Knee Arthritis Osteoarthritis
Conditions
Keywords
knee osteoarthiritis, anterior condylar offset, posterior condylar offset
Brief summary
This prospective cohort study aims to evaluate the effect of posterior condylar offset (PCO) and anterior condylar offset (ACO) changes on functional outcomes after primary total knee arthroplasty (TKA). Standardized imaging and clinical assessment protocols will be used to determine optimal PCO and ACO ranges associated with improved postoperative range of motion, patient-reported outcomes, and reduced anterior knee symptoms.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* diagnosis of primary knee osteoarthiritis * indication of knee arthroplasty * 50-85 years * ability t oprovide informed consent and comply with follow up
Exclusion criteria
* revision knee arthroplasty * inflammatory arthritis * severe corona deformity (\>20 varus/valgus) * previous knee surgery or fracture
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maximum Knee Flexion | 12 months postoperatively | maximum active knee flexion measured in degrees using a goniometer during clinical examination |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Knee Society Score | 3,6,12 months postoperatively | The Knee Society Score (KSS) is a clinician-reported outcome measure consisting of two components: the Knee Score (pain, stability, and range of motion) and the Function Score (walking distance and stair climbing). Each component ranges from 0 to 100, with a total possible score of 200. Higher scores indicate better knee function and clinical outcomes. |
| WOMAC score | 3,6,12 months postoperatively | The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) is a patient-reported outcome measure assessing pain, stiffness, and physical function. The total score ranges from 0 to 96, with higher scores indicating worse pain, stiffness, and functional limitation. |
| Change in Anterior and Posterior Condylar Offset | preoperative graphy and postoperative 1st day graphy | difference between preoperative and postoperative 1st day anterior condylar offset mesaured on lateral knee radiographs |