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RecruitingNCT06883396Updated Feb 13, 2026

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

An observational study in Patellar Dislocation, Recurrent, Patellar Dislocation and Patellar Instability, sponsored by Hospital for Special Surgery, New York. Recruiting at 16 sites in United States. Open to participants aged 10 Years to 35 Years. Per ClinicalTrials.gov, last updated 2026-02-13.

Sponsored by Hospital for Special Surgery, New York · Observational

From the registry’s dates

  • Started Jan 2023; still recruiting 3 years 10 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
850
Ages
10 Years to 35 Years
Sex
All
01

Study 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.

Read the 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.

02

Conditions studied

  • Patellar Dislocation, Recurrent
  • Patellar Dislocation
  • Patellar Instability
  • Patellofemoral Dislocation
  • Patellofemoral Joint Dislocation
  • Patellofemoral Disorder

Keywords

  • Patella
  • Patella Dislocation
  • Patellar Instability
  • Recurrent Patellar Instability
  • MPFL
  • Medial Patellofemoral Ligament
  • Medial Patellofemoral Ligament 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 planned enrollment of 850 is above the median of 100 across 15 observational studies indexed under Patellar Dislocation.

Browse Patellar Dislocation studies →

Lead sponsor

Hospital for Special Surgery, New York is the lead sponsor of 226 studies on the registry; 40 are open to participants now.

Of its 30 completed or terminated interventional studies of FDA-regulated products, 22 (73%) have results posted.

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

04

Who can participate

Ages eligible
10 Years to 35 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients presenting to the participating surgeons for treatment of recurrent patellar instability

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

  • 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

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
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
850 participants (estimated)
Patient registry
No

Groups and cohorts

  • Isolated MPFL Reconstruction

    Patients with recurrent patellar instability (2 or more dislocation and/or subluxation events) undergoing isolated MPFL reconstruction

    Procedure: Medial Patellofemoral Ligament (MPFL) Reconstruction

Interventions

  • ProcedureMedial Patellofemoral Ligament (MPFL) Reconstruction

    For the purposes of this study, isolated MPFL reconstruction is defined as MPFL reconstruction with a tendon graft, with or without additional soft tissue procedure(s) including lateral retinacular lengthening or release, patellofemoral chondroplasty and/or cartilage restoration. No patient in the study will receive a bony realignment procedure to treat patellar instability.

06

What researchers measure

Primary outcomes

  1. Recurrent patellar instability

    Patient-reported patellar dislocation or subluxation

    Time frame: Within 24 months post-operatively

Secondary outcomes

  1. Patient-Reported Outcome Measures (PROMs): Kujala score

    The Kujala score, also known as the Anterior Knee Pain Scale (AKPS), is a 13-item questionnaire that helps assess subjective reactions to activities and symptoms related to patellofemoral pain. It is a 0-to-100 point scale, with higher scores indicating better outcomes and less pain and disability.

    Time frame: 12 months post-operatively and 24 months post-operatively

  2. Patient-Reported Outcome Measures (PROMs): Pedi-IKDC

    The Pedi-IDKC is a modified version of the International Knee Documentation Committee (IDKC) Subjective Knee Form for use in young patients. It is a 15-item knee-specific questionnaire that measures symptoms, function, and sports activity. Scores range from 0-100, with higher scores indicating better outcomes.

    Time frame: 12 months post-operatively and 24 months post-operatively

  3. Patient-Reported Outcome Measures (PROMs): HSS Pedi-FABS

    The Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS) is a validated 8-item questionnaire scored from 0-30, with higher scores indicating higher levels of activity.

    Time frame: 12 months post-operatively and 24 months post-operatively

  4. Patient-Reported Outcome Measures (PROMs): KOOS-12

    The Knee injury and Osteoarthritis Outcome Score-12 (KOOS-12) is a 12-item measure evaluating the difficulties people experience due to problems with their knee. Each question is scored from 0 to 4 points, with 0 representing no knee problems and 4 representing extreme knee problems. Overall, scores range from 0 to 100, where, in contrast to the individual questions, 0 is the worst possible and 100 is the best possible score.

    Time frame: Time Frame: 12 months post-operatively and 24 months post-operatively

  5. Patient-Reported Outcome Measures (PROMs): BPII 2.0

    The BPII 2.0 (Banff Patellofemoral Instability Instrument) is a patient-reported outcome measure assessing quality of life in individuals with patellofemoral instability. The score ranges from 0 to 100, with higher scores indicating greater quality of life.

    Time frame: 12 months post-operatively and 24 months post-operatively

  6. Patient-Reported Outcome Measures (PROMs): PROMIS-29

    PROMIS (Patient-Reported Outcomes Measurement Information System) is a questionnaire that evaluates health-related quality of life across seven key domains: physical function, pain interference, fatigue, sleep disturbance, physical and mental health, and social health. It is scored a T-score metric. High scores mean more of the concept being measured. 10 points on the T-score metric is one standard deviation (SD).

    Time frame: 12 months post-operatively and 24 months post-operatively

07

Study locations

13 of 16 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06883396
Collaborators
American Orthopaedic Society for Sports Medicine, Orthopedic Research and Education Foundation, Children's Hospital Medical Center, Cincinnati
Responsible party
Sponsor
First posted
Mar 19, 2025
Start date
Jan 1, 2023
Primary completion
Dec 2026 (estimated)
Completion
Dec 2027 (estimated)
Last update
Feb 13, 2026

Study contacts

Simone Gruber
Contact
grubers@hss.edu
646-797-8947
Natalie Pahapill
Contact
pahapilln@hss.edu
646-714-6738
Beth Shubin Stein, MD
principal investigator · Hospital for Special Surgery, New York
Shital Parikh, MD
principal investigator · Children's Hospital Medical Center, Cincinnati

Oversight

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

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