To Compare the Clinical Efficacy of Arthroscopic Lateral Retinacular Release and Exercise Therapy in the Treatment of Lateral Patellar Crush Syndrome

NCT06988930 | Enrolling By Invitation DMC

• 1 other identifier: M2024181
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

One hundred patients with lateral patellar compression syndrome (LPCS) were recruited and divided into two groups: arthroscopic treatment group and rehabilitation conservative treatment group. A 2-year prospective cohort study was then conducted. The subjective scores of 5 scales and 3 objective indexes were used to evaluate the recovery of knee joint function after different treatment methods, and to further clarify the medium and long-term therapeutic effects of different treatment methods on LPCS patients.

Conditions

Lateral Patellar Syndrome

Keywords

lateral patellar compression syndrome; lateral retinacular release of the patella; patellofemoral joint rehabilitation; prospective cohort study; kinesitherapy

Outcome Measures

Primary Outcomes (1)

• Patellar axial X-ray

  The degree of deviation of the patella was evaluated mainly by X-ray measurement

  Before the intervention、3 months after the intervention and 1 year after the intervention

Secondary Outcomes (3)

• Visual Analogue Score

  Before the intervention、3 months after the intervention and 1 year after the intervention

• Kujala score

  Before the intervention、3 months after the intervention and 1 year after the intervention

• Lysholm knee score scale

  Before the intervention、3 months after the intervention and 1 year after the intervention

Study Arms (2)

Experimental group：arthroscopic surgery

EXPERIMENTAL

The patients with lateral patellar extrusion were treated with arthroscopic minimally invasive surgery.

Diagnostic Test: Control group

Conservative rehabilitation training group

ACTIVE COMPARATOR

The patients in this group were treated with exercise therapy

Diagnostic Test: Control group

Interventions

Control group DIAGNOSTIC_TEST

The non-operation group was treated with rehabilitation therapy for 6 weeks, and the operation group was treated with arthroscopic surgery and the pathological tissue of cartilage and subchondral bone was taken. Assessment was performed at three months, one year, and two years after treatment and recorded in the database.

Conservative rehabilitation training group; Experimental group：arthroscopic surgery

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• ① Meet the diagnostic criteria of LPCS; ② Complete imaging data; ③ agree that the follow-up time should be at least 1 Years; ④ Those who are willing to conduct regular rehabilitation training can cooperate to complete the experiment by signing the informed consent.

You may not qualify if:

• ① Complicated with severe heart, brain, kidney and other organ dysfunction;② Combined with patellar instability, patellar dislocation or others Severe knee joint disease and injury; ③ The previous history of joint infection, joint tuberculosis or osteomyelitis, or the lower extremity in 6 A history of surgery within the last month and previous knee surgery; ④ Infection, cancer, pregnancy and mental disorders Those with special conditions. ⑤ patients with mental illness or cognitive impairment, unable to study and participate in rehabilitation training; ⑥ not Informed consent was obtained.

Sponsors & Collaborators

• Peking University Third Hospital: lead

Study Sites (1)

Peking University Third Hospital

Beijing, China

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 7, 2025
• First Posted: May 25, 2025
• Study Start: March 1, 2024
• Primary Completion (Estimated): December 31, 2026
• Study Completion (Estimated): December 31, 2026
• Last Updated: May 25, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will share

Locations

CN (1)