Actively Recruiting

Age: 10Years - 35Years
All Genders
ID06883396

JUPITER 4.0 - Risk Factors for Failure of Isolated Medial Patellofemoral Ligament Reconstruction in Patients Aged 10 to 35

Led by Hospital for Special Surgery, New York · Updated on 2026-02-13

850

Participants Needed

16

Research Sites

52 weeks

Total Duration

On this page

Sponsors

H

Hospital for Special Surgery, New York

Lead Sponsor

A

American Orthopaedic Society for Sports Medicine

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying the outcomes of medial patellofemoral ligament (MPFL) reconstruction surgery for people with recurrent patellar instability, a condition where the kneecap frequently dislocates. This observational study aims to identify risk factors that lead to repeated instability after surgery and to assess how patients function and feel after the procedure. The study is conducted by a group of high-volume surgeons across the United States who treat this condition. Participants will undergo isolated MPFL reconstruction, which involves reconstructing the ligament with a tendon graft. Additional soft tissue procedures like lateral retinacular lengthening, release, chondroplasty, or cartilage restoration may be performed, but no bone realignment surgeries are included. The study enrolls patients aged 10 to 35 years with recurrent patellar instability, and follows them for up to 24 months after surgery. During the study, participants will answer surveys about their knee function and activity levels at 1 year and 2 years after surgery. Researchers will monitor the occurrence of recurrent dislocations within 24 months and assess patient-reported outcome measures such as the Kujala score, Pedi-IKDC, HSS Pedi-FABS, KOOS-12, BPII 2.0, and PROMIS-29. The goal is to better understand which factors influence surgical success and to improve treatment planning for future patients.

CONDITIONS

Brief Title

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

Who Can Participate

Age: 10Years - 35Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age between 10 and 35 years
  • Recurrent patellar instability with at least one episode defined by (1) a dislocated patella requiring emergency reduction or (2) a convincing history of dislocation with full giving way and physical signs such as hemarthrosis, medial retinaculum tenderness, and apprehension on lateral force or (3) MRI-documented dislocation with bone bruises
Not Eligible

You will not qualify if you...

  • Previous surgery on the same knee
  • Fixed, habitual, or obligatory patella dislocation or subluxation
  • Severe inferior or lateral cartilage damage on the patella needing tibial tubercle transfer
  • Pathologic instability of the tibiofemoral joint

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Surgery and Immediate Post-operative Care

Duration - Surgery day and up to 2 weeks post-operatively

Participants undergo isolated Medial Patellofemoral Ligament (MPFL) reconstruction surgery and receive immediate post-operative care.

1 surgery day and several early follow-up visits

Post-operative Follow-up

Duration - Up to 24 months post-operatively

Participants have follow-up visits to monitor recovery, assess knee stability, and complete patient-reported outcome measures.

Visits at 12 months and 24 months post-operatively

Trial Site Locations

Total: 16 locations

1

Stanford University

Redwood City, California, United States, 94063

Actively Recruiting

2

University of Florida

Gainesville, Florida, United States, 32607

Actively Recruiting

3

Midwest Orthopaedics at Rush

Chicago, Illinois, United States, 60612

Actively Recruiting

4

University of Iowa

Iowa City, Iowa, United States, 52242

Actively Recruiting

5

Massachusetts General Hospital

Boston, Massachusetts, United States, 02114

Actively Recruiting

6

Boston Children's Hospital

Boston, Massachusetts, United States, 02115

Actively Recruiting

7

Mayo Clinic

Rochester, Minnesota, United States, 55905

Not Yet Recruiting

8

Mount Sinai

New York, New York, United States, 10012

Not Yet Recruiting

9

NYU Langone Health

New York, New York, United States, 10016

Actively Recruiting

10

Hospital for Special Surgery

New York, New York, United States, 10021

Actively Recruiting

11

Duke Health

Wake Forest, North Carolina, United States, 27587

Actively Recruiting

12

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States, 45229

Actively Recruiting

13

Cleveland Clinic

Cleveland, Ohio, United States, 44195

Not Yet Recruiting

14

Ohio State University Wexler Medical Center

Dublin, Ohio, United States, 43016

Actively Recruiting

15

Oregon Health & Science University

Portland, Oregon, United States, 97239

Actively Recruiting

16

Scottish Rite for Children

Dallas, Texas, United States, 75219

Actively Recruiting

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Research Team

S

Simone Gruber

N

Natalie Pahapill

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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