Patellar Resurfacing in Total Knee Arthroplasty
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Purpose
Background:
The best treatment of the patella during total knee arthroplasty (TKA) is controversial. The implantation of a patellar component adds to the operation time and the costs of the operation.There is a huge variation as to whether the patella is resurfaced or not during TKA. Meta-analysis of prospective, randomised trials might indicate that patellar resurfacing reduces the risk of reoperation and anterior knee pain, but drawing firm conclusions is not possible and additional, high quality randomised trials are required.
Purpose:
The aim of this study is to determine whether ther is a difference between the two groups in knee pain, functions, patient satisfaction and quality of life after TKA.
| Condition | Intervention |
|---|---|
|
Osteoarthritis Pain |
Procedure: Patellar component Procedure: No patellar component |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Patellar Resurfacing in Total Knee Arthroplasty. A Prospective, Randomised and Double Blind Study. |
- Knee injury and Osteoarthritis Outcome Score [ Time Frame: 3 years follow up ] [ Designated as safety issue: Yes ]
- Oxford score, Knee Society score, Stair climbing test, Pain (VAS), Patient satisfaction (VAS) [ Time Frame: 3 years follow up ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 110 |
| Study Start Date: | October 2007 |
| Estimated Study Completion Date: | June 2014 |
| Estimated Primary Completion Date: | June 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Patellar resurfacing
|
Procedure: Patellar component
Resurfacing with onlay technique
|
|
Active Comparator: 2
Patellar retention
|
Procedure: No patellar component
Trimming of osteophytes when appropriate
|
Eligibility| Ages Eligible for Study: | up to 85 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients less than 85 years old with osteoarthritis scheduled for primary knee arthroplasty.
Exclusion Criteria:
- Patients who are not able to cooperate
- Serious deformity (not suitable for a standard CR prosthesis)
- Patellar thickness less than 18 mm
- Prior operation involving the extensor mechanism
- Rheumatoid arthritis
- Severe medical disability limiting the ability to walk
- Revision surgery
- Knees with predominantly patellofemoral arthrosis
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Eirik Aunan, MD, Sykehuset Innlandet HF |
| ClinicalTrials.gov Identifier: | NCT00553982 History of Changes |
| Other Study ID Numbers: | aue1, 40-07172b 1.2007.952 (REK), 13-2007 SI (Personvernombudet) |
| Study First Received: | November 2, 2007 |
| Last Updated: | January 1, 2013 |
| Health Authority: | Norway:National Committee for Medical and Health Research Ethics |
Keywords provided by Sykehuset Innlandet HF:
|
Replacement Knee Patella Arthroplasty |
Additional relevant MeSH terms:
|
Osteoarthritis Arthritis Joint Diseases Musculoskeletal Diseases Rheumatic Diseases |
ClinicalTrials.gov processed this record on June 17, 2013