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Kosteneffectiviteit van vroege chirurgie versus fysiotherapie met optionele verlate meniscectomie in oudere patienten. Een gerandomiseerde multicenter studie.

Recruiting
Conditions
Tibial meniscusArthroscopic Partial MeniscectomyConservative treatmentFysiotherapieOsteoarthritisMeniscusArthroscopische Partiele MeniscectomieConservatieve behandelingFysiotherapieArtrose
Registration Number
NL-OMON29143
Lead Sponsor
dr. D.J. Hemrika,Voorzitter Raad van BestuurOnze Lieve Vrouwe GasthuisPostbus 955001090 HM Amsterdam
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
402
Inclusion Criteria

1. Patients between 45 and 70 years of age at presentation;

2. A meniscal tear visualized on MRI. The meniscal tear can either be isolated or combined with a partial asymptomatic anterior cruciate ligament (ACL) injury or a asymptomatic degenerative ACL shown on MRI with no abnormal clinical findings (a negative Lachman test and Pivot Shift);

Exclusion Criteria

1. Knee locking or trauma leading to acute surgery;

2. One of the following associated injuries on the index knee:

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Primary outcome will be change in physical function from baseline to 2 years measured by the International Knee Documentation Committee (IKDC) 'Subjective Knee Form', which has been validated for meniscal injuries.<br /> <br>In addition, we will perform an economic analysis alongside the RCT from a societal perspective and a budget impact analysis from societal, government and insurer perspective.
Secondary Outcome Measures
NameTimeMethod
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