Arthroscopic Versus Conservative Treatment of Degenerative Meniscal Tear in Middle Aged Patients in Regard to Pain & Knee Function

Hawler Medical University60 enrolled

Overview

The study is prospective comparative study, conducted in Erbil teaching hospital on 60 patients, their age ranging between 40 and 60 years. All were clinically diagnosed to have degenerative medial meniscal tear then confirmed by MRI. Thirty patients were treated conservatively, thirty patients were treated arthroscopically.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Knee Pain Chronic

Interventions

Arthroscopic menisctomyPROCEDURE

Arthroscopic medial menisctomy

Eligibility

Sex: ALLMin age: 40 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Atraumatic continuous pain in medial aspect of knee affecting daily activities, for more than one month despite the treatment of general physician. 2. Grade 3 degenerative tear of medial meniscus approved on MRI. Exclusion Criteria: 1. Meniscal tear due to trauma. 2. Any rheumatologic knee disease. 3. MRI showing ligament injury, loose bodies, tumors and osteochondral defects. 4. Former surgery of knee and lower limb fractures in the last year. 5. Knee joints with osteoarthritis graded 2 or more according to Kellgren-Lawrence scale (Kellgren and Lawrence, 1957) on weight-bearing knee x-ray. 6. Lateral meniscus tear.

Locations (1)

Sherwan Hamawandi

Erbil, Iraq

Outcomes

Primary Outcomes

Lysholm Knee Scoring Scale

Lysholm Knee score scale has (8) parts (swelling, pain, squatting, support, stair climbing, limping, locking and instability). Score of 100 means no problems in knee.

Time frame: All patients were reviewed and evaluated one year, by Lysholm score

Visual analogue score

Ten points Visual Analogue Score scale used in order to meassure the severity of knee pain during the study. Zero meaning no pain while 10 meaning the most severe pain

Time frame: All patients were reviewed and evaluated one year, by Visual Analogue score scales

Data from ClinicalTrials.gov

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