Repair versus partial meniscus removal for displaced bucket-handle tears
Surgical Outcome After Displaced Bucket-handle Meniscal Lesions - Repair Versus Partial Meniscectomy: A 10-year Observational Study
This project will see if repairing displaced bucket-handle meniscus tears leads to fewer repeat surgeries and less early knee osteoarthritis than removing the damaged part in people aged 15 and older with a locked knee.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 300 (estimated) |
| Ages | 15 Years and up |
| Sex | All |
| Sponsor | Region Skane Academic / other |
| Locations | 2 sites (Hässleholm, Skåne County and 1 other locations) |
| Trial ID | NCT07079254 on ClinicalTrials.gov |
What this trial studies
This is an observational comparison of patients who undergo meniscus suture (repair) versus partial meniscectomy for displaced longitudinal bucket-handle tears that include the posterior horn and cause a knee extension deficit. Eligible patients are aged 15 or older, have MRI-confirmed displaced bucket-handle tears with extension loss, and undergo the chosen surgical procedure at participating centers in Region Skåne. Surgeons perform the procedure as clinically indicated and patients are followed with clinical and imaging outcomes to compare re-operation rates and signs of osteoarthritis over time. The study excludes patients with combined complete radial ruptures, those under 15, and those unable to communicate in Swedish.
Who should consider this trial
Good fit: People aged 15 or older with an MRI-confirmed displaced longitudinal bucket-handle tear including the posterior horn and a knee extension deficit who can communicate in Swedish are the ideal candidates.
Not a fit: Patients younger than 15, those with a combined complete radial rupture found during surgery, those without a displaced bucket-handle tear, or those unable to communicate in Swedish are unlikely to benefit from joining this project.
Why it matters
Potential benefit: If repair shows better outcomes, patients could have fewer repeat surgeries and a lower risk of developing early knee osteoarthritis.
How similar studies have performed: Previous cohort and comparative studies have suggested meniscal repair can preserve tissue and reduce long-term osteoarthritis risk compared with meniscectomy, though results and re-tear rates vary between series.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * 15 years or above. * Displaced longitudinal bucket-handle tear including the posterior horn on MRI and a knee extension deficit. Exclusion Criteria: * Patient younger than 15 years. * Insufficient knowledge of the Swedish language. * Per-operative findings including a bucket-handle rupture in combination with a complete radial rupture
Where this trial is running
Hässleholm, Skåne County and 1 other locations
- Region Skåne, Orthopaedic department Kristianstad/Hässleholm — Hässleholm, Skåne County, Sweden (Recruiting)
- Region Skåne, Skåne University Hospital — Malmö, Skåne County, Sweden (Recruiting)
Study contacts
- Principal investigator: Ola Svejme, MD, PhD — Lund University, Department of Orthopaedics, Clinical Sciences, Malmö, Sweden
- Study coordinator: Sofie Alerskans, MD
- Email: sofie.alerskans@med.lu.se
- Phone: +46 768-487639
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.