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Influence of Knee Alignment and Pelvis Rotation on Accuracy of Radiograph Measurements Before Total Knee Arthroplasty

The Influence of Lower Extremity and Pelvic Alignment on Accuracy of Hip-Knee-Ankle Radiograph Measurements Before Total Knee Arthroplasty

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05277883
Enrollment
112
Registered
2022-03-14
Start date
2022-12-01
Completion date
2024-12-25
Last updated
2025-03-30

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

Conditions

Knee Osteoarthritis

Keywords

knee aligment, total knee arthroplasty, coronal alignment of the lower limb, x-ray accuracy

Brief summary

The aim of this study is to determine the accuracy of long leg standing X-rays with respect to coronal alignment of the knee.

Detailed description

Long leg standing x-ray is a routine examination to measure the femoral valgus angle before a total knee arthroplasty. Newer studies have shown that coronal leg alignment influences the rotation of the distal femoral part. This rotation might influence the measurements obtained with a long leg standing x-ray. The primary purpose of this study is to determine whether there is a significant difference between 2D measurements taken on the x-ray and 3D measurements obtained with a CT scan.

Interventions

RADIATIONCT scan

CT of the lower limb

Sponsors

Valdoltra Orthopedic Hospital
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Knee osteoarthritis scheduled for knee arthroplasty

Exclusion criteria

* previous leg deformities or surgery that changes alignment

Design outcomes

Primary

MeasureTime frameDescription
The angle difference between an x-ray and a CT scanBefore surgeryThe femoral valgus angle, femoral mechanical angle, tibial mechanical angle and hip knee ankle angle are measured separately on the x-ray and on the CT scan. The difference in individual angle is the calculated.

Countries

Slovenia

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026