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

Knee Pain Chronic Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04313569
• Other study ID #: HMU/Sherwan9
• Status: Completed
• Phase: N/A
• Start date: August 1, 2017
• Est. completion date: September 30, 2019

Study information

• Verified date: March 2020
• Source: Hawler Medical University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: September 30, 2019
• Est. primary completion date: September 1, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 40 Years to 60 Years

Eligibility

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.

Related Conditions & MeSH terms

• Knee Pain Chronic

Intervention

Procedure:
• Arthroscopic menisctomy
Arthroscopic medial menisctomy

Locations

Country	Name	City	State
Iraq	Sherwan Hamawandi	Erbil

Sponsors (1)

Lead Sponsor	Collaborator
Hawler Medical University

Country where clinical trial is conducted

Iraq, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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.	All patients were reviewed and evaluated one year, by Lysholm score
Primary	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	All patients were reviewed and evaluated one year, by Visual Analogue score scales