Cam Impingement of the Knee: Arthroscopic Correction of Posteromedial Tibiofemoral Incongruence.
Konrad Malinowski, Magdalena Koźlak, Marcin Mostowy...
https://pubmed.ncbi.nlm.nih.gov/35782837Actively Recruiting
Phase Not Applicable
Age: 18Years - 70Years
All Genders
ID05882591
Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment to Assess Outcomes of Arthroscopic Surgical Technique
Led by Artromedical Konrad Malinowski Clinic · Updated on 2023-05-31
10
Participants Needed
1
Research Sites
52 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
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
Brief Title
Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment
Who Can Participate
Age: 18Years - 70Years
All Genders
Eligibility Criteria
You may qualify if you...
- Adults aged 18 to 70 years
- Experience pain, snapping, or discomfort in the back of the knee during deep knee flexion such as squatting
- MRI confirms reduced curvature near the medial femoral condyle
- Arthroscopic confirmation of impingement of the posterior horn of the medial meniscus during full knee flexion
You will not qualify if you...
- Active inflammation in the knee
- Cartilage injuries graded ICRS 3-4
- Pain, snapping, or discomfort in the back of the knee caused by conditions outside the joint
- Presence of cyst or avascular changes near the planned surgical area in the femoral metaphysis
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Surgery and Immediate Post-operative Care
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
Post-operative Follow-up
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
Trial Site Locations
Total: 1 location
1
Artromedical Orthopaedic Clinic
Bełchatów, Łódź Voivodeship, Poland, 97-400
Actively Recruiting
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Research Team
K
Konrad Malinowski, MD PhD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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Published Research Related To This Trial
Cam impingement of the posterior femoral condyle in medial meniscal tears.
Jun Suganuma, Ryuta Mochizuki, Kenji Yamaguchi...
https://pubmed.ncbi.nlm.nih.gov/20141980Lack 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