Medial Plica Syndrome of the Knee: Conservative Treatment Versus Arthroscopic Plica Resection - a Randomized Controlled Multicenter Trial

Regionshospitalet Silkeborg72 enrolled

Overview

The purpose of this trial is to evaluate the effect of conservative treatment in comparison to arthroscopic resection of pathological medial plicae of the knee for patients with medial plica syndrome. The investigators expect conservative treatment to be significantly superior to arthroscopic plica resection with regard to symptom remission and return to prior functional level.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Plica Mediopatellaris

Interventions

Plica resection vs conservative treatmentPROCEDURE

Plica resection vs conservative treatment

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Aged over 18 years * History of antermedial knee pain * Palpable medial band in clinical examination or medial plica appearence on MRI * Absence of all of the following diagnoses: Osteoarthritis, osteochondritis dissecans, meniscal injury, patella subluxation, pes anserinus bursit, patellofemoral pain syndrome * Given declaration of consent * Joining a fitness centre for the duration of minimum 3 months at their own expense. Exclusion Criteria: Aged under 18 years * Presence of one or more of the following diagnoses: Osteoarthritis, osteochondritis dissecans, meniscal injury, patella subluxation, pes anserinus bursit, patellofemoral pain syndrome * Prior surgical intervention, infection, fracture or patellar luxation concerning the relevant knee * Not willing to join a fitness centre for the duration of minimum 3 months at their own expense

Locations (2)

Regionshospital Silkeborg

Silkeborg, Denmark

RECRUITING

Regionshospitalet Silkeborg

Silkeborg, Denmark

RECRUITING

Outcomes

Primary Outcomes

Lysholm-Scale (Units on a scale)

Difference of minimum 5 points concerning the average scoring outcome on the Lysholm Knee Scoring Scala in favor of patients undergoing conservative treatment in comparison to patients undergoing arthroscopic plica resection at 2 year follow up. Units of measure (Units on a scale)

Time frame: 2 years

Secondary Outcomes

Kujala-Scale (Units on a scale)

Secondary endpoints: Higher average scoring outcome on the Anterior Knee Pain Scala (Kujala) in favor of patients undergoing conservative treatment in comparison to patients undergoing arthroscopic plica resection at 2 year follow up. Lower average results on Visual Anologue Scale concerning knee pain while walking indicated by patients undergoing conservative treatment in comparison to patients undergoing arthroscopic plica resection at 2 year follow up. Units of measure (Units on a scale)

Time frame: 2 years

QOL-Scale (Units on a scale)

Higher average scoring outcome on the Quality of Life Scala (extracted from KOOS) in favor of patients undergoing conservative treatment in comparison to patients undergoing arthroscopic plica resection at 2 year follow up. Units of measure (Units on a scale)

Time frame: 2 years

VAS-Scale (Visual Analog Scale for pain) (Units on a scale)

Lower average results on Visual Anologue Scale concerning knee pain while walking indicated by patients undergoing conservative treatment in comparison to patients undergoing arthroscopic plica resection at 2 year follow up. Units of measure (Units on a scale)

Time frame: 2 years

Central Contacts

Steffen Sauer, MD

CONTACT

004531560149 sauer_steven@web.de

Data from ClinicalTrials.gov

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