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TerminatedNCT05547269Updated Jun 6, 2025

PROMs and Patellar Tracking After MPFL Reconstruction With or Without Tibial Tuberosity Transposition

An observational study in Patellar Dislocation, Patellar Dislocation, Recurrent and Patellofemoral Maltracking, sponsored by Radboud University Medical Center. Terminated at 1 site in Netherlands. Open to participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2025-06-06.

Sponsored by Radboud University Medical Center · Observational

Why this study was terminated
Due to insufficient participant enrollment. Recruitment significantly lagged behind projections, and a decline in eligible patients at the study site made it unlikely that the study could be successfully completed within a reasonable timeframe.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
11
Ages
16 Years and older
Sex
All
01

Study summary

Patellar dislocations cause pain and functional decline in adolescents, which can be restored by a MPFL reconstruction with or without tibial tuberosity transposition. Yet, many reconstruction methods are being used clinically as consensus on the ideal MPFL reconstruction method is lacking. We propose a soft-tissue loop reconstruction method which potentially decreases the risk for of iatrogenic fracture of the patella and prevents femoral tunnel malposition.

Read the detailed description

Rationale: A patellar dislocation is one of the most common acute knee disorders in children and adolescents, causing pain and functional decline. In order to restore healthy kinematics and relieve pain, patients can receive a MPFL reconstruction. Still, there is no consensus on the ideal MPFL reconstruction method. Within the Radboudumc, a dynamic soft-tissue loop method is used for MPFL reconstruction. The method minimizes the risk of iatrogenic fracture of the patella and prevents nonanatomic tracking due to femoral tunnel malposition. Yet, the technique has not been evaluated clinically.

Objective: Evaluate pre- and postoperative reported outcomes in patients receiving an soft tissue loop MPFL reconstruction for the treatment of patellar instability. Additionally, it is aimed to investigate the difference in patella tracking before and \~12 months after surgery measured with 4D CT imaging in patients receiving an MPFL reconstruction with or without TTT for the treatment of patellar instability.

Study design: Prospective single centre observational study.

Study population: 20 patients with recurrent patellofemoral instability who have received or will receive an soft-tissue loop MPFL reconstruction with or without TTT within the Radboudumc.

Main study parameters/endpoints: the main study parameter is the pre- and postoperative difference in patient reported outcome measures (PROMs). The secondary aim is to assess changes in patellar tracking (measured before and 12 months (to \~ 24 months) after surgery).

Nature and extent of the burden and risks associated with participation, benefit and group relatedness: Patients will undergo a 4D CT scan of their knees after their surgery. Whenever possible, the CT scans will be planned during the regular 12 month check-up appointment day so patients do not have to come separately to the Radboudumc for the CT scan. When the operation was > 12 months ago and patients do have to come to the Radboudumc for the CT scan they will be compensated for their travel expenses with a bol.com gift card of 100 euros. The preoperative 4D CT scan and PROMS that will be used in this study are part of standard care. CT scanning exposes patients to radiation. For this study the level of radiation is estimated as an intermediate level of risk. No additional risks are associated with this study. Potential burdens for patients are predominantly time (for which they will be compensated with a gift card of 100 euros in case they have to come to the Radboudumc for the scan) and additional radiation exposure. No direct personal health benefit is expected. However, the knowledge generated with this study is expected to benefit future patients who need to undergo a MPFL reconstruction with or without TTT.

02

Conditions studied

  • Patellar Dislocation
  • Patellar Dislocation, Recurrent
  • Patellofemoral Maltracking

Keywords

  • 4DCT
  • MPFL reconstruction
  • Patellofemoral instability
03

In context

Patellar Dislocation

41 studies on the registry are indexed under Patellar Dislocation; 9 are open to participants now.

This study's enrollment of 11 is below the median of 100 across 15 observational studies indexed under Patellar Dislocation.

Browse Patellar Dislocation studies →

Lead sponsor

Radboud University Medical Center is the lead sponsor of 986 studies on the registry; 136 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
16 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients 16 years and older with recurrent patellofemoral instability who received a MPFL reconstruction with or without TTT.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age of 16 years and older.
  • Recurrent patellofemoral instability, for which:

    1. the patient will receive a MPFL reconstruction with or without TTT, or
    2. the patient has received a MPFL reconstruction with or without TTT , on the condition that the patient has a usable preoperative 4D CT scan.
  • of the patient.

Exclusion criteria

Exclusion Criteria:

  • Patients below an age of 16 years.
  • Patients that are pregnant.
  • > 35
  • Patients that are unable to actively flex and extend their knee.
  • Patellar stabilizing surgery other than the usual MPFL reconstruction with or without TTT. This includes: trochleoplasty, static MPFL reconstruction, isolated TTT
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
11 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Change in patient-reported outcomes

    Pre- and postoperative difference in patient reported outcome measures (PROMs)

    Time frame: 6 weeks preoperative to 6 months postoperative

  2. Change in patient-reported outcomes.

    Pre- and postoperative difference in patient reported outcome measures (PROMs)

    Time frame: 6 weeks preoperative to 12 months postoperative

Secondary outcomes

  1. Difference in patellar tracking.

    Difference between preoperative and 12-24 months postoperative in patellar tracking. This will be measured with 4D CT imaging and quantified by the patellar tilt and shift. The preoperative 4D CT scan is part of standard care.

    Time frame: preoperative, 12-~24 months postoperative

07

Study locations

1 site
  • Radboudumc
    Nijmegen, Gelderland 6525 GA, Netherlands
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2023 to primary completion in May 2025, 27 months.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 12, 2022
First posted
Sep 21, 2022
StartActual
Feb 17, 2023
Primary completionActual
May 20, 2025
CompletionActual
May 20, 2025
Last update
Jun 6, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 6, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05547269
Responsible party
Sponsor
First posted
Sep 21, 2022
Start date
Feb 17, 2023
Primary completion
May 20, 2025
Completion
May 20, 2025
Last update
Jun 6, 2025

Oversight

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

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This study is terminated, as verified in May 2025. You cannot join it, but the record below documents what was studied.

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