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.
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
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
50
Bracing and physical therapy
The patient is treated with tape in special configuration (McConell modified) for the patella + standard care
Taping with no treatment disposition
Fundación Valle del Lili
Cali, Valle del Cauca Department, Colombia
RECRUITINGRecurrent patellar dislocation (percentage of patients)
Percentage of patients with additional patellar dislocation after the first episode
Time frame: 2 years
Banff Patellofemoral Instability Instrument (BPII)
Patellofemoral instability specific score to assess function (disease-specific). The punctuation range is between 0-100 points. The best health scenario is 100% and the worst is 0.
Time frame: 2 years
Nich patellar instability (NPI) score
Patellofemoral instability specific score to assess function (disease-specific). The punctuation range is between 0-100%. The worst health deficit is 100% and the best is 0%.
Time frame: 2 years
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