Defect of Articular Cartilage Clinical Trial
Official title:
Randomised Control Trial Comparing Conservative Rehabilitation and Protected Weight Bearing Versus Accelerated Rehabilitation and Early Weight Bearing Post Microfracture Knee Surgery.
To test using a randomised control trial, whether conservative rehabilitation and protected weight bearing versus early weight bearing and accelerated rehabilitation affects patient outcomes post microfracture surgery of the knee.
To test using a randomised control trial, whether conservative rehabilitation and protected
weight bearing versus early weight bearing and accelerated rehabilitation affects patient
outcomes post microfracture surgery of the knee.
Current practice in most units is to protect patients from weight bearing prior to entering
a conservative physiotherapy rehabilitation program following microfracture surgery of the
knee. At our unit we believe that protecting patients from weight bearing post microfracture
surgery makes no difference to their outcome and only leads to a longer rehabilitation time
and a delayed return to work and sports. Therefore we want to randomise patients who require
microfracture surgery of the knee for cartilage defects into 2 post operative rehabilitation
groups. One group will be able to weight bear early and will undergo an accelerated
rehabilitation program whilst the other will be protected from weight bearing and will
undergo a more conservative rehabilitation program. We will then follow patients up over a
year and compare outcome data collected at 6 weeks, 3 months, 6 months and 1 year post
operatively to see if there was any difference in outcomes between the 2 groups. As
secondary outcomes we will also compare the patients in the two groups to see if there is a
difference in time taken to return to work and sporting activities
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