The purpose of this research is to determine if meniscus root repair with or without centralization will have an impact on postoperative pain, function, activity levels, patient satisfaction, and incidence of revision meniscus surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
54
The centralization technique involves placement of 1.8-mm Knotless FiberTak suture anchors along the periphery of the tibial plateau, starting from the posteromedial corner and progressing anteriorly. The anchors are deployed using a curved drill guide, and sutures are passed in a mattress configuration to re-tension the meniscotibial ligament to centralize the meniscus. Once centralization is complete, the posterior root tear is repaired using an anatomic suture anchor for aperture medial meniscus root fixation.
The posterior root tear is repaired using an anatomic suture anchor for aperture medial meniscus root fixation.
The Steadman Clinic
West Vail, Colorado, United States
Hospital for Special Surgery at Naples Comprehensive Health (HSS at NCH),
Naples, Florida, United States
Mayo Clinic
Rochester, Minnesota, United States
Meniscus extrusion measurement
Meniscus extrusion is measured in millimeters (mm) on coronal MRI at the level of the tibial spine
Time frame: Baseline (Preoperatively), 6 months
Change in Kellgren-Lawrence grade on X-ray
The Kellgren-Lawrence (KL) system is a 0-4 scale used to grade the severity of knee osteoarthritis (OA) based on X-ray. It ranges from Grade 0 (no changes) to Grade 4 (severe).
Time frame: Baseline (Screening), 12 months, 24 months
Change in Tegner Activity Score
The Tegner Activity Questionnaire is a 1-item questionnaire rating physical activity from 0 (Disabled) to 10 (Elite competitive athlete). Total scores range from 0 - 10, with higher scores indicating a higher level of activity.
Time frame: Baseline, 2 weeks, 6 weeks, 3 months, 6 months, 12 months, 24 months
Change in Visual Analog Scale (VAS) Questionnaire score
The VAS is a 2-item questionnaire assessing pain using a scale of 0 (No pain) to 10 (Worst pain). Total scores range from 0 - 10, lower scores indicating lower pain and higher scores indicating greater pain.
Time frame: Baseline, 2 weeks, 6 weeks, 3 months, 6 months, 12 months, 24 months
Change in Knee Injury and Osteoarthritis Outcome Score Jr. (KOOS, JR) Questionnaire score
The KOOS JR is a questionnaire designed to measure outcomes for patients with knee replacements. Questions focus on knee stiffness, pain, and function for daily activities and are assessed on a 5 point Likert-scale between 0 (None) and 4 (Extreme). Total scores range from 0 - 28, with higher scores indicating a greater impact of pain on daily functioning.
Time frame: Baseline, 2 weeks, 6 weeks, 3 months, 6 months, 12 months, 24 months
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Change in International Knee Documentation Committee (IKDC) Questionnaire score
The International Knee Documentation Committee (IKDC) Subjective Knee Evaluation assesses overall function over 3 domains: symptoms, athletic activity, and knee function. Higher scores indicate higher levels of function and lower levels of symptoms.
Time frame: Baseline, 2 weeks, 6 weeks, 3 months, 6 months, 12 months, 24 months
Change in Likert Knee Questionnaire score
The Likert Knee Questionnaire is a 1-item survey asking the patient to rate knee pain post-surgery on a Likert scale where 0 (Much better than before surgery) and 5 (Much worse than before surgery).
Time frame: Baseline, 2 weeks, 6 weeks, 3 months, 6 months, 12 months, 24 months
Surgery Satisfaction Questionnaire
The Surgery Satisfaction Questionnaire is a 1-item survey asking the patient to rate satisfaction with knee surgery on a Likert scale where 0 (Not at all) and 10 (Most Satisfied).
Time frame: 2 weeks, 6 weeks, 3 months, 6 months, 12 months, 24 months