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NCT Number: NCT06617819

Influence of Different Prostheses on Postoperative Clinical Function in Total Knee Arthroplasty

Exploring differences in knee function after surgery with different types of prostheses(Cruciate ligament retaining(CR) VS. posterior stabilizing(PS))

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Key information

Conditions

Age range

45 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University

Nanjing, Jiangsu, 210008, China

Location contact

Zhihong Xu, Doctor

CONTACT

[email protected]

13912988032

Zhihong Xu, Doctor

CONTACT

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 45-80 years, any gender, BMI < 35 kg/m2
  • Initial diagnosis of bilateral knee OA (Kellgren-Lawrence classification grades 3 or 4). Patients who are to undergo simultaneous primary bilateral knee arthroplasty
  • Inversion deformity ≤ 15°
  • Posterior cruciate ligament integrity

Exclusion criteria

  • History of knee surgery (ligament, osteotomy, etc.)
  • knee flexion<90°.
  • flexion contracture of one knee > 10°
  • Comorbidity with other diseases, such as peripheral neuropathy, malignant tumors, rheumatism, etc.
  • Posterior cruciate ligament injury
  • Those assessed to be intolerant of surgery

Treatment and study plan

CR prosthesis

Device

For patients undergoing simultaneous bilateral knee arthroplasty, different prostheses (CR vs. PS) were randomized to the left or right knee.

PS prosthesis

Device

For patients undergoing simultaneous bilateral knee arthroplasty, different prostheses (CR vs. PS) were randomized to the left or right knee.

Primary outcomes

  1. Knee Society Score, KSS

    Time frame: 6 weeks, 3 months, 6 months, 12 months, 24 months after surgery

    Use of Knee Society Score scales for assessment. Including pain, mobility, stability, the patient&#39;s ability to walk, up and down the stairs, etc. on the assessment, 85-100 is excellent, 70-84 is good, 60-69 is pass, less than 60 is poor

Secondary outcomes

  1. WOMAC

    Time frame: Preoperative, 6 weeks, 3 months, 6 months, 12 months, 24 months after surgery

    The Western Ontario and McMaster Universities Arthritis Index (WOMAC) is widely used in the evaluation of Hip and Knee Osteoarthritis. It is a composite outcome measure consisting of multiple measures: pain, stiffness and physical function. The scores for each subscale are summed up, with a possible score range of 0-20 for Pain, 0-8 for Stiffness, and 0-68 for Physical Function. Higher scores on the WOMAC indicate worse pain, stiffness, and functional limitations.

  2. Stride length

    Time frame: Preoperative, 6 weeks, 3 months, 6 months, 12 months, 24 months after surgery

    The step length data were collected using a gait analysis instrument to analyze whether there was a difference between the right and left sides.

  3. Stride frequency

    Time frame: Preoperative, 6 weeks, 3 months, 6 months, 12 months, 24 months after surgery

    The step frequency data were collected using an instrument to analyze whether there were any differences.

  4. Percentage of stance phase

    Time frame: Preoperative, 6 weeks, 3 months, 6 months, 12 months, 24 months after surgery

    The stance phase is the time during which the lower limbs are in contact with the ground and are subjected to gravity, and accounts for 60% of the walking cycle. In walking disorders, the prolongation of the stance phase is often associated with impaired walking.

Study contacts

Contact information is provided by the study sponsor or research team.

Fei Yu, Doctor

CONTACT

[email protected]

15151842733

Zhihong Xu, Doctor

CONTACT

[email protected]

13912988032

Sponsors and collaborators

Lead sponsor

The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School

Other

Registry information

Official study title

Influence of Different Prostheses(CR Vs. PS) on Postoperative Clinical Functional Scores in Total Knee Arthroplasty Based on Extramedullary Femoral Osteotomy Techniques and Functionalist Alignment

Important dates

Study start
2024
Primary completion
2025
Study completion
2027
First posted
Oct 1, 2024
Registry last updated
Oct 1, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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