Osteoarthritis,Knee
Conditions
Brief summary
To evaluate the lower limb alignment following total knee arthroplasty (TKA) performed with fully disposable patient-specific instrumentation versus conventional, versus patient specific instrumentation.
Detailed description
The investigators performed a controlled multicenter trial comparing the clinical and radiologic results and resources consumption of primary TKA using patient-specific cutting guides (PSCG) versus conventional instrumentation (CI), and compared the results to those obtained with a fully disposable patient-specific instrumentation (PSCG-D).
Interventions
Total Knee arthroplasty
Sponsors
Study design
Eligibility
Inclusion criteria
* patients aged between 18 and 85 years * able to understand information * affiliated to social security
Exclusion criteria
* active or suspected sepsis * tumor around the knee * previous partial or total knee replacement * extra-articular deformation requiring osteotomy around the knee in conjunction with TKA * social situation that could impair follow-up
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| HKA angle | 3 months | Lower limb mechanical axis was measured on a bipodal standing leg-length anteroposterior radiograph with the patella oriented straight made three months postoperatively, using Roman software version 1.70 (Oswestry, United Kingdom). Postoperative lower limb mechanical axis was calculated from the Hip-Knee-Ankle (HKA) angle between the femoral and tibial mechanical axes, respectively. An HKA angle greater than 180° was indicative of valgus, whereas values lower than 180° indicated varus. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| % outliers | 3 months | % of patients with an HKA angle outside 180°+/- 3° |
| Knee Society Score | 3 months | Validated pain and function score following TKA |
| Oxford Knee Score | 3 months | Patients self assessment of knee function |