Total Knee Replacement Clinical Trial
Official title:
A Randomized, Controlled, Prospective Study Evaluating the Effect of Patellar Eversion on Functional Outcomes in Primary Total Knee Arthroplasty.
Short and long term outcomes of total knee arthroplasty patients surgically exposed with patellar eversion are compared to those patients exposed by laterally retracting the patella. It was hypothesized that there would be no difference.
Background:
Patellar mobilization during total knee arthroplasty (TKA) has been debated, with some
proponents of minimally invasive TKA suggesting that laterally retracting, rather than
everting the patella may be beneficial. It was our hypothesis that by using randomized,
prospective, blinded study methods, there would be no significant difference in clinical
outcome measures based solely on eversion of the patella during total knee arthroplasty.
Methods:
After an a priori power analysis was done, 120 primary total knee replacements indicated for
degenerative joint disease were included in the study and randomized to one of two patella
exposure techniques: lateral retraction or eversion. Collaborating investigators and
patients were blinded to randomization.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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