Interest of Additional Arthroscopic Portals in Diagnosis of Hidden Lesions of the Medial Meniscus in Pediatrics Knees With ACL Deficiency

Not Applicable

Completed

• Conditions: Chronic Knee Instability
• Interventions: Procedure: Arthroscopic intercondylar and posteromedial portal

• Registration Number: NCT02425995
• Lead Sponsor: Hospices Civils de Lyon

Brief Summary

Peroperatively observative study in pediatric orthopedic center in Lyon, France.

50 pediatric patients included in this study, to improve the diagnosis of hidden lesions of the medial meniscus associated with lesions of the anterior cruciate ligament.

All the patients need a reconstruction of the ACL because of chronic knee instability.

All the patients underwent a multi portal arthroscopy during the ACL reconstruction : anteromedial and anterolateral and after intercondylar and posteromedial.

The study consists in a peroperatively arthroscopic look, in order to diagnose lesions of the posterior horn of the medial meniscus which could be missed in MRI and anteromedial and anterolateral arthroscopy.

Statistics of this lesions are used to study prevalence and diagnosis capacity of this procedures.

First, the surgeon did a classic knee arthroscopy. Secondarily, he did an intercondylar portal and after a posteromedial portal.

Detailed Description

Not available

Basic Information
|
Recruitment & Eligibility
|
Study & Design
|
Trial Locations

Study Timeline

• Study Start: 2015-04
• Study First Submitted: 2015-04-15
• Study First Submitted QC: 2015-04-21
• Study First Posted: 2015-04-24
• Primary Completion: 2016-05
• Study Completion: 2016-05
• Status Verified: 2016-10
• Last Update Submitted: 2016-10-03
• Last Update Posted: 2016-10-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 43

Inclusion Criteria

• Chronic knee instability with indicated surgery reconstruction

Read More

Exclusion Criteria

• Pregnancy
• No preoperatively knee MRI
• Posteromedial or Intercondylar Portal Failure
• Social security system membership failure
• Refusal of consent of child or parents

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Arthroscopic intercondylar and posteromedial portal	Arthroscopic intercondylar and posteromedial portal	-

Primary Outcome Measures

Name	Time	Method
Number of hidden lesions diagnosed in Arthroscopic Posteromedial Portal and not seen in classic arthroscopic portals and Intercondylar Portal.	Day 1 (during surgery)	Diagnosis of a hidden lesion of the Posterior Horn of the Medial Meniscus in Arthroscopic Posteromedial Portal, which has not be seen in classic arthroscopic portals and Intercondylar Portal.

Secondary Outcome Measures

Name	Time	Method
Number of hidden lesions diagnosed during the arthroscopic procedure and not seen in preoperatively MRI.	Day 1 (during surgery)	Diagnosis of a hidden lesion of the posterior horn of the medial meniscus during the arthroscopic procedure, lesion not seen in preoperatively MRI.

Trial Locations

Locations (1)

Hospices Civils de Lyon; 🇫🇷 Lyon, France