Lack of posteromedial tibiofemoral congruence at full flexion as a causative factor in isolated medial meniscal tears.
Jun Suganuma
https://pubmed.ncbi.nlm.nih.gov/11956982/Actively Recruiting
Led by Artromedical Konrad Malinowski Clinic · Updated on 2023-05-31
10
Participants Needed
1
Research Sites
52 weeks
Total Duration
This research aims to assess the outcomes of treating Posteromedial Tibiofemoral Incongruence PMTFI, a condition where decreased curvature in the femoral metaphysis near the medial femoral condyle causes compression of the posterior horn of the medial meniscus PHMM during full knee flexion. This can lead to pain, snapping, discomfort, and worsening meniscus degeneration over time, especially during deep knee bending. The study evaluates a published arthroscopic technique designed to correct this incongruence with minimal necessary intervention, confirming the need for repair during surgery. The study involves a single treatment group receiving the PMTFI treatment following the specific published arthroscopic method. This surgical procedure aims to correct the anatomical incongruence that causes PHMM compression, potentially improving symptoms when conservative treatments have failed. There is no placebo or alternate comparison group mentioned. Participants will be monitored for up to 24 months after treatment. Researchers will assess pain presence during full knee flexion at 12 and 24 months, along with functional outcomes using the International Knee Documentation Committee Questionnaire IKDC and the Knee injury and Osteoarthritis Outcome Score KOOS at the same intervals. The study includes clinical evaluations, imaging confirmation, and arthroscopic assessment, focusing on symptom relief and functional improvement over time.
CONDITIONS
Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment
K
Konrad Malinowski, MD PhD
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Artromedical Konrad Malinowski Clinic
Lead Sponsor
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Surgery day and immediate recovery period
Participants undergo the arthroscopic surgical procedure to treat Posteromedial Tibiofemoral Incongruence (PMTFI) and receive immediate post-operative care.
1 surgical visit and post-operative monitoring
Duration - Up to 24 months
Participants are monitored for recovery and assessed for pain and function in the knee following surgery.
Visits at 12 and 24 months post-surgery
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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Jun Suganuma
https://pubmed.ncbi.nlm.nih.gov/11956982/Jun Suganuma, Ryuta Mochizuki, Kenji Yamaguchi...
https://pubmed.ncbi.nlm.nih.gov/20141980/Konrad Malinowski, Magdalena Koźlak, Marcin Mostowy...
https://pubmed.ncbi.nlm.nih.gov/35782837/Artromedical Konrad Malinowski Clinic
Lead Sponsor