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Meniscus DisorderNCT04436523

Blood Flow Restriction After Meniscus Repair

A study testing Blood flow restriction (Delfi Personalized Tourniquet System) and Standard rehabilitation in people with Meniscus Disorder and Meniscus, Torn Tibial, run by University of California, San Francisco at 1 site in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to evaluate post-operative outcomes after meniscus surgery in participants undergoing blood flow restriction training as a rehabilitative adjunct compared to those with standard rehabilitation. Read more about this study

Who is it for?
Ages 18 to 60 years
What is being tested?
Blood flow restriction (Delfi Personalized Tourniquet System) and Standard rehabilitation
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
15 participants
Where
1 siteUnited States
Study dates
20 Oct 2020to 8 Jun 2023
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Participants who undergo surgery for arthroscopic meniscus repair

Who cannot join

  • Participants undergoing surgery for concomitant ligamentous surgeries
  • Patients with Diabetes Mellitus, vascular disease, or infections of the involved extremity

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of California, San Francisco

    San Francisco, California, 94158

Other trials in United States

About this study

Official title: Outcomes of Blood Flow Restriction Training in Post-operative Rehabilitation After Meniscus Repair Surgery

The purpose of this study is to evaluate post-operative outcomes after meniscus surgery in participants undergoing blood flow restriction training as a rehabilitative adjunct compared to those with standard rehabilitation.

Read the detailed description

The investigators will conduct a double-blinded, single-institution, randomized controlled trial to compare patients undergoing arthroscopic meniscus repair with post-operative rehabilitation protocol as (1) a standard-of-care rehabilitative protocol with a non-occlusive blood pressure cuff (inflated to 20-30 mm Hg) applied to the operative extremity versus (2) blood flow restriction training with cuff occlusion applied to the operative extremity. Patients will be enrolled prospectively and pre-operatively at their initial clinic visit after meniscus injury.

Rehabilitative exercises would be advanced per the physical therapists' discretion with similar exercises for patients in both groups for direct comparison. These exercises are part of an already-established post-operative protocol that is in place, with the only difference being the addition of the blood flow restriction protocol in the intervention group. All patients would undergo their supervised post-operative rehabilitation at our institution.

Being tested
Blood flow restriction (Delfi Personalized Tourniquet System), Standard rehabilitation
Keywords
blood flow restriction, rehabilitation, meniscus repair
Medical subject headings
Tibial Meniscus Injuries, Muscular Atrophy

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Blood flow restriction (Delfi Personalized Tourniquet System)Device

    Also called Delfi Personalized Tourniquet System

    The Delfi Personalized Tourniquet System will be utilized to apply the blood flow restriction protocol.

  • Standard rehabilitationOther

    Post-operative physical therapy as guided by a standardized protocol for patients undergoing meniscus repair.

Study groups in NCT04436523
Study groupRoleWhat they receive
Blood flow restrictionExperimentalThe blood flow restriction arm will include the use of the pneumatic tourniquet applied to the operative lower extremity throughout post-operative rehabilitation sessions. The tourniquet pressure will be titrated to 80% of the measured extremity arterial limb occlusion pressure with the participant lying supine.
Receives: Device: Blood flow restriction (Delfi Personalized Tourniquet System); Other: Standard rehabilitation
Standard rehabilitationSham comparatorThe standard rehabilitation arm will undergo the same rehabilitation protocol as the experimental arm. A tourniquet will still be applied, but will only be inflated to 20 mmHg, a pressure that will not occlude blood flow.
Receives: Other: Standard rehabilitation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Knee Extension Force at Week 1

    Peak knee extension force (lbs) evaluated with a hand-held dynamometer

    Measured: Week 1 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  2. Knee Extension Force at Week 2

    Peak knee extension force (lbs) evaluated with a hand-held dynamometer

    Measured: Week 2 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  3. Knee Extension Force at Week 3

    Peak knee extension force (lbs) evaluated with a hand-held dynamometer

    Measured: Week 3 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  4. Knee Extension Force at Week 4

    Peak knee extension force (lbs) evaluated with a hand-held dynamometer

    Measured: Week 4 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  5. Knee Extension Force at Week 5

    Peak knee extension force (lbs) evaluated with a hand-held dynamometer

    Measured: Week 5 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  6. Knee Extension Force at Week 6

    Peak knee extension force (lbs) evaluated with a hand-held dynamometer

    Measured: Week 6 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  7. Knee Extension Force at Week 7

    Peak knee extension force (lbs) evaluated with a hand-held dynamometer

    Measured: Week 7 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  8. Knee Extension Force at Week 8

    Peak knee extension force (lbs) evaluated with a hand-held dynamometer

    Measured: Week 8 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  9. Knee Extension Force at Week 9

    Peak knee extension force (lbs) evaluated with a hand-held dynamometer

    Measured: Week 9 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  10. Knee Extension Force at Week 10

    Peak knee extension force (lbs) evaluated with a hand-held dynamometer

    Measured: Week 10 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  11. Knee Extension Force at Week 11

    Peak knee extension force (lbs) evaluated with a hand-held dynamometer

    Measured: Week 11 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  12. Knee Extension Force at Week 12

    Peak knee extension force (lbs) evaluated with a hand-held dynamometer

    Measured: Week 12 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  13. Thigh Circumference at Week 1

    Measurement of thigh circumference (centimeters) will be performed utilizing tape measures at specified distances along the thigh

    Measured: Week 1 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  14. Thigh Circumference at Week 2

    Measurement of thigh circumference (centimeters) will be performed utilizing tape measures at specified distances along the thigh

    Measured: Week 2 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  15. Thigh Circumference at Week 3

    Measurement of thigh circumference (centimeters) will be performed utilizing tape measures at specified distances along the thigh

    Measured: Week 3 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  16. Thigh Circumference at Week 4

    Measurement of thigh circumference (centimeters) will be performed utilizing tape measures at specified distances along the thigh

    Measured: Week 4 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  17. Thigh Circumference at Week 5

    Measurement of thigh circumference (centimeters) will be performed utilizing tape measures at specified distances along the thigh

    Measured: Week 5 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  18. Thigh Circumference at Week 6

    Measurement of thigh circumference (centimeters) will be performed utilizing tape measures at specified distances along the thigh

    Measured: Week 6 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  19. Thigh Circumference at Week 7

    Measurement of thigh circumference (centimeters) will be performed utilizing tape measures at specified distances along the thigh

    Measured: Week 7 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  20. Thigh Circumference at Week 8

    Measurement of thigh circumference (centimeters) will be performed utilizing tape measures at specified distances along the thigh

    Measured: Week 8 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  21. Thigh Circumference at Week 9

    Measurement of thigh circumference (centimeters) will be performed utilizing tape measures at specified distances along the thigh

    Measured: Week 9 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  22. Thigh Circumference at Week 10

    Measurement of thigh circumference (centimeters) will be performed utilizing tape measures at specified distances along the thigh

    Measured: Week 10 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  23. Thigh Circumference at Week 11

    Measurement of thigh circumference (centimeters) will be performed utilizing tape measures at specified distances along the thigh

    Measured: Week 11 (Evaluated weekly at physical therapy visits from 0-12 weeks)

  24. Thigh Circumference at Week 12

    Measurement of thigh circumference (centimeters) will be performed utilizing tape measures at specified distances along the thigh

    Measured: Week 12 (Evaluated weekly at physical therapy visits from 0-12 weeks)

Secondary outcomes (9)
  1. International Knee Documentation Committee (IKDC) Score at Week 6

    Patient-reported outcome measure (numerical score) from survey. Min: 0 = lowest level of function/highest level of symptoms. Max: 100 = highest level of function/lowest level of symptoms

    Measured: 6 weeks (measured at 6 weeks, 3 months, and 6 months post-operatively)

  2. International Knee Documentation Committee (IKDC) Score at Week 12

    Patient-reported outcome measure (numerical score) from survey. Min: 0 = lowest level of function/highest level of symptoms. Max: 100 = highest level of function/lowest level of symptoms

    Measured: 3 months (measured at 6 weeks, 3 months, and 6 months post-operatively)

  3. International Knee Documentation Committee (IKDC) Score at Week 24

    Patient-reported outcome measure (numerical score) from survey. Min: 0 = lowest level of function/highest level of symptoms. Max: 100 = highest level of function/lowest level of symptoms

    Measured: 6 months (measured at 6 weeks, 3 months, and 6 months post-operatively)

  4. Y-balance Testing at Week 12

    Functional outcome measure (numerical score). The lower quarter Y-balance test evaluates dynamic stability and functional symmetry. The subject stands on a single leg and reaches in three directions (anterior, posteromedial, posterolateral) and a composite score is calculated as a percentage: (sum of reach distances in centimeters in each direction) / (3*limb length) * 100.

    Measured: 3 months (performed at 3 months and 6 months post-operatively)

  5. Y-balance Testing at Week 24

    Functional outcome measure (numerical score). The lower quarter Y-balance test evaluates dynamic stability and functional symmetry. The subject stands on a single leg and reaches in three directions (anterior, posteromedial, posterolateral) and a composite score is calculated as a percentage: (sum of reach distances in centimeters in each direction) / (3*limb length) * 100.

    Measured: 6 months (performed at 3 months and 6 months post-operatively)

  6. 3-hop Test at Week 12

    Functional outcome measure (numerical score). The 3-hop test assesses dynamic stability and limb control. The subject hops three times consecutively forward in a same line and at the final landing, pauses in position while a measurement is made from the starting line to the toe at the end of the final hop in centimeters. The test is compared to the contralateral, uninjured limb, and scoring is reported as a percentage of the uninjured limb.

    Measured: 3 months (performed at 3 months and 6 months post-operatively)

  7. 3-hop Test at Week 24

    Functional outcome measure (numerical score). The 3-hop test assesses dynamic stability and limb control. The subject hops three times consecutively forward in a same line and at the final landing, pauses in position while a measurement is made from the starting line to the toe at the end of the final hop in meters.

    Measured: 6 months (performed at 3 months and 6 months post-operatively)

  8. Single Leg Squat Testing at Week 12

    Functional outcome measure (numerical score). Single leg squat testing evaluates core stability and ability to perform functional movement safely. Subjects will be asked to perform a single leg squat and will be evaluated on 5 criteria, with one point for clinician-rated good performance in each (A) maintenance in balance, depth, speed (B) trunk posture (C) pelvic rotation \& tilt (D) Hip adduction or femoral internal rotation (E) knee joint apparent valgus. Min: 0 = poor balance and motor control; Max: 5 = good balance and motor control

    Measured: 3 months (performed at 3 months and 6 months post-operatively)

  9. Single Leg Squat Testing at Week 24

    Functional outcome measure (numerical score). Single leg squat testing evaluates core stability and ability to perform functional movement safely. Subjects will be asked to perform a single leg squat and will be evaluated on 5 criteria, with one point for clinician-rated good performance in each (A) maintenance in balance, depth, speed (B) trunk posture (C) pelvic rotation \& tilt (D) Hip adduction or femoral internal rotation (E) knee joint apparent valgus. Min: 0 = poor balance and motor control; Max: 5 = good balance and motor control

    Measured: 6 months (performed at 3 months and 6 months post-operatively)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Jun 2020
  2. Study start20 Oct 2020
  3. Primary completion8 Jun 2023
  4. Study completion8 Jun 2023

Why it stopped: We had difficulty with enrolling enough participants. We looked to include patients undergoing isolated meniscus repair surgery doing PT with our group and this group proved to be too small to enroll enough patients.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
15 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04436523
Sponsor's protocol ID
19-29641
Status last verified
Feb 2026
First submitted
15 Jun 2020
Last updated
20 Feb 2026
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Blood flow restriction (Delfi Personalized Tourniquet System) and Standard rehabilitation in people with Meniscus Disorder and Meniscus, Torn Tibial, run by University of California, San Francisco at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 20 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 20 Feb 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Knee Extension Force at Week 1 (time frame: Week 1 (Evaluated weekly at physical therapy visits from 0-12 weeks)). The study lists 24 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Feb 2026.

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