joint wear osteoarthritis of the medial knee compartment
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: •Painfull and disabled knee joint resulting from osteoarthritis of the medial knee compartment. •High need to obtain pain relief and improve function, -Above 18 years old (full skeletal maturity). -Body-mass-index (BMI)
Exclusion criteria
Exclusion criteria: -Patients with osteoarthritis of more than only the medial knee compartment -Active infection in knee -General infection -Distant foci of infections which may spread to the implant site -Failure of previous joint replacement -Pregnancy -Previous major knee surgery, except for arthroscopic meniscectomy. -Metal near knee joint (MRI-scan not possible) -Not able or willing to undergo MRI-scan and CT-scan -Reumatoid arthritis -Extension deficit of more than 15 degrees -Flexion less than 110 degrees -Non-correctable varus axis -Cruciate ligament insufficiency
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| -Oxford knee score at 1 Year. -Alignment of the femoral and tibial prosthesis 6 W in the frontal plane. | — |
Secondary
| Measure | Time frame |
|---|---|
| -Questionnaires o American Knee Society Score, WOMAC, Oxford Knee - 12, EQ-5D, VAS: at 3 months, 1 year, 2 years, 5 years and 10 years. -Efficacy o Operation time o Length of hospital stay o Fit, form and practical use of the Signature* alignment guides. -Safety o Adverse events/complications: Intra-operative, post-operative during trial o Needed change of plans per-operative: change of size of prosthesis, conversion Signature procedure to conventional procedure for any reason -Survivorship at 10 years post-operative -Cost-effectiveness o All material costs of both procedures -Shape-matching o Occurrence (and percentage) of outliers in alignment in the frontal, sagittal and horizontal plane of femoral and tibial components. o Occurrence (and percentage) of outliers in alignment of the mechanical axis of the leg. o Difference in thickness of the in vivo inserted polyethylene compared to pre-operatively calculated thickness of this insert. | — |
Countries
Netherlands