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Knee-Hip-Spine Harmony: The Relationship Between Sagittal Spinal Alignment in Total Hip/Knee Arthroplasty

Knee-Hip-Spine Harmony: The Relationship Between Sagittal Spinal Alignment in Total Hip/Knee Arthroplasty

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05685706
Enrollment
300
Registered
2023-01-17
Start date
2021-07-07
Completion date
2031-12-31
Last updated
2023-01-17

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

Conditions

Cases Who Received TKA/THA

Keywords

Total hip/knee arthroplasty

Brief summary

Concomitant osteoarthritis of hip/knee joint and lumbar spinal degeneration is commonly seen in elderly population. These degeneration changes of spine would change sagittal or coronal alignment and spinal flexibility in varies degrees. Total hip and knee arthroplasty (THA/TKA) are among the most successful orthopedic operations performed, aiming at the alleviation of osteoarthritic pain. Normal alignment of the spine and pelvis in the sagittal plane is critical to maintain an upright standing position with minimal energy consumption. However, there is a scarcity of studies on how THA or TKA influences the parameters of the spine and the pelvis. Compared with the balance of coronal plane, more attention is paid to the balance of sagittal plane. The objectives of this study are to investigate changes in the truncal parameters after THA or TKA and assess whether these parameters are improved or deteriorated after these operations.

Interventions

None listed

Sponsors

China Medical University Hospital
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

Inclusion criteria

1. Primary degenerative arthritis of the knee or hip 2. Those who have undergone artificial knee or hip replacement surgery 3. Follow up surgery for at least 1 year 4. Track the whole trunk lower limb sagittal plane coronal aligament before and after surgery

Exclusion criteria

1. Previous hip surgery 2. Previous spine surgery 3. Contracture after hip fusion surgery 4. Scoliosis over 10 degrees combined with neuropathy 5. Patients with flexion contracture after knee joint surgery 6. Rheumatoid arthritis lesions

Design outcomes

Primary

MeasureTime frameDescription
The Forgotten Joint Score-12 (FJS-12)Post-operative at 24th monthThe Forgotten Joint Score-12 (FJS-12) is a validated patient-reported outcome measure (PROM) tool designed to assess artificial prosthesis awareness during daily activities following total hip arthroplasty (THA). The Forgotten Joint Score consists of 12 questions and is scored on a 0-100 scale. The higher the score, the less the patient is aware of their affected joint when performing daily activities (Rosinsky et al., 2019).
EQ-5DPost-operative at 24th monthEQ-5D is an instrument which evaluates the generic quality of life developed in Europe and widely used.

Countries

Taiwan

Contacts

Primary ContactChun-Hao Tsai, PhD
ritsai8615@gmail.com04-22052121
Backup ContactYu-Han Chang
arthrokneecmuh@gmail.com+886 0909 507 981

Outcome results

None listed

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