Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 10
- 试验地点
- 2
- 主要终点
- Presence of pain in full knee flexion
研究概览
简要总结
The aim of this study is to assess outcomes of Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment
详细描述
The aim of this study is to assess outcomes of Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment by the means of published technique (reference nr 1).
A decrease in the posterior curvature of the femoral metaphysis close to the medial femoral condyle is one of the anatomical alterations that can be seen within the knee joint. When the knee is fully flexed, this curve is typically concave enough to accommodate the posterior horn of the medial meniscus (PHMM). Similar to cam incongruence in the hip joint, a decrease in curvature may cause posteromedial tibiofemoral incongruence, a condition marked by compression of the PHMM in complete knee flexion. If deep knee flexion occurs, clinical symptoms may appear, and PHMM degeneration may be shown to worsen over time. Surgery may be recommended for patients for whom activity modification and conservative therapy have failed. Our team proposed an arthroscopic procedure that allows for the least amount of correction that is still necessary while also providing final intraoperative confirmation of the clinical need to repair posteromedial tibiofemoral incongruence.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Pain, snapping or discomfort in posterior part of the knee in deep knee flexion during squat
- •Reduced concavity of the femoral metaphysis proximal to the medial femoral condyle confirmed on MRI
- •Impingement of posterior horn of medial meniscus with the metaphysis of femur during full knee flexion confirmed arthroscopically
排除标准
- •Active knee inflammation
- •Chondral injuries ICRS 3-4
- •Extraarticular reasons of pain, snapping or discomfort in posterior part of the knee in deep knee flexion during squat
- •Cyst or avascular changes within the femoral metaphysis adjacent to the planned localization of the procedure
结局指标
主要结局
Presence of pain in full knee flexion
时间窗: At the 24 month of the follow-up
Presence of pain in full knee flexion - deep squat: pain yes/no
次要结局
- The functional assessment with the The International Knee Documentation Committee Questionnaire (IKDC)(At the 24 month of the follow-up)
- The functional assessment with the Knee injury and Osteoarthritis Outcome Score (KOOS)(At the 24 month of the follow-up.)
研究者
Konrad Malinowski MD
Konrad Malinowski MD, Director of Artromedical Konrad Malinowski Clinic and Principal Investigator
Artromedical Konrad Malinowski Clinic