Is a Knee Arthroscopy of Any Benefit for the Middleaged Patient With Meniscal Symptoms?

Not Applicable

Completed

• Conditions: Chronic Meniscus Injury
• Interventions: Procedure: Knee arthroscopy

• Registration Number: NCT01288768
• Lead Sponsor: University Hospital, Linkoeping

Brief Summary

The purpose of this study is to determine whether a knee arthroscopy is effective in the treatment of middleaged patients with meniscal symptoms also receiving a standardised exercise program.

Detailed Description

There are no studies proving a significant positive effect of a knee arthroscopy in middleaged patients with meniscal symptoms in excess of a structured rehabilitation program. In this study consecutive patients aged 45-64 years referred to the orthopaedic department at the University hospital Linköping for a suspected meniscal injury will be randomised to a rehabilitation program or a knee arthroscopy + the same rehabilitation program. Functional tests will be performed by a physiotherapist. There will be patient administrated questionaries sent out after 3 and 12 month.

Study Timeline

• Study Start: 2010-03
• Study First Submitted: 2011-01-26
• Study First Submitted QC: 2011-02-01
• Study First Posted: 2011-02-02
• Status Verified: 2013-05
• Primary Completion: 2013-05
• Study Completion: 2013-05
• Last Update Submitted: 2013-05-02
• Last Update Posted: 2013-05-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 150

Inclusion Criteria

• All (consecutive) patients referred to the orthopaedic department in Linköping for a suspected meniscal injury
• Age:45-64 years old
• No gonarthrosis (Ahlbäck=0) on standing radiographs

Exclusion Criteria

• Rheumatic disease
• Patellofemoral arthrosis
• Fibromyalgia
• A knee or hip replacement
• A neurologic disorder including stroke
• A contraindication for an operation
• Catching or locking for more than 2 seconds more than once a week
• A permanent extension deficit
• Patients who cannot understand instructions in Swedish

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Arthroscopy	Knee arthroscopy	Knee arthroscopy + Exercise therapy

Primary Outcome Measures

Name	Time	Method
KOOS (Knee injury and Osteoarthritis Outcome Score); Pain subscale	12 month	KOOS is a 42 item selfadministrated questionnaire with 5 separate subscales; pain, symptoms, activities of daily living (ADL), sport and recreation, quality of life (QoL). A change of approximately 10 is considered a clinical important difference (CID). At 12 month after the randomization the "arthroscopy+exercise therapy" arm will be compared to the "exercise therapy alone" arm.

Secondary Outcome Measures

Name	Time	Method
KOOS (Knee injury and Osteoarthritis Outcome Score)	3 month
Tegner activity scale	12 month
KOOS (Symptoms, ADL, Sport/rec, QOL subscores)	12 month
Functional tests	3 month	Squatting (possible without pain, possible with pain, not possible). SOLEC ( one-legged stance) barefoot. Best time for three trials. Standing up from a chair on one leg, maximum repetitions in 30 sec. All test supervised by a physiotherapist.

Trial Locations

Locations (1)

Orthopaedic dept. University Hospital Linköping; 🇸🇪 Linköping, Sweden