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The purpose of this study is to elucidate surgical techniques for reconstructing MPFL in the treatment of chronic patella instability. The two techniques are conventional technique with the gracillis and screw fixation in the femur which is compared with new technique where the QT tendons and anchor fixation in the femur are used.
It would be investigated which technique provides the best stability with the least postoperative pain from the reconstruction and the lowest frequency of patellar reluxation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MPFL reconstruction with gracillis graft | Active Comparator | MPFL reconstructrion with gracillis graft and screw fixation in femur |
|
| MPFL reconstruction with quadriceps graft | Experimental | MPFL reconstructrion with quadriceps graft and suture anchor fixation in femur |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Quadriceps graft | Procedure | Using quadriceps graft as new medial patellofemoral ligament graft. Fixated with suture anchor |
|
| Measure | Description | Time Frame |
|---|---|---|
| Kujala (Anterior Knee Pain Scale) | Patient reported outcome score, 0=worst and 100=best | 24 month |
| Measure | Description | Time Frame |
|---|---|---|
| Donor site morbidity score, 0=worst and 100=best | Patient reported outcome score | 24 month |
| Knee injury and Osteoarthritis Outcome Score (KOOS) | Patient reported outcome score, 0=worst and 100=best |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Division of Sports Trauma, Palle Juul-Jensens Boulevard 99 | Aarhus N | 8200 | Denmark |
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| ID | Term |
|---|---|
| D031222 | Patellar Dislocation |
| ID | Term |
|---|---|
| D004204 | Joint Dislocations |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D014947 | Wounds and Injuries |
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| 24 month |
| Lysholm-Tegner (Activity Score) | Patient reported outcome score, 0=worst and 100=best | 24 month |
| Numerical Rating Scale (NRS-pain score) | Patient reported outcome score, 0=Best and 10=worst | 24 month |
| Knee pain | Palpatory pain in relation to graft fixation in femur on a four-point likert scale (no pain, mild pain, moderate pain, severe pain) | 24 month |
| Patella Re-luxation sensation | Question about how often the patella has dislocated after the surgery. (no dislocation, 1-2 dislocation/md, more dislocation). | 24 month |
| D007718 |
| Knee Injuries |
| D007869 | Leg Injuries |