Lesion of the Medial Meniscus
Conditions
Brief summary
In the past it was shown, that medial partial meniscectomy (MPM) leads to an increase of the knee adduction moment (KAM) during walking. Other researches found out that an increase of the KAM is an important factor contributing to degeneration joint disease of the knee (osteoarthritis). Today, medial menicus repair (MMR) is favoured by many knee surgeons, because preserving as much of the meniscus as possible is assumed to delay degenerative joint disease. The investigators hypothesize significant differences in knee adduction moments between patients treated with partial medial meniscectomy vs. patients treated with medial meniscus repair (hypothesis 1; major hypothesis). Additionally, it is hypothesized that: the mentioned groups differ with respect to other kinetic and kinematic key parameters of gait (hypothesis 2) and that the knee adduction moment correlates with the clinical outcome as determined by a typical knee score (hypothesis 3).
Interventions
one group/arm has meniscal repair as part of clinical routine one group/arm has meniscal partial resection as part of clinical routine both groups have gait analysis & knee scores 6 mo after the procedures
Sponsors
Study design
Eligibility
Inclusion criteria
patients with traumatic medial meniscus lesions scheduled for meniscal repair or resection
Exclusion criteria
* previous or current diseases of the back and the other joints of the lower limbs * any form of inflammatory arthritis * diabetes * neurological disorders * other conditions that may affect gait
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| knee adduction moment [Nm/kg] | once after 6 months | a parameter of gait analysis |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| set of kinetic, kinematic and temporospatial gait parameters | once after 6 months | other gait parameters |
Other
| Measure | Time frame | Description |
|---|---|---|
| KOOS | 6 months post | knee specific patient-reported outcome measurement |
Countries
Austria