Arthroplasty, Replacement, Knee
Conditions
Keywords
Prosthesis
Brief summary
The purpose of this study is to investigate whether subjects receiving a high-flexion knee prosthesis show a better knee function than patients receiving a standard knee prosthesis. Thigh-calf contact force measurements are used to quantify knee function. The investigators' hypothesis is that high-flexion knees show a better knee function.
Detailed description
Study title: Functional evaluation of a standard and a high-flexion knee prosthesis using thigh-calf contact force measurements. Objective: The objective of this study is to investigate whether subjects receiving a high flexion knee prosthesis (Sigma RP-F, J&J, UK) show a better knee function than patients receiving a standard knee prosthesis (Sigma FB, J&J, UK). Study Design: Prospective double blind randomized study. Study population: Subjects who will receive total knee arthroplasty (TKA) because of invalidating gonarthritis based on primary osteoarthritis or rheumatic disorders or trauma. Intervention: * 28 subjects will receive the standard Sigma FB knee prosthesis. * 28 subjects will receive the high flexion Sigma RP-F knee prosthesis.
Interventions
28 subjects will receive the standard Sigma FB knee prosthesis. 28 subjects will receive the high flexion Sigma RP-F knee prosthesis.
Sponsors
Study design
Eligibility
Inclusion criteria
Patients receiving a total knee replacement due to disabling gonarthrosis (cartilage damage): * Primary due to osteo-arthritis * Secondary due to rheumatoid arthritis or trauma
Exclusion criteria
* Patients suffering from juvenile rheuma * Patients suffering from hemophilia * Patients that are incapable to give informed consent * Patients who receive a total knee replacement due to an oncological resection * Patients who have received a total knee replacement on the contralateral leg * Patients who have disabling gonarthrosis on both legs * Patients having a BMI \< 25 kg/m\^2 * Patients who have to receive a different prosthesis than used in this study for biomechanical reasons (e.g. revision prosthesis)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Thigh-calf contact force | pre-op and 1-year post-op |
Secondary
| Measure | Time frame |
|---|---|
| Passive/active maximal knee flexion angle | pre-op and 1-year post-op |
| BMI, weight and length | pre-op and 1-year post-op |
| Thigh and calf circumference | pre-op and 1-year post-op |
| IKS, WOMAC and VAS (pain/satisfaction) score | pre-op and 1-year post-op |
Countries
Netherlands