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A significant number of patients experience postoperative cognitive changes following total joint arthroplasty. Among other causes, the mental status change may be the result of fat and bone marrow debris embolization. We hypothesized that the use of computer assisted total knee arthroplasty, which does not utilize intramedullary alignment rods, would produce less fat and bone marrow debris embolization and, hence, fewer mental status changes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Computer Assisted Total Knee Arthroplasty |
| |
| 2 | Conventional Instrumented Total Knee Arthroplasty |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Total Knee Arthroplasty Implant (Scorpio®) | Device | Implantation of a Total Knee Arthroplasty using Conventional Intramedullary Instrumentation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Folstein Mini Mental State Examination (MMSE) | 6 Months Post-Operative |
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Inclusion Criteria:
Exclusion Criteria:
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100 Consecutive patients requiring a total knee arthroplasty for degenerative arthritis of the knee
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| Name | Affiliation | Role |
|---|---|---|
| Javad Parvizi, MD, FRCS | Rothman Institute of Orthopaedics | Principal Investigator |
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| ID | Term |
|---|---|
| D004620 | Embolism, Fat |
| ID | Term |
|---|---|
| D004617 | Embolism |
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D019645 | Arthroplasty, Replacement, Knee |
| ID | Term |
|---|---|
| D019643 | Arthroplasty, Replacement |
| D001178 | Arthroplasty |
| D019637 | Orthopedic Procedures |
| D013514 | Surgical Procedures, Operative |
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| Total Knee Arthroplasty Implant (Scorpio®) | Device | Implantation of a Total Knee Arthroplasty using a Computer Assisted Software, without Intramedullary Instrumentation |
|
|
| D019651 | Plastic Surgery Procedures |
| D019919 | Prosthesis Implantation |