Early Surgery & Delayed Rehab for Multiple Ligament Knee Injury

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
University of Pittsburgh, Pittsburgh, PAMultiple Ligament Knee Injury+1 MoreDelayed Rehab - Procedure
Eligibility
16 - 55
All Sexes
What conditions do you have?
Select

Study Summary

This trial is investigating the effects of timing of surgery and post-operative rehabilitation on patients with multiple ligament knee injuries. The hypothesis is that early surgery and early rehabilitation will lead to a more complete return to pre-injury activities and better physical function.

Eligible Conditions
  • Multiple Ligament Knee Injury
  • Knee Dislocation

Treatment Effectiveness

Effectiveness Progress

1 of 3

Study Objectives

2 Primary · 8 Secondary · Reporting Duration: Monthly starting at 6 months post-randomization and continuing to 24 months

24 months following randomization
Emotional Impairment Scale of the Multiple Ligament Quality of Life (MLQoL) Questionnaire
Global Rating of Change (GRC)
International Knee Documentation Committee Subjective Knee Form (IKDC-SKF)
Patient Acceptable Symptom State (PASS)
Patient Reported Outcome Measurement Information System (PROMIS) Global 1- Global 10
Patient Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) Scale
Patient-Reported Physical Function - Activity Limitation Scale of the Multiple Ligament Quality of Life (MLQoL) Questionnaire
Physical Impairment Scale of the Multiple Ligament Quality of Life (MLQoL) Questionnaire.
Social Involvement Scale of the Multiple Ligament Quality of Life (MLQoL) Questionnaire
Month 24
Time to Return to Pre-Injury Level of Activity

Trial Safety

Safety Progress

1 of 3

Trial Design

6 Treatment Groups

Early Surgery & Delayed Rehab
1 of 6
Early Surgery & Early Rehab
1 of 6
Delayed Surgery & Delayed Rehab
1 of 6
Early Rehab Only
1 of 6
Delayed Rehab Only
1 of 6
Delayed Surgery & Early Rehab
1 of 6

Experimental Treatment

690 Total Participants · 6 Treatment Groups

Primary Treatment: Early Surgery & Delayed Rehab · No Placebo Group · N/A

Early Surgery & Delayed RehabExperimental Group · 2 Interventions: Delayed Rehab, Early Surgery · Intervention Types: Procedure, Procedure
Early Surgery & Early RehabExperimental Group · 2 Interventions: Early Surgery, Early Rehab · Intervention Types: Procedure, Procedure
Delayed Surgery & Delayed RehabExperimental Group · 2 Interventions: Delayed Rehab, Delayed Surgery · Intervention Types: Procedure, Procedure
Early Rehab Only
Procedure
Experimental Group · 1 Intervention: Early Rehab · Intervention Types: Procedure
Delayed Rehab Only
Procedure
Experimental Group · 1 Intervention: Delayed Rehab · Intervention Types: Procedure
Delayed Surgery & Early RehabExperimental Group · 2 Interventions: Delayed Surgery, Early Rehab · Intervention Types: Procedure, Procedure

Trial Logistics

Trial Timeline

Screening: ~3 weeks
Treatment: Varies
Reporting: monthly starting at 6 months post-randomization and continuing to 24 months

Who is running the clinical trial?

University of MichiganOTHER
1,645 Previous Clinical Trials
6,417,133 Total Patients Enrolled
University of MinnesotaOTHER
1,272 Previous Clinical Trials
1,487,360 Total Patients Enrolled
University of ConnecticutOTHER
163 Previous Clinical Trials
154,008 Total Patients Enrolled
University of MarylandOTHER
152 Previous Clinical Trials
299,121 Total Patients Enrolled
University of PittsburghLead Sponsor
1,634 Previous Clinical Trials
16,307,179 Total Patients Enrolled
Rhode Island HospitalOTHER
241 Previous Clinical Trials
58,515 Total Patients Enrolled
Hospital for Special Surgery, New YorkOTHER
227 Previous Clinical Trials
60,228 Total Patients Enrolled
New York UniversityOTHER
207 Previous Clinical Trials
313,432 Total Patients Enrolled
University of Missouri-ColumbiaOTHER
332 Previous Clinical Trials
600,121 Total Patients Enrolled
University of WashingtonOTHER
1,610 Previous Clinical Trials
1,572,189 Total Patients Enrolled
San Antonio Military Medical CenterFED
21 Previous Clinical Trials
4,149 Total Patients Enrolled
Walter Reed National Military Medical CenterFED
126 Previous Clinical Trials
35,608 Total Patients Enrolled
William Beaumont Army Medical CenterFED
16 Previous Clinical Trials
1,656 Total Patients Enrolled
Nova Scotia Health AuthorityOTHER
242 Previous Clinical Trials
79,418 Total Patients Enrolled
University of Western Ontario, CanadaOTHER
163 Previous Clinical Trials
318,292 Total Patients Enrolled
Ochsner Health SystemOTHER
88 Previous Clinical Trials
185,128 Total Patients Enrolled
Yale UniversityOTHER
1,703 Previous Clinical Trials
20,475,239 Total Patients Enrolled
OrthoCarolina Research Institute, Inc.OTHER
33 Previous Clinical Trials
4,871 Total Patients Enrolled
Duke UniversityOTHER
2,207 Previous Clinical Trials
3,219,924 Total Patients Enrolled
University of CalgaryOTHER
717 Previous Clinical Trials
573,572 Total Patients Enrolled
Mayo ClinicOTHER
2,952 Previous Clinical Trials
3,447,095 Total Patients Enrolled
Wake Forest UniversityOTHER
179 Previous Clinical Trials
150,445 Total Patients Enrolled
Oregon Health and Science UniversityOTHER
904 Previous Clinical Trials
6,829,951 Total Patients Enrolled
University of New MexicoOTHER
342 Previous Clinical Trials
3,538,797 Total Patients Enrolled
University of CincinnatiOTHER
391 Previous Clinical Trials
635,019 Total Patients Enrolled
TRIA Orthopaedic CenterOTHER
3 Previous Clinical Trials
330 Total Patients Enrolled
University of KentuckyOTHER
173 Previous Clinical Trials
224,916 Total Patients Enrolled
Washington University School of MedicineOTHER
1,822 Previous Clinical Trials
2,283,418 Total Patients Enrolled
Unity Health TorontoOTHER
498 Previous Clinical Trials
375,335 Total Patients Enrolled
Louisiana State University Health Sciences Center ShreveportOTHER
42 Previous Clinical Trials
13,416 Total Patients Enrolled
James Irrgang, PT, PhDPrincipal InvestigatorUniversity of Pittsburgh

Eligibility Criteria

Age 16 - 55 · All Participants · 10 Total Inclusion Criteria

Mark “Yes” if the following statements are true for you:
The study is looking for men and women between 16 and 55 years old who have a severe ligament injury affecting two or more ligaments. This includes both military and civilian individuals.
You have not experienced nerve injury, ruptured biceps or popliteus tendon or avulsion.
You have not had any recent surgery that would prevent you from starting rehabilitation right away.

Frequently Asked Questions

To whom is participation in this clinical investigation accessible?

"This medical trial is recruiting 690 patients with knee dislocations between the ages of 16-55. The primary criteria for selection are: any impediment that could prevent conformance to postoperative instructions; ripped or dislodged quadriceps/patellar tendons; fractures close to an articulating joint which may stop weightbearing after surgery; staged surgical treatment as required, external fixator use over 10 days, inability to bear weight on non-injured leg and any procedure that prevents early bearing of load or range of motion. Male and female personnel from both military and civilian backgrounds will be eligible if they meet these conditions and" - Anonymous Online Contributor

Unverified Answer

Is there any availability left in this clinical trial for participants?

"Affirmative. Clinical trials portal clinicaltrials.gov provides information that this research is currently recruiting participants. It was originally posted on July 31st 2018 and has had a recent update on September 21st 2022. The study requires 690 volunteers from one location to take part in the trial." - Anonymous Online Contributor

Unverified Answer

What is the desired outcome of this clinical experiment?

"This trial, which will span a period of 24 months following randomization is designed to measure the Time to Return to Pre-Injury Level of Activity. Secondary objectives include analyzing Emotional Impairment Scale scores on the Multiple Ligament Quality of Life (MLQoL) Questionnaire and Global Rating of Change values as well as eliciting Patient Acceptable Symptom State responses from patients." - Anonymous Online Contributor

Unverified Answer

Is this research program recruiting individuals of advanced age?

"Eligibility for this trial requires that patients are aged between 16 and 55." - Anonymous Online Contributor

Unverified Answer

What is the maximum number of participants accepted for this research endeavor?

"Indeed, clinicaltrials.gov holds evidence of this medical trial actively seeking participants since its inaugural post on July 31st 2018. The last update was made September 21st 2022 and the study requires 690 individuals to sign up at a single site." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.