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Predictive Value of Preoperative MRI Signal Stratification of Infrapatellar Fat Pad (IPFP) on Clinical Benefit of Arthroscopic Debridement and Risk of End-stage TKA in Patients with Early-to-Mid Stage Knee OA: A Propensity Score Matching Survival Analysis Study

Predictive Value of Preoperative MRI Signal Stratification of Infrapatellar Fat Pad (IPFP) on Clinical Benefit of Arthroscopic Debridement and Risk of End-stage TKA in Patients with Early-to-Mid Stage Knee OA: A Propensity Score Matching Survival Analysis Study

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2600126539
Enrollment
Unknown
Registered
2026-06-10
Start date
2026-06-14
Completion date
Unknown
Last updated
2026-06-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Knee osteoarthritis

Interventions

exposure group: IPFP signal abnormal group:NA
Non-exposure group: IPFP signal normal group:NA

Sponsors

Zhujiang Hospital, Southern Medical University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
40 Years to 80 Years

Inclusion criteria

Inclusion criteria: 1. Aged 40-80 years, diagnosed with primary KOA, Kellgren-Lawrence (K-L) grade 1-3 (early-to-mid stage) 2. Completed 3.0T knee MRI examination in our hospital within 6 months before surgery, with complete imaging data 3. Underwent first-time ipsilateral standardized arthroscopic debridement (synovectomy, meniscectomy/partial meniscectomy, loose body removal, chondroplasty) 4. Complete postoperative follow-up data, minimum follow-up duration =5 years

Exclusion criteria

Exclusion criteria: 1. Secondary KOA (post-traumatic, rheumatoid, infectious, crystalline arthritis, etc.) 2. Preoperative K-L grade 4 or previous ipsilateral knee surgery history 3. Preoperative absolute indication for TKA 4. Severe lower limb alignment deformity (hip-knee-ankle angle >15°) 5. Incomplete follow-up data or inability to determine endpoint events 6. Complicated with malignant tumors, severe liver and kidney dysfunction or other major diseases affecting survival

Design outcomes

Primary

MeasureTime frame
TKA-free Survival;5-Year Cumulative TKA Incidence Rate;

Secondary

MeasureTime frame
5-Year Rate of Long-Term Oral Analgesic Dependence After Surgery;5-Year Radiographic Progression Rate of Knee Osteoarthritis (KOA) After Surgery;

Countries

China

Contacts

Public ContactLijun Lin

Zhujiang Hospital, Southern Medical University

1219875962@qq.com+86 20 6278 2020

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Jun 21, 2026