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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05799196
Other study ID # HasanuddinU/Ortopedi/001
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date March 31, 2023
Est. completion date December 1, 2023

Study information

Verified date March 2023
Source Hasanuddin University
Contact Leonard Christianto Singjie, MD
Phone +6281212609805
Email leonardcs@hotmail.co.id
Is FDA regulated No
Health authority
Study type Observational [Patient Registry]

Clinical Trial Summary

Meniscus injuries are a very common cause of knee pain. The meniscus is a semilunar fibrocartilage structure found on the medial and lateral sides of the knee. The meniscus serves to absorb impact and protect the articular cartilage during weight-bearing activities, joint stability, proprioception, and nutrition. This has a significant effect on knee biomechanics. After the menisci are injured, the biomechanics of the knee change so that degenerative changes occur more frequently in the tibiofemoral compartment. Improvement of tibiofemoral arthrosis after meniscectomy surgery has been demonstrated in several long-term clinical studies. With increasing awareness of the importance of the meniscus in knee biomechanics, various meniscus repair techniques have been developed. In addition, several adjuvants for healing have been proposed to enhance meniscus healing. However, a study showed the meniscal repair failure rate increased from 22% to 24% at 5 years. Study found the healing rate of meniscus repair, which was accompanied by ACL repair, had a greater healing rate, 93% vs. 50%. Hemarthrosis that occurs after bony tunneling during ACL reconstruction provides a fibrin clot and an environment rich in factors that promote healing of the newly repaired meniscus. The fibrin clot provides the structural foundation for meniscus healing. Transmission factors, such as fibronectin and growth factors, are also present. Microfracture is a common procedure used for the treatment of damage to the articular cartilage in the knee. This procedure is used to stimulate the production of fibrocartilage in areas of injured cartilage. Microfractures are performed by creating 1 or more small channels (1 to 3 mm in size) that pierce the subchondral bone and release bone-forming components into the joint. Microfractures serve to promote the formation of fibrocartilage over damaged cartilage. Research in 2016 used an animal model (Capra hircus) to investigate the effectiveness of the microfracture technique on meniscus tear healing rates. They found significant healing in meniscal repair accompanied by microfracture technique (65% vs 12%). However there is still not enough research regarding the efficacy of microfracture in meniscal healing, especially among Indonesian. Therefore, the investigators aim to investigate its efficacy.


Recruitment information / eligibility

Status Recruiting
Enrollment 62
Est. completion date December 1, 2023
Est. primary completion date June 1, 2023
Accepts healthy volunteers No
Gender All
Age group N/A and older
Eligibility Inclusion Criteria 1. Patients with meniscus tears 2. The patient underwent meniscus repair surgery using arthroscopy. 3. Have an MRI examination before and after surgery within 6 months post-surgery. B. Exclusion Criteria 1. Patients with meniscus tears in the white-white area 2. The patient underwent meniscus repair surgery without using arthroscopy 3. The patient did not perform an MRI examination before after surgery within 6 months post-surgery.

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
Microfracture
Microfracture was made in the non-weight bearing chondral to provide the release of MSC and growth factor.

Locations

Country Name City State
Indonesia Hasanuddin University Makassar South Sulawesi

Sponsors (1)

Lead Sponsor Collaborator
Hasanuddin University

Country where clinical trial is conducted

Indonesia, 

Outcome

Type Measure Description Time frame Safety issue
Primary Healing Rate Healing Rate, Investigated by MRI and Arthroscopy 3 months
Primary Healing Rate Healing Rate, Investigated by MRI and Arthroscopy 6 months
Secondary Functional Outcome Functional Outcome assessed with IKDC ScoreFunctional Outcome assessed with IKDC Score. The higher the score, the higher the level of function and the lower the level of symptoms. A score of 100 suggests no limitation with activities of daily living or sports activities and the absence of symptoms. 3 months
Secondary Functional Outcome Functional Outcome assessed with IKDC Score. The higher the score, the higher the level of function and the lower the level of symptoms. A score of 100 suggests no limitation with activities of daily living or sports activities and the absence of symptoms. 6 months
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