Multi-Center Prospective Clinical and Radiographic Outcomes of Meniscus Root Repair Using a Transtibial Pullout Technique
概览
- 阶段
- 不适用
- 干预措施
- Transtibial pullout technique
- 疾病 / 适应症
- Meniscus Tear
- 发起方
- Mayo Clinic
- 入组人数
- 55
- 试验地点
- 2
- 主要终点
- Change in Tegner activity score
- 状态
- Enrolling By Invitation
- 最后更新
- 3个月前
概览
简要总结
The results of this study will optimize the care for patients with a meniscus root tear. Surgeons will be able to determine if MRR (meniscus root repair) with transtibial pullout technique is an effective treatment and will identify potential risk factors for poor clinical outcomes. In addition, investigators will determine if MRR is successful in delaying the radiographic progression of arthritis in the involved compartment.
详细描述
The loss of attachment at the root of the meniscus impairs the ability to maintain hoop strain when the tibiofemoral joint is loaded. This loss of hoop strain is responsible for the increased pressure on the articular cartilage. This new awareness has prompted surgeons to consider surgical repair for treatment of meniscal root avulsions. Despite this recent focus on results of surgical repair, prospective studies are lacking, and the optimal surgical indications and technique have not been optimized.
研究者
入排标准
入选标准
- •Meniscus root avulsion tear (defined as meniscus posterior horn root avulsion or full thickness tear within 9 mm of the root attachment)
- •Ligament injury with concomitant reconstruction is acceptable
- •Malalignment with corrective osteotomy is acceptable
排除标准
- •Subchondral collapse on pre-op MRI
- •Extrusion greater than 3 mm
- •Intra-op Outerbridge grade 3 or greater chondromalacia
- •Intra-op poor quality meniscus tissue
- •Mal-alignment greater than 5 degrees without corrective osteotomy
- •Obesity with BMI over 40
- •Kellgren Lawrence \> grade 2
- •Worker's compensation status
研究组 & 干预措施
Transtibial pullout technique
Evaluation of the clinical and radiographic outcomes for patients undergoing a meniscus root repair (MRR) using a transtibial pullout technique.
干预措施: Transtibial pullout technique
结局指标
主要结局
Change in Tegner activity score
时间窗: baseline, 2 years
Tegner activity level scale is a graduated list of activities of daily living, recreation, and competitive sports. The patient is asked to select the level of participation that best describes their current level of activity and that before injury. The score varies from 0-10. A score of 0 represents sick leave or disability pension because of knee problems, whereas a score of 10 corresponds to participation in national and international elite competitive sports \>6 score can only be achieved if the person participates in recreational or competitive sport.