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Influence of Knee Alignment and Pelvis Rotation on Accuracy of Radiograph Measurements Before Total Knee Arthroplasty

Completed
Conditions
Knee Osteoarthritis
Interventions
Radiation: CT scan
Registration Number
NCT05277883
Lead Sponsor
Valdoltra Orthopedic Hospital
Brief Summary

The aim of this study is to determine the accuracy of long leg standing X-rays with respect to coronal alignment of the knee.

Detailed Description

Long leg standing x-ray is a routine examination to measure the femoral valgus angle before a total knee arthroplasty. Newer studies have shown that coronal leg alignment influences the rotation of the distal femoral part. This rotation might influence the measurements obtained with a long leg standing x-ray.

The primary purpose of this study is to determine whether there is a significant difference between 2D measurements taken on the x-ray and 3D measurements obtained with a CT scan.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
112
Inclusion Criteria

Knee osteoarthritis scheduled for knee arthroplasty

Exclusion Criteria
  • previous leg deformities or surgery that changes alignment

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
GroupCT scanAll patients scheduled for a total knee arthroplasty without any previous lower limb deformities or previous hip/knee surgery will be enrolled. A long leg standing x-ray and a CT scan of the lower limb will be obtained for every patient.
Primary Outcome Measures
NameTimeMethod
The angle difference between an x-ray and a CT scanBefore surgery

The femoral valgus angle, femoral mechanical angle, tibial mechanical angle and hip knee ankle angle are measured separately on the x-ray and on the CT scan. The difference in individual angle is the calculated.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Orthopaedic Hospital Valdoltra

🇸🇮

Ankaran, Slovenia

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