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The relationship between the knee and the upper ankle: what differences arise after treatment of gonarthrosis by total knee arthroplasty with kinematic and mechanical alignment with respect to OSG pain, OSG position, loading of the foot, and dynamics during walking.

The relationship between the knee and the upper ankle: what differences arise after treatment of gonarthrosis by total knee arthroplasty with kinematic and mechanical alignment with respect to OSG pain, OSG position, loading of the foot, and dynamics during walking.

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
DRKS
Registry ID
DRKS00029637
Enrollment
74
Registered
2022-07-20
Start date
2021-10-21
Completion date
Unknown
Last updated
2026-03-30

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

Conditions

T84.8

Interventions

Group 1: Patients with existing varus gonarthrosis and indication for surgical treatment with TKA receive robot-assisted TKA with kinematic alignment. Different scores are collected to assess pain and

Sponsors

Medizinische Hochschule Hannover
Lead Sponsor

Eligibility

Sex/Gender
All
Age
40 Years to 80 Years

Inclusion criteria

Inclusion criteria: - Indication for surgical treatment of varus gonarthrosis - Age between 40 and 80 years - BMI < 40 kg/m2

Exclusion criteria

Exclusion criteria: - Gonarthrosis of the contralateral side - Reliant on assistive devices for walking

Design outcomes

Primary

MeasureTime frame
Patients with varus gonarthrosis have a higher postoperative AOFAS score after TKA with kinematic alignment compared with patients after TKA with mechanical alignment.

Secondary

MeasureTime frame
- The AOFAS score correlates negatively with the measured angle between knee and OSG (FCDT, PTTA). - Patients with varus gonarthrosis have a higher postoperative EFAS score after TKA with kinematic alignment compared to patients after TKA with mechanical alignment - EFAS score correlates negatively with measured angle between knee and OSG (FCDT, PTTA) - TKA with Kinematic Alignment reconstructs the joint line of the OSG closer to the original joint line than TKA with Mechanical Alignment. - Kinematic Alignment leads to a more physiological and ergonomic force transmission in dynamic pedobarography compared to mechanical alignment - Kinematic alignment leads to a more physiological gait pattern in motion analysis compared to mechanical alignement. - Patients with incipient OSG osteoarthritis have less pain in the OSG after TKA with kinematic alignment compared to kinematic alignment - JLO has an influence on the position of the OSG

Countries

Germany

Contacts

Public ContactYvonne Noll

Orthopädische Klinik der Medizinischen Hochschule Hannover im Diakovere Annastift, Leitung Klinisches Studienmanagement

yvonne.noll@diakovere.de0511-5354-649

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Apr 4, 2026