Physical Therapy vs Arthroscopic Partial Meniscectomy

Southern University of Science and Technology

Status: Enrolling

Conditions: Knee Medial Meniscus Tears

Treatments: Procedure: arthroscopic partial meniscectomy; Procedure: physical therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT05655429

ShenzhenPH meniscus001

Details and patient eligibility

About

The purpose was to assess knee function outcomes between physical therapy and arthroscopic partial menisectomy(APM) for Metabolic syndrome(MetS) patients with degenerative meniscus lesions(DMLs) during 12 month follow up.

Full description

Metabolic syndrome were diagnosed with abdominal obesity, insulin resistance with or without glucose intolerance, dyslipidemia or elevated blood pressure and widely prevalence all around the world.MetS patients were always correlated with knee osteoarthritis or cartilage volume loss. For MetS patients with DMLs, whether physical therapy was non-inferior to APM in knee function and MetS components was unknown.

Enrollment: 120 estimated patients

Sex: All

Ages: 35 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Must be age between 35 and 70 years old;

  • Clinical diagnosis of metabolic syndrome;
  • Clinical diagnosis of degenerative meniscus lesions;
  • Patients who has knee pain history
  • Knee symptoms consistent with DMLs verified on MRI
  • eligible for arthroscopic partial meniscectomy surgery by the examining orthopedic surgeons.

Exclusion criteria

• Must be able to have no acute knee injury such as car crash or acute sports injury;

  • Must be able to have no knee surgeries history;
  • Must be able to have no rheumatoid arthritis or serious knee osteoarthritis with deformity;
  • Must be able to have no contraindications to MRI;
  • Must be able to have no severe cardiopulmonary disease;
  • Must be able to have no musculoskeletal or neuromuscular impairments ;
  • Must be able to have good visual, hearing, or cognitive;

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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120 participants in 2 patient groups

physical therapy

Experimental group

Description:

Physical therapy mainly include aerobic exercises and resistance exercise, flexibility exercises about 150 minutes for ≥2 d/week for 6 months.

Treatment:

Procedure: physical therapy

arthroscopic partial meniscectomy

Active Comparator group

Description:

The torn meniscus and unstable part were removed with arthroscopic instruments.

Treatment:

Procedure: arthroscopic partial meniscectomy