RecruitingNot ApplicableNCT06129214

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


Sponsor

Gangnam Severance Hospital

Enrollment

78 participants

Start Date

Oct 16, 2023

Study Type

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

Min Age: 19 Years

Plain Language Summary

Simplified for easier understanding

This is a surgical study examining whether performing a partial synovectomy (removing part of the lining tissue) on the inner side of the quadriceps tendon during total knee replacement surgery reduces the clicking or grinding sensation (crepitus) that some patients experience after the operation. **You may be eligible if:** - You are scheduled to have a total knee replacement surgery using a posterior-stabilized (PS) implant design **You may NOT be eligible if:** - You are lost to follow-up or pass away during the study - You have unexpected complications such as infection or a fracture around the implant - You have your kneecap resurfaced (patella resurfacing) during surgery - Your surgery is canceled - You decline to participate - There is significant anatomical variation between your two knees making comparison unreliable Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

PROCEDUREPrepectoral

Remove all visible synovium in suprapatellar area under distal quadriceps tendon. All other procedures (Total Knee arthroplasty) are same with no intervention arm.

PROCEDURESubpectoral

No remove any synovium in suparapatellar area under distal quadriceps tendon. All other preocedures are same with experimental arm.


Locations(1)

Gangnam Severance Hospital

Seoul, GangnamGu, South Korea

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NCT06129214


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