This study will compare meniscal healing augmented or without augmentation with bone marrow stimulation techniques The assessments will include validated, disease specific, patient oriented outcome measures, second look arthroscopy during second step ACL reconstruction. Results of this study will help ascertain whether microfractures improve meniscal healing rates.
The role of meniscal in the knee integrity is pivotal and lack or partial role of the meniscus increases rate of joint degeneration. Partial meniscal removal is the most popular procedure and meniscal repair remain in minority of arthroscopic surgeries. As criteria of inclusion to meniscal repair are very rough, still success rates of meniscal repair remain in the 60-80% range for isolated repairs. This rate is greater when performed with ACL reconstruction. We believe that augmentation with bone marrow stimulation techniques will induce more complete and possibly faster healing.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
40
following meniscal repair, microfractures will be created on the intercondylar and outer part of femoral condyle (outside of joint surface), lateral or medial, respectively
standard procedure meniscal repair without augmentation.
Prof. A. Gruca Teaching Hospital, The Medical Centre of Postgraduate Education
Otwock, Woj. Mazowieckie, Poland
Second look arthroscopy (assessment of meniscal healing integrity during second look)
The primary outcome measures will be assessment of meniscal healing integrity during second look arthroscopy 3-5 months post repair.
Time frame: 8-18 weeks
Visual Analog Scale
Pain Visual Analog Scale.
Time frame: 6 weeks, 12 weeks, 6mts, 1yr post op, 2yrs post op, 3 yrs post op
Knee injury and Osteoarthritis Outcome Score scale
Knee injury and Osteoarthritis Outcome Score
Time frame: 6 weeks, 12 weeks, 6mts, 1yr post op, 2yrs post op, 3 yrs post op
International Knee Documentation Committee - Subjective Knee Evaluation Form
International Knee Documentation Committee - Subjective Knee Evaluation Form
Time frame: 6 weeks, 12 weeks, 6mts, 1yr post op, 2yrs post op, 3 yrs post op
Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
Time frame: 6 weeks, 12 weeks, 6mts, 1yr post op, 2yrs post op, 3 yrs post op
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