Association Between Sagittal Patellar Offset and Anterior Knee Pain in Total Knee Arthroplasty

Association Between Sagittal Patellar Offset and Anterior Knee Pain After Multiradius Total Knee Replacement.

Status

UNKNOWN

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT04353440

Enrollment

Registered

2020-04-20

Start date

2020-04-23

Completion date

2025-07-23

Last updated

2020-04-21

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

Conditions

Knee Arthritis, Knee Osteoarthritis, Primary Gonarthrosis, Bilateral

Keywords

total knee arthroplasty, anterior knee pain, sagittal patellar offset

Brief summary

The aim of this study to evaluate whether the position of the sagittal patellar offset is a predictive factor for anterior knee pain in subjects having undergone bilateral multiradius total knee replacement.

Detailed description

A prospective, observational study. A total of to 80 subjects requiring bilateral multiradius knee arthroplasty will be enrolled. Anterior femoral offset, femoral diameter and patellar offset will be measured by orthopaedic surgeons. In addition, Visual Analogue Scale Score, Oxford Knee Score, WOMAC, SF12 and SF36 will be evaluated postoperative in patients long-term follow up to see if there is a relationship between anterior femoral offset and anterior knee pain.In the direct lateral knee joint radiograph, the distance between the two parallel axis extending from both cortices of the femur is measured as femoral diameter.The remaining length between the anterior axis and the maximum peak at the anterior of the prosthesis is considered as an anterior femoral offset\[1\]. Sagittal patellar offset defined by us as the ratio of the anterior femoral offset to the remaining distance between the maximum anterior point of the patella and the posterior vertex in the direct lateral knee joint radiography.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

50 Years to 100 Years

Healthy volunteers

Inclusion criteria

* Patients over 50 years of age with primary severe gonarthrosis who will undergo total knee replacement

Exclusion criteria

* Patients with severe gonarthrosis, with a history of malignancy, with severe extraarticular deformity, with posttraumatic and septic arthritis sequel

Design outcomes

Primary

Measure	Time frame	Description
anterior patellar offset ratio	minimum 1 year	The distance between the anterior cortex of the femur and the maximum peak at the anterior of the prosthesis is considered as an anterior femoral offset\[1\].Sagittal patellar offset defined by us as the ratio of the anterior femoral offset to the remaining distance between the maximum anterior point of the patella and the posterior vertex in the direct lateral knee joint radiography.

Outcome results