MedPath

Total or partial knee arthroplasty trial

Not Applicable
Completed
Conditions
Osteoarthritis/avascular necrosis
Musculoskeletal Diseases
Polyarthrosis
Registration Number
ISRCTN03013488
Lead Sponsor
niversity of Oxford (UK)
Brief Summary

1. 2013 protocol in http://www.ncbi.nlm.nih.gov/pubmed/24028414 2. 2017 early results in https://www.arthroscopyjournal.org/article/S0749-8063(17)30895-2/fulltext (added 13/05/2019) 3. 2019 5-year results in https://www.ncbi.nlm.nih.gov/pubmed/31326135 (added 22/07/2019) 4. 2020 results in https://www.ncbi.nlm.nih.gov/pubmed/32369436 (added 06/05/2020)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
528
Inclusion Criteria

1. Medial osteoarthritis with exposed bone on both femur and tibia or avascular necrosis
2. Functionally intact anterior cruciate ligament (superficial damage or splitting is acceptable)
3. Full thickness lateral cartilage
4. Correctable intra-articular varus deformity (suggestive of functionally intact medical cruciate ligament)
5. Medically fit showing an American Society of Anaesthesiologists (ASA) grade 1 or 2
6. Expectancy of over 10 years of active life
7. Aged 40 years or over, either sex

Exclusion Criteria

1. Require revision knee replacement surgery
2. Have rheumatoid arthritis or other inflammatory disorders
3. Are likely to benefit from a specific prosthesis type
4. Are unlikely to be able to perform required clinical assessment tasks
5. Have symptomatic foot, hip or spinal pathology

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Oxford Knee Score: a patient based validated and effective measure of change over time questionnaire. Both the absolute and the change scores will be analysed at 5- and 10-year points post-operation.
Secondary Outcome Measures
NameTimeMethod
<br> 1. American Knee Society Score: to measure the range of motion and function of the knee, measured at 2 months, 1, 5 and 10 years post-surgery<br> 2. UCLA Activity Score: to measure how active the patient is, measured at 2 months, 1, 5 and 10 years post-surgery<br> 3. X-ray to check for immediate problems, assess the outcome of surgery, complications and make long-term predictions, measured at 2 months, 1, 5 and 10 years post-surgery<br> 4. EQ-5D: to provide data for the economic evaluation, measured at 2 months, 1, 2, 3, 4, 5, 7 and 10 years post-surgery<br> 5. Lund Score: to measure patient satisfaction, measured at 2 months, 1, 2, 3, 4, 5, 7 and 10 years post-surgery<br> 6. Other outcomes, e.g., kinematic and gait assessments, measured at 2 months, 1, 5 and 10 years post-surgery<br>
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