Osteoarthritis, Knee Clinical Trial
Official title:
Total Infrapatellar Fat Pad Excision Leads to Worse Isokinetic Performance in Total Knee Arthroplasty: A Randomized Controlled Trial
There are concerns that total infrapatellar fat pad (IPFP) excision in total knee
arthroplasty (TKA) results in patellar tendon shortening due to ischemic contracture. But,
individual preference of the surgeon is still the main determinant between total or partial
excision. The aim of this randomized controlled trial is to compare knee society score (KSS),
knee extension and flexion peak torque in patients undergoing TKA with total IPFP excision or
partial IPFP excision. The hypothesis of the study is that during TKA, total IPFP excision
would lead to worse isokinetic performance and clinical outcome.
A total of 72 patients scheduled to undergo TKA for primary osteoarthritis of the knee by a
single surgeon were randomly assigned to either the total or partial excision group. Patients
were evaluated preoperatively and at postoperative 1 year, with Knee Society Score (KSS) and
isokinetic measurements. Physiatrist doing isokinetic tests and patients were blinded to the
study.
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