Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The aim of this study is to assess outcomes of Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment
The aim of this study is to assess outcomes of Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment by the means of published technique (reference nr 1).
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.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Main arm of the study | Experimental | Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment by the means of published technique (reference nr 1). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment by the means of published technique (reference nr 1). | Procedure | Posteromedial Tibiofemoral Incongruence (PMTFI) Treatment by the means of published technique (reference nr 1). |
| Measure | Description | Time Frame |
|---|---|---|
| Presence of pain in full knee flexion | Presence of pain in full knee flexion - deep squat: pain yes/no | At the 12 month of the follow-up |
| Presence of pain in full knee flexion | Presence of pain in full knee flexion - deep squat: pain yes/no | At the 24 month of the follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| The functional assessment with the The International Knee Documentation Committee Questionnaire (IKDC) | Min of 0 max of 87 points, higher scores mean a better outcome | At the 12 month of the follow-up |
| The functional assessment with the The International Knee Documentation Committee Questionnaire (IKDC) |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Konrad Malinowski, MD PhD | Contact | +48 509812212 | malwin8@wp.pl |
| Name | Affiliation | Role |
|---|---|---|
| Konrad Malinowski, MD PhD | Artromedical Orthopaedic Clinic, Bełchatów, Poland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Artromedical Orthopaedic Clinic | Recruiting | Bełchatów | Łódź Voivodeship | 97-400 | Poland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35782837 | Result | 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. | |
| 20141980 | Result | 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. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Single Group Assignment
Not provided
Not provided
Not provided
Not provided
Min of 0 max of 87 points, higher scores mean a better outcome |
| At the 24 month of the follow-up |
| The functional assessment with the Knee injury and Osteoarthritis Outcome Score (KOOS) | Min of 0 max of 100 points, higher scores mean a better outcome | At the 12 month of the follow-up. |
| The functional assessment with the Knee injury and Osteoarthritis Outcome Score (KOOS) | Min of 0 max of 100 points, higher scores mean a better outcome | At the 24 month of the follow-up. |
| 11956982 | Result | 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. |