Prospective Randomized Trial of Navigated and Conventional TKA
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Purpose
Evaluation of the component position and kinematics after navigated and conventional Total Knee Arthroplasty.
| Condition | Intervention |
|---|---|
|
Osteoarthritis of the Knee |
Procedure: Implantation of a Total Knee Arthroplasty |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Prospective Randomized Trial of Navigated and Conventional TKA With Radiographic and CT Evaluations |
- rotational component position [ Time Frame: postoperatively ] [ Designated as safety issue: No ]
- leg axis [ Time Frame: postoperatively ] [ Designated as safety issue: No ]
- kinematics [ Time Frame: postoperatively ] [ Designated as safety issue: No ]
- clinical outcome [ Time Frame: 18 to 24 month postoperatively ] [ Designated as safety issue: No ]
| Enrollment: | 80 |
| Study Start Date: | January 2006 |
| Study Completion Date: | December 2008 |
| Primary Completion Date: | April 2007 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: navigated TKA |
Procedure: Implantation of a Total Knee Arthroplasty
In all patients a cemented, unconstrained, cruciate-retaining TKA with a rotating platform (ScorpioTM PCS, Stryker Orthopaedics, Mahwah, NJ) was implanted. No patellar resurfacing was performed. A medial parapatellar approach with a femur-first preparation was done in all cases. The Stryker Navigation System, Knee Navigation Software V3.1 (Stryker Orthopaedics, Mahwah, NJ) was used for computer-assisted implantation. The conventional implantation was performed with femoral intramedullary and tibial extramedullary standard alignment guides. Other Names:
|
| conventional TKA |
Procedure: Implantation of a Total Knee Arthroplasty
In all patients a cemented, unconstrained, cruciate-retaining TKA with a rotating platform (ScorpioTM PCS, Stryker Orthopaedics, Mahwah, NJ) was implanted. No patellar resurfacing was performed. A medial parapatellar approach with a femur-first preparation was done in all cases. The Stryker Navigation System, Knee Navigation Software V3.1 (Stryker Orthopaedics, Mahwah, NJ) was used for computer-assisted implantation. The conventional implantation was performed with femoral intramedullary and tibial extramedullary standard alignment guides. Other Names:
|
Detailed Description:
Component position, kinematics After skin closure lateral x-rays were done in different flexion angles in order to evaluate the kinematic behaviour of the TKA.
A full-length standing and a lateral radiograph as well as CT scans of the hip, knee and ankle joint were performed 5 to 7 days postoperatively before discharge.
- clinical outcome Patient sociodemographic and anamnestic data were collected. The written interview was complemented by the EuroQol questionnaire (release EQ-5D) and the assessment of the patients' functional status (Knee Society Score) one week before surgery and 18 to 24 month after surgery.
Eligibility| Ages Eligible for Study: | 50 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- primary or secondary osteoarthritis of the knee
- indication to TKA
- a mechanical axis between 20° varus and 5° valgus
- signed informed consent
Exclusion Criteria:
- previous hemi- or total arthroplasty
- severe instability that could not be treated with an unconstrained, cruciate-retaining TKA
Contacts and Locations| Germany | |
| University Hospital Dresden, Orthopaedic Department | |
| Dresden, Germany, 01307 | |
| Study Director: | Klaus-Peter Günther, MD, PhD | Orthopaedic Department, University Hospital Dresden |
More Information
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Dresden University of Technology, Dr Joerg Luetzner, Dresden University of Technology |
| ClinicalTrials.gov Identifier: | NCT01022099 History of Changes |
| Other Study ID Numbers: | KneeNavy |
| Study First Received: | November 30, 2009 |
| Last Updated: | December 17, 2009 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by Dresden University of Technology:
|
Total Knee Arthroplasty Navigation |
Additional relevant MeSH terms:
|
Osteoarthritis Osteoarthritis, Knee Arthritis |
Joint Diseases Musculoskeletal Diseases Rheumatic Diseases |
ClinicalTrials.gov processed this record on June 18, 2013