Clinical trial NCT05971472: Arthroscopic Repair Versus High Tibial Osteotomy for Medial Meniscus Posterior Root Tears
Official title: Arthroscopic Repair Versus Opening Wedge High Tibial Osteotomy for Medial Meniscus Posterior Root Tears
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Medial Mensical Tear
Keywords: Medial
Meniscus
Posterior
Root
Tear
High Tibial Osteotomy
Arthroscopic Root Repair
Transtibial Pullout
Arthroscopic Repair
Open Wedge
Lead sponsor: Ain Shams University
Sponsor class: OTHER
First posted: 2023-08-02
Enrollment: 30
Sex: ALL
Minimum age (years): 40
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The goal of the trial is to compare Arthroscopic repair against Opening wedge high tibial osteotomy for Medial Meniscus posterior root tears

Detailed description: All Patients included in this clinical trial will be informed by written consent will undergo a one week screening to determine the eligibility for study entry.

Patients who meet the eligibility requirements will be randomized in a single blinded manner (patients).

Eligibility criteria: Inclusion Criteria:

* Sex: both sexes.
* Age: Above 40
* Degree of Varus: Neutral to 10 degrees of Varus

Exclusion Criteria:

* History of high energy trauma.
* Multiligamentous knee Injury.

Primary outcomes:
measure: Lysholm Score
timeFrame: 3 month and 6 month
measure: IKDC Score
timeFrame: 3 month and 6 month
Secondary outcomes:
measure: infection
timeFrame: 3 month and 6 month
measure: Non union
timeFrame: 3 month and 6 month
measure: Arthrofibrosis
timeFrame: 3 month and 6 month
Other outcomes:
Locations:
city: Cairo
country: Egypt
facility: Demerdash Hospital
Study officials:
affiliation: Ain Shams University
name: Wael S. Abdel Megid, Professor
role: STUDY_DIRECTOR
affiliation: Ain Shams University
name: Zeiad M. Zakaria, Assistant Professor
role: STUDY_DIRECTOR
affiliation: Ain Shams University
name: Radwan G. Abdel Hamid, Assistant Professor
role: STUDY_DIRECTOR
affiliation: Ain Shams University
name: Mohamed E. Awad, Assistant Professor
role: STUDY_DIRECTOR
References:
citation: Kim KI, Bae JK, Jeon SW, Kim GB. Medial Meniscus Posterior Root Tear Does Not Affect the Outcome of Medial Open-Wedge High Tibial Osteotomy. J Arthroplasty. 2021 Feb;36(2):423-428. doi: 10.1016/j.arth.2020.08.067. Epub 2020 Sep 7.
citation: Nha KW, Lee YS, Hwang DH, Kwon JH, Chae DJ, Park YJ, Kim JI. Second-look arthroscopic findings after open-wedge high tibia osteotomy focusing on the posterior root tears of the medial meniscus. Arthroscopy. 2013 Feb;29(2):226-31. doi: 10.1016/j.arthro.2012.08.027.
citation: Marzo JM, Gurske-DePerio J. Effects of medial meniscus posterior horn avulsion and repair on tibiofemoral contact area and peak contact pressure with clinical implications. Am J Sports Med. 2009 Jan;37(1):124-9. doi: 10.1177/0363546508323254. Epub 2008 Sep 24.
citation: Feucht MJ, Kuhle J, Bode G, Mehl J, Schmal H, Sudkamp NP, Niemeyer P. Arthroscopic Transtibial Pullout Repair for Posterior Medial Meniscus Root Tears: A Systematic Review of Clinical, Radiographic, and Second-Look Arthroscopic Results. Arthroscopy. 2015 Sep;31(9):1808-16. doi: 10.1016/j.arthro.2015.03.022. Epub 2015 May 13.