About this trial
The purpose of this study is to determine differences in pain, functional patient reported outcomes, and objective imaging parameters following non-operative and meniscus root repair treatment. Furthermore, the long-term goal of this research proposal is to understand the natural history of meniscal root tears and their subsequent repair, in order to better determine risk factors for inferior outcomes and progression to osteoarthritis (OA).
Eligibility criteria
Qualifiers
MRI-verified isolated tibial medial meniscus root tear
Subject must be 18 years of age or older
Disqualifiers
Concurrent ligamentous knee pathology requiring surgical intervention (i.e. anterior cruciate ligament tear, posterior cruciate ligament tear, posterolateral corner injury, high-grade medial collateral ligament tear),
Preoperative Kellgren-Lawrence grade of 3 or 4
Inability to complete outcome questionnaires or comply with required postoperative imaging or MRI requirements, or medical contraindications to surgery or physical therapy.
There will be no exclusion criteria regarding body mass index (BMI) or mechanical alignment, however subjects will be stratified in groups for further analysis (BMI less and over 35 and varus alignment below and over 3º of varus).
Trial design
Treatments tested in this trial
- Non-Operative Pain Management
- Operative treatment arm will undergo transtibial medial meniscus root repair within 3 weeks of enrollment
Treatment groups
Sponsors and collaborators
Rush University Medical Center
Lead sponsor
International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine
Collaborator