Hoffa’s fat pad has been associated with anterior knee pain after total knee arthroplasty. Furthermore, fibrosis of Hoffa’s fat pad due to the incision technique is associated with a decreased range of motion. It’s resection is reported to result in less pain after surgery.
Conditions
Interventions
One group will undergo Hoffa’s fat pad resection and one group will not during implantation of a total knee prosthesis.
Sponsors
B.J. Burger, PhD, M.D.
CORAL, Department of Orthopaedic Surgery
Medisch Centrum Alkmaar, Wilhelminalaan 12, 1815 JD Alkmaar
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients who are planned to undergo a primary total knee arthroplasty in the Joint-Care program of the Medical Centre Alkmaar; 2. Age between 30 and 80 years; 3. Patients with ASA Physical Status I & II.
Exclusion criteria
Exclusion criteria: 1. Patients with another prosthesis in either one of the lower extremities; 2. Patients diagnosed with rheumatoid arthritis; 3. Patients who suffer from insulin dependant diabetes; 4. Patients who lack understanding of the Dutch language; 5. Patients who are treated for or diagnosed with neurological or muscle disorders which make assessment of pain and gait not possible.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Active and passive knee range of motion; 2. Gait parameters; 3. Walking stability and variability. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The prevalence and severity of (anterior) knee pain; 2. The KOOS score (Knee Injury and Osteoarthritis Outcome Score); 3. Complications and adverse events. patellar tendon lenght. | — |
Contacts
Public ContactA.J. Kievit
Academic Medical Center Department of Orthopaedic Surgery Meibergdreef 9 Room G4-259
Outcome results
None listed