Osteoarthritis, Knee Clinical Trial
Official title:
Partial Synovectomy in Articular Side of Quadriceps Tendon Reduces Crepitus After Posterior Stabilized Total Knee Arthroplasty : a Randomized, Controlled Trial
Crepitus causing unsatisfied result to patients after posterior stabilized total knee arthroplasty. Recent retrospective study demonstrated removal of hyperplastic synovium in distal quadriceps caused reduce of crepitus. However, this study has limitation of time gap exist between arms, different in observation time and bias caused by retrospective review. Thus aim of this study is that by randomized trial, verified hyperplastic synovium in distal quadriceps causing crepitus. Target enrolled patients in this study are scheduled to perform both total knee arthroplasty. Experimental group is randomized side (right or left) of knee, and control group is other side of knee. Both arms decided by randomized number table. Crepitus measured after 3mo, 6mo, 1year after surgical treatment
Status | Recruiting |
Enrollment | 78 |
Est. completion date | October 6, 2025 |
Est. primary completion date | October 6, 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 19 Years and older |
Eligibility | Inclusion Criteria: 1.Patients who scheduled to perform both total knee arthroplasty(TKA) using posteiror crucitate sustain type (PS) Exclusion Criteria: 1. Lost follow up (Including death of patient) 2. Unexpected complication (e.g) Infection, periprosthetic fracture) 3. Patella resurfacing 4. Canceled surgical treatment 5. Refused to enrolled study 6. Too much radiological or physicological variance shown between either knee |
Country | Name | City | State |
---|---|---|---|
Korea, Republic of | Gangnam Severance Hospital | Seoul | GangnamGu |
Lead Sponsor | Collaborator |
---|---|
Gangnam Severance Hospital |
Korea, Republic of,
Chumchuen S, Kanitnate S, Wattanasirisombat K, Tammachote N. Synovium removal from the articular side of the quadriceps tendon around the superior pole of patella reduces the crepitus after total knee arthroplasty. Int Orthop. 2022 Nov;46(11):2561-2567. d — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Crepitus grade | Crepitus grade divided 3 categories ; 0-no crepitus, 1-asymptomatic crepitus, 2-Painful crepitus | 3month, 6month, 1year after surgical treatment | |
Secondary | Hip knee ankle angle | Identify postop alignment of lower extrimities, which is mechanical axis between femur and tibia in scanogram of low extremity. | 3month, 6month, 1year after surgical treatment | |
Secondary | Insall-Salvati ratio | Measured in true lateral position in 30' knee flextion, measureing patellar position in lateral plain radiograph of knee. | 3month, 6month, 1year after surgical treatment | |
Secondary | Patellar displacement | Measuring patellar position in merchant view of plain radiograph. | 3month, 6month, 1year after surgical treatment | |
Secondary | Patellar tilt angle | Measuring patellar position in merchant view of plain radiograph. | 3month, 6month, 1year after surgical treatment | |
Secondary | Tibia offset | Estimate tibial component position in lateral plain radiograph. | 3month, 6month, 1year after surgical treatment | |
Secondary | Knee society score | Clinical score evaluate functional ability of patients after surgery (0-100; high value represent better outcome) | 3month, 6month, 1year after surgical treatment | |
Secondary | WOMAC score | Clinical score evaluate pain, stiffness, function of knee after surgery (0-96; low value represent better outcome) | 3month, 6month, 1year after surgical treatment | |
Secondary | Forgotten joint score | Clinical score evaluate functional outcome after surgery (0-100; low value represent better outcome) | 3month, 6month, 1year after surgical treatment |
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