Arthroscopic Versus Conservative Treatment of Degenerative Meniscal Tear in Middle Aged Patients in Regard to Pain & Knee Function

NCT04313569 | Completed DMC

• 1 other identifier: HMU/Sherwan9
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The study is prospective comparative study, conducted in Erbil teaching hospital on 60 patients, their age ranging between 40 and 60 years. All were clinically diagnosed to have degenerative medial meniscal tear then confirmed by MRI. Thirty patients were treated conservatively, thirty patients were treated arthroscopically.

Conditions

Knee Pain Chronic

Keywords

Degenerative meniscal tear; arthroscopic partial meniscectomy; conservative treatment; medial meniscal tear

Outcome Measures

Primary Outcomes (2)

• Lysholm Knee Scoring Scale

  Lysholm Knee score scale has (8) parts (swelling, pain, squatting, support, stair climbing, limping, locking and instability). Score of 100 means no problems in knee.

  All patients were reviewed and evaluated one year, by Lysholm score

• Visual analogue score

  Ten points Visual Analogue Score scale used in order to meassure the severity of knee pain during the study. Zero meaning no pain while 10 meaning the most severe pain

  All patients were reviewed and evaluated one year, by Visual Analogue score scales

Study Arms (2)

Conservative treatment

NO INTERVENTION

Use of medications, like analgesic, muscle relaxants, non-steroidal anti-inflammatory drugs (NSAID) and local painkillers, depending on the patient condition, and physiotherapy, lifestyle and daily activity modification, patient education about positioning of the knee

Arthroscopic menisctomy

OTHER

Procedure: Arthroscopic menisctomy

Interventions

Arthroscopic menisctomy PROCEDURE

Arthroscopic medial menisctomy

Arthroscopic menisctomy

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Atraumatic continuous pain in medial aspect of knee affecting daily activities, for more than one month despite the treatment of general physician.
• Grade 3 degenerative tear of medial meniscus approved on MRI.

You may not qualify if:

• Meniscal tear due to trauma.
• Any rheumatologic knee disease.
• MRI showing ligament injury, loose bodies, tumors and osteochondral defects.
• Former surgery of knee and lower limb fractures in the last year.
• Knee joints with osteoarthritis graded 2 or more according to Kellgren-Lawrence scale (Kellgren and Lawrence, 1957) on weight-bearing knee x-ray.
• Lateral meniscus tear.

Sponsors & Collaborators

• Hawler Medical University: lead

Study Sites (1)

Sherwan Hamawandi

Erbil, 44001, Iraq

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor of orthopedic surgery

Model Details: Arthroscopic meniscectomy

Study Record Dates

• First Submitted: March 16, 2020
• First Posted: March 18, 2020
• Study Start: August 1, 2017
• Primary Completion: September 1, 2019
• Study Completion: September 30, 2019
• Last Updated: March 20, 2020

Record last verified: 2020-03

Data Sharing

• IPD Sharing: Will not share

Locations

IR (1)