Prospective Registry of Knee Pathology in private practice
Prospective Registry of Knee Pathology: A clinical quality registry of patients treated in private practice
Timothy Lording
2,500 participants
Jun 1, 2020
Observational
Conditions
Summary
The primary purpose of this study is to analyse and report on outcomes following treatment for patients presenting to a single orthopaedic surgeon, Mr Timothy Lording, for management of conditions affecting the knee. This clinical registry will collate and store patient outcomes collected routinely as part of the standard clinical pathway for knee treatments. Outcomes will include objective joint function, patient reported outcomes (pain, satisfaction, quality of life), radiological findings and rates of revision surgery or complications. The main hypothesis arising from the registry is that specific factors present before treatment will predict the likelihood of a patient experiencing a positive, or negative outcome (whether clinically indicated or patient-reported) following surgery.
Eligibility
Inclusion Criteria3
- Knee conditions eligible for one of the prespecified cohorts: Knee Instability, Knee Arthritis (eligible for total knee replacement), Knee Osteotomy, or other primary pathologies (ie. Knee General).
- Undergoing treatment by the consulting surgeon at Melbourne Orthopaedic Group.
- Received information package associated with opt-out consent process.
Exclusion Criteria2
- Clinically diagnosed mental/neurological illness (indicated on GP referral, or identified through secondary referral to psychiatric/neurological specialist) that precludes retrieval of patient feedback via interview, paper or electronic questionnaire (e.g., schizophrenia, dementia, Alzheimer's Disease, personality disorder)
- Revocation of consent for research use of personal data
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Interventions
1. Patients presenting with episodes of giving way (with or without primary anterior cruciate ligament rupture), managed with arthroscopic ligament reconstruction. Outcomes monitored up to 2 years via patient-completed questionnaires and medical record review. 2. Patients presenting with degenerative knee conditions (OA, RA) failing non-operative management, managed with total knee arthroplasty. Outcomes monitored up to 2 years via patient-completed questionnaires and medical record review. 3. Patients presenting with knee osteoarthritis affecting predominantly the medial or lateral compartment (with or without patellofemoral joint involvement), eligible and electing to undergo realignment osteotomy. Managed with opening-wedge high tibial osteotomy, or closing wedge distal femoral osteotomy. Outcomes monitored up to 2 years via patient-completed questionnaires and medical record review. 4. Patients presenting with complaints regarding a previously implanted total knee replacement; reviewed by a consultant orthopaedic surgeon and offered surgical or non-surgical treatment. Outcomes monitored up to 2 years via patient-completed questionnaires and medical record review. 5. Patients presenting with knee conditions not eligible for inclusion in other cohorts. Managed operatively or nonoperatively. Outcomes monitored up to 2 years via patient-completed questionnaires and medical record review.
Locations(1)
View Full Details on ANZCTR
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ACTRN12620000183987