Actively Recruiting

Phase 4
Age: 18Years - 60Years
All Genders
ID06775197

Partial Meniscal Replacement Using Spongioflex Allograft An Investigator-Initiated Trial After Incomplete Meniscal Loss Evaluating Knee Function and Pain Outcomes

Led by Maria-Josef-Hospital Greven · Updated on 2025-01-15

40

Participants Needed

1

Research Sites

365 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying a new biological implant called Spongioflexae for partial meniscal replacement in patients with partial meniscal loss and related knee pain. The study aims to see if this novel graft can avoid or reduce problems seen with previous materials and improve patient outcomes compared to those who do not have surgery. Since there is currently no biological alternative available, this study is medically and economically important. The meniscus plays a key role in knee stability and pressure distribution, and partial meniscus loss can lead to arthritis and the need for knee replacement surgery over time. During the study, patients undergoing surgery will receive an antibiotic shot before the procedure. The Spongioflexae implant, made from demineralized human bone, will be arthroscopically placed into the meniscus defect and secured with sutures. The implant is flexible, porous, and designed to support cell ingrowth and tissue regeneration. Surgery lasts about 60-90 minutes, with a hospital stay of 2-3 days. Follow-up visits are scheduled at hospital discharge, 6 weeks, 6 months, 12 months, 24 months, and 5 years after surgery. Participants will be evaluated using several knee function and pain scores at these time points to assess the implant's effectiveness. The study also includes MRI imaging to monitor meniscus incorporation and joint health. Researchers will track safety, function, and long-term outcomes related to pain, knee function, and arthritis progression. The total follow-up period extends to 5 years, providing data on both short- and long-term effects of the implant.

CONDITIONS

Official Title

Partial Meniscal Replacement with Spongioflex®

Who Can Participate

Age: 18Years - 60Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients aged 18 to 60 years
  • Partial loss of lateral meniscus with lateral joint line pain or medial meniscus with medial joint line pain
  • Sufficient standing of the peripheral rim to allow the procedure
  • Signed written informed consent to participate and provide scientific data in pseudonymized form
Not Eligible

You will not qualify if you...

  • Unresolved anterior cruciate ligament insufficiency within 16 weeks after implantation
  • Knee axial deviation greater than 2� varus or valgus
  • Realignment osteotomy not performed within 12 weeks
  • Advanced cartilage damage (grade III ICRS) or osteoarthrosis (grade III Kellgren and Lawrence) in affected compartment
  • Extension deficit over 3� compared to opposite side or knee flexion less than 125�
  • Inflammatory arthritis or synovitis of the treated knee
  • Body Mass Index over 30 kg/m�
  • Chronic pain patients
  • Age under 18 or over 60 years
  • Increased anesthesiologic risk, bleeding risk, or infection risk for operated patients
  • Necrotic, infected, or poorly perfused host tissue
  • History of allergic reactions
  • Acute hypersensitivity to the implant or its excipients
  • Pregnant women

AI-Screening

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Trial Site Locations

Total: 1 location

1

Maria-Josef-Hospital Greven GmbH

Greven, North Rhine-Westphalia, Germany, 48268

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Research Team

C

Clemens Kösters, PD, Dr. med.

D

Daniel A den Toom, Dr. med

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Follow-up of collagen meniscus implant patients: clinical, radiological, and magnetic resonance imaging results at 5 years.

Paolo Bulgheroni, Luigi Murena, Chiara Ratti...

https://pubmed.ncbi.nlm.nih.gov/19800801

Meniscal regeneration with copolymeric collagen scaffolds. In vitro and in vivo studies evaluated clinically, histologically, and biochemically.

K R Stone, W G Rodkey, R Webber...

https://pubmed.ncbi.nlm.nih.gov/1558234

Prospective long-term outcomes of the medial collagen meniscus implant versus partial medial meniscectomy: a minimum 10-year follow-up study.

Stefano Zaffagnini, Giulio Maria Marcheggiani Muccioli, Nicola Lopomo...

https://pubmed.ncbi.nlm.nih.gov/21297005

Outcome after partial medial meniscus substitution with the collagen meniscal implant at a minimum of 10 years' follow-up.

Juan Carlos Monllau, Pablo Eduardo Gelber, Ferrán Abat...

https://pubmed.ncbi.nlm.nih.gov/21621373