Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Trial Review
The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Download to PDF
Trial registered on ANZCTR
Registration number
ACTRN12610000433000
Ethics application status
Approved
Date submitted
19/05/2010
Date registered
28/05/2010
Date last updated
28/05/2010
Type of registration
Retrospectively registered
Titles & IDs
Public title
Patella Eversion During Total Knee Replacement: a Prospective, Randomised Trial.
Query!
Scientific title
Patients undergoing primary total knee replacement prospectively randomized to patella eversion or retraction during the procedure and then assessed for significant difference in knee scores, range of motion and pain.
Query!
Secondary ID [1]
251886
0
none
Query!
Universal Trial Number (UTN)
U1111-1115-0618
Query!
Trial acronym
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Patella eversion during total knee replacement.
257415
0
Query!
Condition category
Condition code
Surgery
257563
257563
0
0
Query!
Surgical techniques
Query!
Musculoskeletal
257577
257577
0
0
Query!
Other muscular and skeletal disorders
Query!
Intervention/exposure
Study type
Interventional
Query!
Description of intervention(s) / exposure
Patients randomized to patella eversion or retraction during total knee replacement. The standard handling of the patella during knee replacement is to evert or flip the patella over to expose the knee joint. In the retraction technique the patella is pulled to the side to expose the knee joint.
Query!
Intervention code [1]
256518
0
Treatment: Surgery
Query!
Comparator / control treatment
The standard handling of the patella during knee replacement is to evert or flip the patella over to expose the knee joint. In the retraction technique the patella is pulled to the side to expose the knee joint. The average time for a knee replacement is one hour.
Query!
Control group
Active
Query!
Outcomes
Primary outcome [1]
258479
0
SF12 general health score
Query!
Assessment method [1]
258479
0
Query!
Timepoint [1]
258479
0
Data collection was conducted pre-operatively, at three months and at one year
post-operatively.
Query!
Primary outcome [2]
258480
0
Oxford knee score
Query!
Assessment method [2]
258480
0
Query!
Timepoint [2]
258480
0
Data collection was conducted pre-operatively, at three months and at one year
post-operatively.
Query!
Primary outcome [3]
258481
0
Range of motion was measured by goniometer. Active flexion and extension is measured.
Query!
Assessment method [3]
258481
0
Query!
Timepoint [3]
258481
0
Data collection was conducted pre-operatively, at three months and at one year
post-operatively.
Query!
Secondary outcome [1]
264270
0
Length of hospital stay
Query!
Assessment method [1]
264270
0
Query!
Timepoint [1]
264270
0
Calculated at end of Hospital stay from hospital discharge summary data.
Query!
Secondary outcome [2]
264271
0
Complications related to the approach such as damage to the patella tendon or problems with wound healing or infection.
This data is obtained from the operative report and follow up clinic visits.
Query!
Assessment method [2]
264271
0
Query!
Timepoint [2]
264271
0
Data collection was conducted pre-operatively, at three months and at one year post-operatively.
Query!
Eligibility
Key inclusion criteria
Male or female patients of any age requiring primary total knee arthroplasty under the care of the
participating surgeons were included
Query!
Minimum age
No limit
Query!
Query!
Maximum age
No limit
Query!
Query!
Sex
Both males and females
Query!
Can healthy volunteers participate?
No
Query!
Key exclusion criteria
Exclusion criteria were body mass index over 40, nondislocatable
patellae (eg secondary to patella baja or obesity), domiciled outside of Western
Australia, and prior high tibial osteotomy or patella realignment procedures.
Query!
Study design
Purpose of the study
Treatment
Query!
Allocation to intervention
Randomised controlled trial
Query!
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Male or female patients of any age requiring primary total knee arthroplasty under the care of the
participating surgeons were included. The sequence was concealed until the interventions were assigned by opening a sealed envelope in the operating theater.
Query!
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A computerized random sequence generator was used to assign the order of randomization.
Query!
Masking / blinding
Blinded (masking used)
Query!
Who is / are masked / blinded?
Query!
Query!
Query!
Query!
Intervention assignment
Parallel
Query!
Other design features
Query!
Phase
Not Applicable
Query!
Type of endpoint/s
Safety/efficacy
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
Completed
Query!
Date of first participant enrolment
Anticipated
10/01/2007
Query!
Actual
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
Query!
Date of last data collection
Anticipated
Query!
Actual
Query!
Sample size
Target
70
Query!
Accrual to date
Query!
Final
Query!
Recruitment in Australia
Recruitment state(s)
Query!
Funding & Sponsors
Funding source category [1]
257003
0
Hospital
Query!
Name [1]
257003
0
Sir Charles Gairdner Hospital
Query!
Address [1]
257003
0
Hospital Ave.
Nedlands
6009
WA
Query!
Country [1]
257003
0
Australia
Query!
Primary sponsor type
Hospital
Query!
Name
Sir Charles Gairdner Hospital
Query!
Address
Hospital Ave.
Nedlands
6009
WA
Query!
Country
Australia
Query!
Secondary sponsor category [1]
256266
0
None
Query!
Name [1]
256266
0
Query!
Address [1]
256266
0
Query!
Country [1]
256266
0
Query!
Ethics approval
Ethics application status
Approved
Query!
Ethics committee name [1]
259023
0
sir Charles Gairdner Hospital Human Research Ethics Committee
Query!
Ethics committee address [1]
259023
0
Hospital Ave Nedlands 6009 WA
Query!
Ethics committee country [1]
259023
0
Australia
Query!
Date submitted for ethics approval [1]
259023
0
11/06/2006
Query!
Approval date [1]
259023
0
10/11/2006
Query!
Ethics approval number [1]
259023
0
2006-009
Query!
Summary
Brief summary
Background Proponents of minimally invasive knee replacements argue that retracting rather than everting the patella results in quicker postoperative recovery and improved function compared to the standard approach. We aimed to investigate this in a group of patients undergoing knee arthroplasty using a standard medial parapatellar approach. Methods In a prospective randomized double-blinded study sixty-six patients undergoing total knee arthroplasty through a standard medial parapatellar approach were assigned to either retraction or eversion of the patella. An independent observer assessed the Oxford knee score, the SF12 score, visual analog pain scores and range of motion data preoperatively, at three months and at one-year post surgery. Results Early (3 month) follow-up showed no difference in Oxford knee scores, SF12, visual analog pain scores or flexion. A statistically significant improvement in extension was found in the retraction group but this was not thought to be clinically significant. There was no difference in any outcomes at one year. There were two partial divisions of the patella tendon in the retraction group, but no patella related complications in the eversion group Conclusions Retracting rather than everting the patella during total knee arthroplasty results in no significant clinical benefit. There is an increased risk of damage to the patellar tendon, and reduced visualization of the lateral compartment.
Query!
Trial website
Query!
Trial related presentations / publications
Query!
Public notes
Query!
Contacts
Principal investigator
Name
31191
0
Query!
Address
31191
0
Query!
Country
31191
0
Query!
Phone
31191
0
Query!
Fax
31191
0
Query!
Email
31191
0
Query!
Contact person for public queries
Name
14438
0
grant booth
Query!
Address
14438
0
15A Barsden Street
Cottesloe
6011
WA
Query!
Country
14438
0
Australia
Query!
Phone
14438
0
(+61) 0421335420
Query!
Fax
14438
0
Query!
Email
14438
0
[email protected]
Query!
Contact person for scientific queries
Name
5366
0
grant booth
Query!
Address
5366
0
15A Barsden Street
Cottesloe
6011
WA
Query!
Country
5366
0
Australia
Query!
Phone
5366
0
(+61) 0421335420
Query!
Fax
5366
0
Query!
Email
5366
0
[email protected]
Query!
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF