Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment

Artromedical Konrad Malinowski Clinic10 enrolled

Overview

The aim of this study is to assess outcomes of Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment

The aim of this study is to assess outcomes of Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment by the means of published technique (reference nr 1). A decrease in the posterior curvature of the femoral metaphysis close to the medial femoral condyle is one of the anatomical alterations that can be seen within the knee joint. When the knee is fully flexed, this curve is typically concave enough to accommodate the posterior horn of the medial meniscus (PHMM). Similar to cam incongruence in the hip joint, a decrease in curvature may cause posteromedial tibiofemoral incongruence, a condition marked by compression of the PHMM in complete knee flexion. If deep knee flexion occurs, clinical symptoms may appear, and PHMM degeneration may be shown to worsen over time. Surgery may be recommended for patients for whom activity modification and conservative therapy have failed. Our team proposed an arthroscopic procedure that allows for the least amount of correction that is still necessary while also providing final intraoperative confirmation of the clinical need to repair posteromedial tibiofemoral incongruence.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Meniscus Disorder Meniscus; Degeneration Meniscus Tear Meniscus Lesion

Interventions

Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment by the means of published technique (reference nr 1).PROCEDURE

Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment by the means of published technique (reference nr 1).

Eligibility

Sex: ALLMin age: 18 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Pain, snapping or discomfort in posterior part of the knee in deep knee flexion during squat * Reduced concavity of the femoral metaphysis proximal to the medial femoral condyle confirmed on MRI * Impingement of posterior horn of medial meniscus with the metaphysis of femur during full knee flexion confirmed arthroscopically Exclusion Criteria: * Active knee inflammation * Chondral injuries ICRS 3-4 * Extraarticular reasons of pain, snapping or discomfort in posterior part of the knee in deep knee flexion during squat * Cyst or avascular changes within the femoral metaphysis adjacent to the planned localization of the procedure

Locations (1)

Artromedical Orthopaedic Clinic

Bełchatów, Łódź Voivodeship, Poland

RECRUITING

Outcomes

Primary Outcomes

Presence of pain in full knee flexion

Presence of pain in full knee flexion - deep squat: pain yes/no

Time frame: At the 12 month of the follow-up

Presence of pain in full knee flexion

Presence of pain in full knee flexion - deep squat: pain yes/no

Time frame: At the 24 month of the follow-up

Secondary Outcomes

The functional assessment with the The International Knee Documentation Committee Questionnaire (IKDC)

Min of 0 max of 87 points, higher scores mean a better outcome

Time frame: At the 12 month of the follow-up

The functional assessment with the The International Knee Documentation Committee Questionnaire (IKDC)

Min of 0 max of 87 points, higher scores mean a better outcome

Time frame: At the 24 month of the follow-up

The functional assessment with the Knee injury and Osteoarthritis Outcome Score (KOOS)

Min of 0 max of 100 points, higher scores mean a better outcome

Time frame: At the 12 month of the follow-up.

The functional assessment with the Knee injury and Osteoarthritis Outcome Score (KOOS)

Min of 0 max of 100 points, higher scores mean a better outcome

Time frame: At the 24 month of the follow-up.

Central Contacts

Konrad Malinowski, MD PhD

CONTACT

+48 509812212 malwin8@wp.pl

Data from ClinicalTrials.gov

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