Is a Knee Arthroscopy of Any Benefit for the Middleaged Patient With Meniscal Symptoms?

University Hospital, Linkoeping

Status: Completed

Conditions: Chronic Meniscus Injury

Treatments: Procedure: Knee arthroscopy

Study type: Interventional

Funder types: Other

Identifiers

NCT01288768

2010/6-31

Details and patient eligibility

About

The purpose of this study is to determine whether a knee arthroscopy is effective in the treatment of middleaged patients with meniscal symptoms also receiving a standardised exercise program.

Full description

There are no studies proving a significant positive effect of a knee arthroscopy in middleaged patients with meniscal symptoms in excess of a structured rehabilitation program. In this study consecutive patients aged 45-64 years referred to the orthopaedic department at the University hospital Linköping for a suspected meniscal injury will be randomised to a rehabilitation program or a knee arthroscopy + the same rehabilitation program. Functional tests will be performed by a physiotherapist. There will be patient administrated questionaries sent out after 3 and 12 month.

Enrollment: 150 patients

Sex: All

Ages: 45 to 64 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All (consecutive) patients referred to the orthopaedic department in Linköping for a suspected meniscal injury
• Age:45-64 years old
• No gonarthrosis (Ahlbäck=0) on standing radiographs

Exclusion criteria

• Rheumatic disease
• Patellofemoral arthrosis
• Fibromyalgia
• A knee or hip replacement
• A neurologic disorder including stroke
• A contraindication for an operation
• Catching or locking for more than 2 seconds more than once a week
• A permanent extension deficit
• Patients who cannot understand instructions in Swedish

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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150 participants in 2 patient groups

Arthroscopy

Active Comparator group

Description:

Knee arthroscopy + Exercise therapy

Treatment:

Procedure: Knee arthroscopy

Exercise therapy

No Intervention group

Description:

Exercise therapy alone