Partial Synovectomy in Articular Side of Quadriceps Tendon Verified to Reduce Crepitus in Retrospective Study
Partial Synovectomy in Articular Side of Quadriceps Tendon Reduces Crepitus After Posterior Stabilized Total Knee Arthroplasty : a Randomized, Controlled Trial
Gangnam Severance Hospital
78 participants
Oct 16, 2023
INTERVENTIONAL
Conditions
Summary
Crepitus causing unsatisfied result to patients after posterior stabilized total knee arthroplasty. Recent retrospective study demonstrated removal of hyperplastic synovium in distal quadriceps caused reduce of crepitus. However, this study has limitation of time gap exist between arms, different in observation time and bias caused by retrospective review. Thus aim of this study is that by randomized trial, verified hyperplastic synovium in distal quadriceps causing crepitus. Target enrolled patients in this study are scheduled to perform both total knee arthroplasty. Experimental group is randomized side (right or left) of knee, and control group is other side of knee. Both arms decided by randomized number table. Crepitus measured after 3mo, 6mo, 1year after surgical treatment
Eligibility
Inclusion Criteria1
- Patients who scheduled to perform both total knee arthroplasty(TKA) using posteiror crucitate sustain type (PS)
Exclusion Criteria6
- Lost follow up (Including death of patient)
- Unexpected complication (e.g) Infection, periprosthetic fracture)
- Patella resurfacing
- Canceled surgical treatment
- Refused to enrolled study
- Too much radiological or physicological variance shown between either knee
Interventions
Remove all visible synovium in suprapatellar area under distal quadriceps tendon. All other procedures (Total Knee arthroplasty) are same with no intervention arm.
No remove any synovium in suparapatellar area under distal quadriceps tendon. All other preocedures are same with experimental arm.
Locations(1)
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NCT06129214