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Comparison of the Results of Arthroscopic Suturing of the Medial Meniscus Using the Fast Fix and FiberStitch Systems

Not Applicable
Conditions
Medial Mensical Tear
Medial Meniscus Knee Injury
Meniscus; Detachment, Current Injury
Detachment
Interventions
Procedure: Medial Meniscus Arthroscopic Reconstruction Using the Fiber Stitch
Procedure: Medial Meniscus Arthroscopic Reconstruction Using the Fast Fix
Registration Number
NCT05318118
Lead Sponsor
eMKa MED Medical Center
Brief Summary

Clinical and comparative evaluation of the treatment results of arthroscopic reconstruction of the medial meniscus of the knee joint using the Fast Fix and FiberStitch systems.

Detailed Description

The main goal of the project is to evaluate the results of medial meniscus traumatic injury suturing. Further (detailed) objectives are: to compare the results obtained in the study groups of suturing the medial meniscus with the use of two systems: Fast Fix (smith \& nephew) and Fiber Stitch (arthrex). The results refering to the operated limb will be compared in both groups between themselves and furthermore with the results of clinical and biomechanical studies on non-operated limbs.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Isolated MM damage.
  • Operation performed only in arthroscopy technique.
  • No any knee intervention earlier.
  • No other pathology in the anatomical area.
  • Patient informed consent to participate in research
Exclusion Criteria
  • Age under 18 years old or above 35 years old.
  • Any knee intervention performed earlier.
  • Any other pathology in the anatomical area identified during preoperative diagnostics.
  • Any damage in the area of the second knee joint.
  • Failure complying the same treatment protocol rigor.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Medial Meniscus Arthroscopic Reconstruction Using the Fiber StitchMedial Meniscus Arthroscopic Reconstruction Using the Fiber Stitch-
Medial Meniscus Arthroscopic Reconstruction Using the Fast FixMedial Meniscus Arthroscopic Reconstruction Using the Fast Fix-
Primary Outcome Measures
NameTimeMethod
Tegner Activity Level Scale (TAS);12 months after procedure

The Tegner Activity Scale (TAS) aims to provide a standardized method in determining the level of activity prior to injury and level of activity post injury that can be documented on a numerical scale.

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.

Knee Injury and Osteoarthritis Outcome Score (KOOS);12 months after procedure

The Knee Injury and Osteoarthritis Outcome Score (KOOS) is a self-reported outcome measure assessing the patient's opinion about the health, symptoms, and functionality of their knee.

It holds 42 items in 5 separately scored subscales; Pain, other Symptoms, Function in daily living (ADL), Function in Sport and Recreation (Sport/Rec), and knee-related Quality of Life (QOL).

Scores are transformed to a 0-100 scale, with zero representing extreme knee problems and 100 representing no knee problems as is common in orthopaedic assessment scales and generic measures. Scores between 0 and 100 represent the percentage of total possible score achieved.

Tegner Lysholm Knee Scoring Scale;12 months after procedure

The Tegner Lyshom Knee Scoring Scale is a patient-reported instrument that consists of subscales for pain, instability, locking, swelling, limp, stair climbing, squatting, and the need for support. Scores range from 0 (worse disability) to 100 (less disability).

Grading the Tegner Lysholm Knee Scoring Scale:

* \<65 - poor;

* 65-83 - fair;

* 84-90 - good;

* \>90 - excellent.

IKDC SUBJECTIVE KNEE EVALUATION FORM12 months after procedure

Interpreted as a measure of function, such that higher scores represent higher levels of function and lower levels of symptoms. A score of 100 is interpreted to mean no limitation with sporting activities or daily living and the complete absence of symptoms.

Ultrasound examination (USG)12 months after procedure

Ultrasound examination on the apparatus with the option of elastometry

Visual Analogue Score (VAS)12 months after procedure

Visual Analogue Score - subjective measure for acute and chronic pain. 100-mm VAS ratings of:

* 0 to 4 mm can be considered no pain;

* 5 to 44 mm, mild pain;

* 45 to 74 mm, moderate pain;

* 75 to 100 mm, severe pain.

Biomechanical examination12 months after procedure

On the Biodex 3 System measuring device

Body Mass Index (BMI)12 months after procedure

BMI is interpreted using standard weight status categories:

I : below 18.5 kg/m2 - underweight;

II : 18.5 - 24.9 kg/m2 - healthy weight;

III : 25.0 - 29.9 kg/m2 - overweight;

IV : 30.0 kg/m2 and above - obesity.

Knee Society Score (KSS);12 months after procedure

The Knee Society Score (KSS) evaluates the clinical picture in terms of pain intensity, range of motion and stability in the anteroposterior and mediolateral planes, flexion deformities, contractures and poor alignment, and is widely used in clinic and mentioned in orthopedic literature.

Grading for the Knee Society Score:

* 80-100 - excellent;

* 70-79 - good;

* 60-60 - fair;

* below 60 - poor.

Magnetic resonance imaging (MRI)12 months after procedure

1,5 Tesli

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

eMKa MED Medical Center

🇵🇱

Wrocław, Dolnośląsk, Poland

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