Ligament Balancing in Total Knee Arthroplasty
Ligament Balancing in Total Knee Arthroplasty - A Proof-of-Concept Study on a Systematic Approach to Bellemans Technique
Oslo University Hospital
40 participants
May 1, 2024
INTERVENTIONAL
Conditions
Summary
The goal of this interventional pilot study is to evaluate if performing ligament balancing on the medial collateral ligament (MCL) in a more systematical manner with a novel instrument can produce more objective and repeatable ligament lengthening in Total Knee Arthroplasty. The main questions it aim to answer are: 1. Is it feasible to perform systematic ligament balancing on the MCL using a novel instrument? 2. Can a novel instrument for ligament balancing acquire more objective and repeatable results, without risk of injury? Participants must consent prior to the surgery, but inclusion is only done once ligament balancing is indicated during surgery. Patients will be follow-up as standard protocol for Total Knee Arthroplasty patients at the hospital.
Eligibility
Inclusion Criteria3
- Men and women over 40 years of age that require total knee arthroplasty
- Idiopathic osteoarthrosis, osteonecrosis or avascular osteonecrosis
- Otherwise fairly healthy/ no significant health issues
Exclusion Criteria5
- Age under 40 years of age
- Pregnant
- Revisions or reoperations
- Considerable earlier injury to the knee
- Isolated patellofemoral osteoarthrosis
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Interventions
Patients will be evaluated perioperatively for ligament balance. When indicated, the novel instrument will guide puncturing of the medial collateral ligament in a systematic and step-wise fashion. Achieved ligament balance will be observed and controlled by computer navigation and a ligament tensor. Performed at Bærum Hospital vestre Viken Hospital Trust.
Patients will be evaluated perioperatively for ligament balance. When indicated, the novel instrument will guide puncturing of the medial collateral ligament in a systematic and step-wise fashion. Achieved ligament balance will be observed and controlled by conventional methods using spatulas.
Locations(2)
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NCT06264076