Recurrent dislocation and instability of the patella (knee cap) can be a profoundly disabling condition. Recurrent dislocations may persist for many decades causing pain, cartilage, and soft tissue injury which can lead to long-term disability. The REPPORT trial is looking to compare a physiotherapy intervention (PKT: Personalised Knee Therapy) versus surgery. Both physiotherapy and surgery are both options for treating repeated kneecap dislocations and available in the NHS, however it is not know if one is better than the other. The REPPORT trial will offer 50% of randomised patients PKT and 50% Surgery and will compare patient reported results to see if which treatment plan has the best patient outcomes.
REPPORT is a study of people with recurrent patellar dislocations (2 or more dislocations). People will be randomised to either MPFL reconstruction (with tibial tubercle distalisation if there is alta), or a Personalised Knee Therapy programme developed for PFJ instability. We will exclude people who need trochleoplasty or osteotomy to correct alignment or rotation, but most people with recurrent instability will be suitable.