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Transtibial Pull Out Method Versus Suture Anchor Method for Meniscus Extrusion

A

Ataturk University

Status

Enrolling

Conditions

Meniscal Extrusion
Meniscus Injury

Treatments

Procedure: Transtibial Pull Out Method
Procedure: Suture Anchor Method

Study type

Interventional

Funder types

Other

Identifiers

NCT06906783
ATAUNIORTHO

Details and patient eligibility

About

The concept of meniscal extrusion has recently been recognized as an important pathological condition associated with meniscal dysfunction. Meniscal extrusion is the medial or lateral displacement of the meniscus beyond the edges of the tibial plateau. Some meniscal extrusions are physiologic, but large degrees of extrusion are thought to be pathologic.

Meniscal extrusion can vary in extent from minimal physiological extrusion to extrusions exceeding 10 mm. The generally accepted threshold value is considered to be 3 mm.

To date, the gold standard for measuring meniscal extrusion is T2-weighted MRI. MRI is valuable not only due to its ability to define other meniscal or knee pathologies but also because it provides good sensitivity and specificity.

Surgical treatment of meniscal extrusion is preferred in young, active, symptomatic patients and individuals with acute injuries. The treatment approach may vary depending on the underlying cause. One of these methods is centralization surgery, which aims to achieve the anatomical reduction of the extruded meniscus.

The aim of this study is to compare the functional outcomes of transtibial pull-out and suture anchor techniques used in centralization surgery and to contribute to standardization.

Enrollment

46 estimated patients

Sex

All

Ages

18 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Presence of meniscal extrusion greater than 3 mm on MRI scans
  • Symptomatic complaints in the knee with extrusion

Exclusion criteria

  • Malalignment greater than 5 degrees
  • Presence of Kellgren-Lawrence grade 3-4 osteoarthritis

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

46 participants in 2 patient groups

Transtibial Pull Out Method
Active Comparator group
Treatment:
Procedure: Transtibial Pull Out Method
Suture Anchor Method
Active Comparator group
Treatment:
Procedure: Suture Anchor Method

Trial contacts and locations

1

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Central trial contact

Muhammet Celik, primary investigator, MD

Data sourced from clinicaltrials.gov

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