Prevalence of Coronal Femoral Bowing in the Egyptian Arthritic Knee

Arthritis Knee Clinical Trial

Official title:

Prevalence of Coronal Femoral Bowing in the Egyptian Arthritic Knee

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT03874468
• Other study ID #: coronal femoral Bowing
• Status: Not yet recruiting
• Start date: May 1, 2019
• Est. completion date: May 1, 2022

Study information

• Verified date: March 2019
• Source: Assiut University
• Contact: kerolos naiem shehata, resident
• Phone: 01202803982
• Email: kerolosnaiem[@]gmail.com
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

To Detect the Prevalence Of Coronal Femoral Bowing in Egyptian arthritic knee. The restoration of normal coronal alignment of the lower extremity is very important to surgeons who perform reconstructive surgery of the knee, such as total knee arthroplasty (TKA). The importance of achieving normal coronal alignment of the lower extremity after TKA is widely recognized . TKAs with coronal malalignment tend to fail earlier than those with neutral alignment. 8 Coronal alignment is considered key to the function and longevity of a TKA. However, most studies do not consider femoral and tibial anatomical features such as coronal femoral bowing and the effects of these features and subsequent alignment on function after TKA are unclear investigators therefore determined the prevalence of coronal femoral bowing, femoral condylar orientation (mLDFA ) , and tibia plateau inclination (mMPTA ) in osteoarthritic Egyptian population

Description:

Radiological methods :

1) standing anteroposterior radiographs of the full-length lower limb with patients in the standing position. ( HKA Long Film Radiographs ).

Measurements :

1. mechanical hip-knee-ankle axis (HKA) angle: the angle formed by the mechanical axes of the femur and tibia

2. anatomical hip-knee-ankle axis (HKA) angle: the angle formed by the anatomical axes of the femur and tibia

3. For condylar orientation : the mechanical lateral distal femoral angle (mLDFA) was defined as an angle formed by the mechanical axis of the femur and the line connecting the distal ends of the medial and lateral femoral condyles of the femur.

4. For tibia plateau inclination : the mechanical lateral proximal tibial angle (mLPTA) was defined as an angle formed by the mechanical axis of the tibia and the articular surface of the proximal tibia .

5. Coronal femoral bowing Using the method of Yau et al. : the femoral diaphysis was divided into four equal parts, . Because Yau et al. didn't exactly describe the femoral diaphysis, we had defined the femoral diaphysis from the lower border of the lesser trochanter to upper border of the distal femoral segment which is defined by a square whose sides have the same length as the widest part of the femoral condyle so called rule of square (from the lowest level of the lesser trochanter to 5 cm above the lowest level of the lateral femoral condyle), and the midpoint of the endosteal intramedullary canal was depicted in each quarter. The angulation between midlines drawn in the proximal and distal quarters of the femoral diaphysis will be measured

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 400
• Est. completion date: May 1, 2022
• Est. primary completion date: May 1, 2022
• Gender: All
• Age group: 20 Years to 110 Years

Eligibility

Inclusion Criteria:

-Any advanced Osteoarthritic patient schedual for TKA

Exclusion Criteria:

• History of femoral or tibial fracture or osteotomy around the knee .

• Presence of a congenital anomaly in the femur or tibia .

• History of prior knee or hip arthroplasty .

• Diagnosis other than primary osteoarthritis (RA-inflmmatory arthritis..etc) .

• Position in radiographs preventing complete evaluation of radiographic variables .

Related Conditions & MeSH terms

• Arthritis Knee

Intervention

Device:
• X-ray
standing anteroposterior radiographs of the full-length lower limb with patients in the standing position. ( HKA Long Film Radiographs ).

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Kerolos Naiem Shehata Rofael

References & Publications (2)

Kobayashi H, Akamatsu Y, Kumagai K, Kusayama Y, Aratake M, Saito T. Influence of coronal bowing on the lower alignment and the positioning of component in navigation and conventional total knee arthroplasty. Orthop Traumatol Surg Res. 2017 Apr;103(2):251-256. doi: 10.1016/j.otsr.2016.11.017. Epub 2017 Jan 11. — View Citation

Nakano N, Matsumoto T, Hashimura M, Takayama K, Ishida K, Araki D, Matsushita T, Kuroda R, Kurosaka M. Coronal lower limb alignment in normal knees--A radiographic analysis of 797 normal knee subjects. Knee. 2016 Mar;23(2):209-13. doi: 10.1016/j.knee.2015.12.004. Epub 2016 Jan 7. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	To asses the Prevalence Of Coronal Femoral Bowing in Egyptian arthritic knee	Coronal Femoral Bowing in Egyptian arthritic knee may be prevalent and its effect on TKR will be measured and reported	Baseline