Clınıcal Results of Evelator and Free Knot Methods In Medial Menıscus Posterior Root Tears

NCT05370937 | Completed

• 1 other identifier: 31.03.2022
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

In this thesis study, the transtibial pullout method, which is one of the treatment methods for medial meniscus posterior root tear, will be used in patients over the age of 18 with medial meniscus posterior root tear, who applied to the Atatürk University Orthopedics and Traumatology clinic. The patients will be divided into two groups. In the first group, after knotting the posterior root of the medial meniscus with a fiber rope, a tunnel will be opened for the rope to pass through the medial of the proximal crest of the tibia. Then, arthroscopically, the rope will be taken through the joint and passed through the tunnel, and the knot will be fixed to the tibia by using the endobutton elevator system. In the second group, the first stage of fixation is the same, and fixation to the tibia will be done with an endobutton by tying a free knot without using an elevator system. The clinical and radiological scores of both groups just before the operation and at the twelve months after the operation will be calculated and their relationship with each other will be examined.

Conditions

Meniscus Tear; Meniscus Lesion

Keywords

medial meniscus posterior root tear; transtibial pullout system

Outcome Measures

Primary Outcomes (3)

• Lysholm score

  0-100-The Lysholm score is a 100-point scoring system for examining a patient's knee-specific symptoms including mechanical locking, instability, pain, swelling, stair climbing, and squatting.

  immediately before the surgery to 12-month post-operative period

• Visual analoque score

  (0-10, 0=no pain, 10=worst imaginable pain)

  immediately before the surgery to 12-month post-operative period

• Tegner Activity Score

  The Tegner activity scale is a one-item score that graded activity based on work and sports activities on a scale of 0 to 10. Zero represents disability because of knee problems and 10 represents national or international level soccer.

  immediately before the surgery to 12-month post-operative period

Secondary Outcomes (3)

• meniscal extrusion on mrı

  immediately before the surgery to 12-month post-operative period

• Kellgren Lawrence

  immediately before the surgery to 12-month post-operative period

• Outer Bridge

  immediately before the surgery to 12-month post-operative period

Study Arms (2)

ELEVATOR

ACTIVE COMPARATOR

After knotting the posterior root of the medial meniscus with a fiber rope, a tunnel will be opened for the rope to pass through the medial of the proximal crest of the tibia. Then, arthroscopically, the rope will be taken through the joint and passed through the tunnel, and the knot will be fixed to the tibia by using the endobutton elevator system

Procedure: ARTROSCOPİC SURGERY WITH ELEVATOR SYSTEM

FREE KNOT

ACTIVE COMPARATOR

The first stage of fixation is the same, and fixation to the tibia will be done with an endobutton by tying a free knot without using an elevator system.

Procedure: ARTROSCOPİC SURGERY WITHOUT ELEVATOR SYSTEM

Interventions

ARTROSCOPİC SURGERY WITH ELEVATOR SYSTEM PROCEDURE

TRANSTİBİAL PULL OUT REPAİR FOR MEDİAL MENİSCUS POSTERİOR ROOT TEARS

ELEVATOR

ARTROSCOPİC SURGERY WITHOUT ELEVATOR SYSTEM PROCEDURE

TRANSTİBİAL PULL OUT REPAİR FOR MEDİAL MENİSCUS POSTERİOR ROOT TEARS WITH ELEVATOR SYSTEM

FREE KNOT

Eligibility Criteria

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

You may qualify if:

• older than 18 years
• Findings showing medial meniscus root repair indication in the MRI with Outer-Bridge grade 1 or 2 and Kellegren Lawrence grade 0-2

You may not qualify if:

• Patients with chronic knee pain and chronic use of NSAIDs or opioids
• Patients with chronic instability and anterior cruciate ligament damage in addition to medial meniscus root tear
• Patients who had meniscus root repair before, but did not get good results and went for revision
• Patients who underwent tibial osteotomy with meniscus root repair.

Sponsors & Collaborators

• Ataturk University: lead

Study Sites (1)

Atatürk University

Erzurum, 25000, Turkey (Türkiye)

Location

Study Officials

• AHMET EMRE PAKSOY

  Ataturk University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: April 11, 2022
• First Posted: May 12, 2022
• Study Start: October 16, 2021
• Primary Completion: March 16, 2023
• Study Completion: April 16, 2023
• Last Updated: October 10, 2023

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)