started (first participant enrolled Mar 2016, registered Oct 2019).
Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
25 Years to 46 Years
Sex
All
01

Study summary

Chronic anterior knee pain with a stable patella is often associated with overload and increased pressure on the lateral facet due to pathologic lateral soft-tissue restraints. "Lateral pressure in flexion" is a term describing the pathologic process of increasing contact pressure over the lateral patellar facet as knee flexion progresses. Eighty patients were involved in this study, and it was divided into 2 random groups; Group A (40 patients)(odd number) were treated with open release after diagnostic arthroscopy and Group B (40 patients)(even number) were treated by arthroscopic release. All these patients are diagnosed as lateral patellar compression syndrome depending on clinical features, MRI and diagnostic arthroscopy. All patients were followed by Lysholm knee scaling score before surgery and two weeks , six weeks then 6 months after surgery.

Read the detailed description

This study was done by two orthopedic surgeons working in three hospitals from March 2016 to April 2018, Eighty patients were involved in this study, and it was divided into 2 matched groups; Group A (40 patients) were treated with open release after diagnostic arthroscopy and Group B (40 patients) were treated by arthroscopic release. All these patients are diagnosed as lateral patellar compression syndrome depending on clinical features, MRI ( figure 1)and diagnostic arthroscopy. All patients were followed by Lysol knee scaling score before surgery , two weeks , six weeks then 6 months after surgery. The two groups are matched related to age and gender. 52 patients are females and age ranged from 21-48 years.

Exclusion criteria are 1. Smoking 2.Patellar instability 3. D.M 4. Knee osteoarthritis 5. Previous knee surgery 6. Knee deformities involving Varus , valgus or recurvatum 7. Ligament laxity

02

Conditions studied

  • Knee Arthroscopy

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Keywords

  • Lateral patellar compression syndrome
  • Arthroscopic release
  • Open release
03

In context

Syndrome

9,217 studies on the registry are indexed under Syndrome; 1,031 are open to participants now.

This study's enrollment of 80 is above the median of 50 across 6,515 interventional studies indexed under Syndrome.

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Lead sponsor

Hawler Medical University is the lead sponsor of 56 studies on the registry; 6 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
25 Years to 46 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • All these patients are diagnosed as lateral patellar compression syndrome depending on clinical features, MRI and diagnostic arthroscopy.

Exclusion criteria

Exclusion Criteria:

  1. Smoking
  2. Patellar instability
  3. D.M 4. Knee osteoarthritis
  1. Previous knee surgery 6. Knee deformities involving Varus , valgus or recurvatum 7. Ligament laxity
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
80 participants (actual)

Study arms

  • Active comparator
    Open release of lateral retinaculae

    This group was treated by open release of lateral retinaculae after diagnosis of lateral compression syndrome by arthroscopy

    Procedure: open release

  • Active comparator
    Arthroscopic release of lateral retinaculae

    This group was treated by arthroscopic release

    Procedure: open release

Interventions

  • Procedureopen release

    Open release of lateral retinaculae

    Also known as: Arthroscopic release

06

What researchers measure

Primary outcomes

  1. Lysholm knee scaling score

    Measurement of knee pain and daily activities

    Time frame: All patients were followed by Lysholm knee scaling score 6 months after surgery.

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Hamawandi SA, Amin HI, Al-Humairi AK. Open versus arthroscopic release for lateral patellar compression syndrome: a randomized-controlled trial. Arch Orthop Trauma Surg. 2022 Oct;142(10):1-7. doi: 10.1007/s00402-021-03878-0. Epub 2021 Apr 7. PubMed 33829300 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 4, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04130412
Lead sponsor
Hawler Medical University
Responsible party
Sherwan Ahmed Ali Hamawandi (Assistant professor of orthopedic surgery, Hawler Medical University) — Principal investigator
First posted
Oct 17, 2019
Start date
Mar 5, 2016
Primary completion
Nov 10, 2019
Completion
Nov 25, 2019
Last update
Jun 4, 2020

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2020. You cannot join it, but the record below documents what was studied.

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