Severe end-stage knee osteoarthritis eligible for TKA surgery. Osteoarthritis of knee
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with severe end-stage osteoarthritis of the knee who are eligible for TKA surgery (painful and disabled knee joint with involvement of one or more compartments) Patients with osteoarthritis resistant to conservative treatment
Exclusion criteria
Exclusion criteria: Previous hip or ankle replacement Rheumatoid Arthritis Active infections, local or systemic Osteotomy or previous fracture or surgery of the tibia or femur
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Alignment of limbs and prostheses. Timepoint: Patients visit the clinic for evaluation at 2, 6, 12 and 6 months of age and then annually after surgery. Knee radiographs including AP and lateral views will be taken. Method of measurement: A long standing radiograph of the knee leg at 3 months after surgery will be used to evaluate the hip-knee-ankle angle (HKA; mechanical axis) of the lower limb, the varus and/or valgus angle of the femur relative to the mechanical axis of the femur. (medial femoral distal angle; MDFA), and the varus and/or valgus angle of a tibial component relative to the mechanical axis of the tibia (medial proximal tibial angle). A lateral radiograph will be used to assess the flexion of the femoral component (femoral flexion angle) and the tilt of the tibial component (tibial tilt). | — |
Secondary
| Measure | Time frame |
|---|---|
| Total surgery time. Timepoint: From skin incision to wound closure from arthrotomy site repair, vacuum drain placement and skin closure. Method of measurement: Based on the time measured by the stopwatch.;The total amount of intraoperative bleeding. Timepoint: From skin incision to wound closure from arthrotomy site repair, vacuum drain placement and skin closure. Method of measurement: The amount of blood collected by the suction device.;Hb changes. Timepoint: Before and 24 hours after the operation. Method of measurement: CBC, diff.;Blood transfusion rate. Timepoint: Hospitalization period. Method of measurement: Counting the number of blood units injected.;Improve performance. Timepoint: Weeks 2, 6, 12 and 6 months and 1 year after surgery. Method of measurement: Visual Analog Scale pain score - Knee Injury and Osteoarthritis Outcome Score - Forgotten Joint Score - Range of motion.;Complications of surgery. Timepoint: During one year after the operation. Method of measurement: History and examination. | — |
Countries
Iran (Islamic Republic of)
Contacts
Tehran University of Medical Sciences