Osteoarthritis of knee joint
Conditions
Interventions
Gold Standard:Referring to the “Hip and Knee Arthroplasty Operation Standards (2022 Edition)” issued by the General Office of the National Health and Wellness Commission in 2022 to determine the exper
Index test:AI Total Knee Replacement Preoperative Planning Software
Sponsors
The First Affiliated Hospital of Army Medical University
Eligibility
Sex/Gender
All
Age
40 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1.The patients were 40-80 years old and willing to undergo TKA surgery on the affected side; 2.The diagnosis was severe osteoarthritis of unilateral knee (K-L stage IV); 3.The KSS score of the affected knee after conservative treatment was below 60 points; 4.The contralateral knee osteoarthritis did not exceed K-L ? stage, and the KSS score was more than 80 after conservative treatment, which did not meet the surgical standard; 5.Patients or family members voluntarily signed written informed consent to participate in clinical research;
Exclusion criteria
Exclusion criteria: 1.With rheumatoid arthritis of lower extremities; 2.With severe hip or ankle osteoarthritis; 3.Previous lower limb fractures, deformities or congenital anomalies; 4.Had a history of knee surgery on the affected side; 5.Has been treated with ipsilateral hip or ankle replacement surgery; 6.Had received other surgical treatments to change the force line of the lower limbs; 7.Risk factors associated with severe hypertension, diabetes, coronary heart disease, mental illness and other factors affecting surgery;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The difference in osteotomy thickness between the medial and lateral condyles of the distal femur (the thickness of the lateral condyle of the distal femur minus the thickness of the medial condyle); | — |
Secondary
| Measure | Time frame |
|---|---|
| Valgus angle of distal femur in coronal plane (included angle between mechanical axis of femur and anatomical axis of distal femur in coronal plane);Rotational osteotomy angle of posterior femoral condyle (included angle between femoral condylar line and posterior condylar line);Knee Society Score, KSS;Visual Analogue Scale, VAS;Size of femoral and tibial prostheses;Knee Injury and Osteoarthritis Outcome Score,KOOS;Difference in osteotomy thickness of posterior femoral condyle (osteotomy thickness of lateral femoral condyle minus osteotomy thickness of medial femoral condyle);Tibial plateau osteotomy thickness difference (medial tibial plateau osteotomy thickness minus lateral tibial plateau osteotomy thickness);Time and economic costs of manual preoperative planning and AI preoperative planning; | — |
Countries
China
Contacts
Public ContactGuo Lin
The First Affiliated Hospital of Army Medical University
Outcome results
None listed