NCT06176183

A Comparative Prospective Study of the Arthroscopic Meniscal Repair Methods

A Comparative Prospective Study of Meniscal Repair Methods in Young Patients With Traumatic Meniscal Tears.

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 100 (estimated)
• Sponsor: Vilnius University · Academic / Other
• Sex: All
• Age: 0 Years – 19 Years
• Healthy volunteers: Not accepted

Summary

Performing arthroscopic meniscus repair following a traumatic meniscus tear as an alternative to a meniscectomy is now an acceptable choice. Preserving meniscus tissues is crucial due to the significant role they play as an essential part of the knee joint. It is essential to comprehend the additional tools that can impact the recovery of the meniscus after suturing. Patients have been randomly assigned into two groups using the computer "www.randomiser.org," and the treatment outcomes were compared after one year. One group of patients has received a standard meniscus suturing technique, whereas another group has experienced the meniscus suturing treatment with an additional fibrin clot approach. Data pertaining to demographics, clinical characteristics, radiological findings, and survey responses have been carefully collected prospectively.

Conditions

• Meniscus Tear Caused by a Traumatic Event
• Fibrin Clot Augmentation
• Meniscal Repair

Interventions

Type	Name	Description
PROCEDURE	Arthroscopic meniscus repair	A traditional two-portal arthroscopic approach is utilized. The meniscal edges are examined using a probe, and any meniscal tears that are not stable are evaluated for potential repair. For meniscus repair, sutures have been made using the "all-inside" or "outside-inside" and "inside-outside" techniques. If the procedure involving the addition of a fibrin clot is being carried out, a volume of approximately 60 milliliters of blood is taken and thereafter transferred into a basin. An assistant is able to stir the blood using a glass syringe for approximately fifteen minutes to ensure sufficient coagulation surrounding the syringe. After a sufficient clot has developed at the end of the syringe, a grasper is used to insert the clot through the anterolateral arthroscopy portal. The meniscal sutures are intentionally loosened to accommodate the clot in the meniscus, ensuring optimal contact with the lesion. Subsequently, the sutures are fastened and knotted.

Timeline

• Start date: 2021-05-26
• Primary completion: 2025-09-26
• Completion: 2026-12-26
• First posted: 2023-12-19
• Last updated: 2025-08-28

Locations

2 sites across 1 country: Lithuania