Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment
NCT ID: NCT05882591
Last Updated: 2023-05-31
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
10 participants
INTERVENTIONAL
2020-10-09
2027-12-31
Brief Summary
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Detailed Description
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A decrease in the posterior curvature of the femoral metaphysis close to the medial femoral condyle is one of the anatomical alterations that can be seen within the knee joint. When the knee is fully flexed, this curve is typically concave enough to accommodate the posterior horn of the medial meniscus (PHMM). Similar to cam incongruence in the hip joint, a decrease in curvature may cause posteromedial tibiofemoral incongruence, a condition marked by compression of the PHMM in complete knee flexion. If deep knee flexion occurs, clinical symptoms may appear, and PHMM degeneration may be shown to worsen over time. Surgery may be recommended for patients for whom activity modification and conservative therapy have failed. Our team proposed an arthroscopic procedure that allows for the least amount of correction that is still necessary while also providing final intraoperative confirmation of the clinical need to repair posteromedial tibiofemoral incongruence.
Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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Main arm of the study
Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment by the means of published technique (reference nr 1).
Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment by the means of published technique (reference nr 1).
Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment by the means of published technique (reference nr 1).
Interventions
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Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment by the means of published technique (reference nr 1).
Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment by the means of published technique (reference nr 1).
Eligibility Criteria
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Inclusion Criteria
* Reduced concavity of the femoral metaphysis proximal to the medial femoral condyle confirmed on MRI
* Impingement of posterior horn of medial meniscus with the metaphysis of femur during full knee flexion confirmed arthroscopically
Exclusion Criteria
* Chondral injuries ICRS 3-4
* Extraarticular reasons of pain, snapping or discomfort in posterior part of the knee in deep knee flexion during squat
* Cyst or avascular changes within the femoral metaphysis adjacent to the planned localization of the procedure
18 Years
70 Years
ALL
No
Sponsors
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Artromedical Konrad Malinowski Clinic
OTHER
Responsible Party
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Konrad Malinowski MD
Konrad Malinowski MD, Director of Artromedical Konrad Malinowski Clinic and Principal Investigator
Principal Investigators
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Konrad Malinowski, MD PhD
Role: PRINCIPAL_INVESTIGATOR
Artromedical Orthopaedic Clinic, Bełchatów, Poland
Locations
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Artromedical Orthopaedic Clinic
Bełchatów, Łódź Voivodeship, Poland
Countries
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Central Contacts
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Facility Contacts
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Konrad Malinowski, MD PhD
Role: primary
References
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Malinowski K, Kozlak M, Mostowy M, LaPrade RF, Ebisz M, Pekala PA. Cam Impingement of the Knee: Arthroscopic Correction of Posteromedial Tibiofemoral Incongruence. Arthrosc Tech. 2022 May 11;11(6):e951-e957. doi: 10.1016/j.eats.2022.01.015. eCollection 2022 Jun.
Suganuma J, Mochizuki R, Yamaguchi K, Inoue Y, Yamabe E, Ueda Y, Fujinaka T. Cam impingement of the posterior femoral condyle in medial meniscal tears. Arthroscopy. 2010 Feb;26(2):173-83. doi: 10.1016/j.arthro.2009.11.002.
Suganuma J. Lack of posteromedial tibiofemoral congruence at full flexion as a causative factor in isolated medial meniscal tears. J Orthop Sci. 2002;7(2):217-25. doi: 10.1007/s007760200036.
Other Identifiers
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4-pro-ar-2023
Identifier Type: -
Identifier Source: org_study_id