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For decades there have been concerns about patellar resurfacing (PR) in total knee arthroplasty (TKA) and the individual preference of the surgeon is still the main determinant of whether or not resurfacing is applied. According to preference, surgeons can be categorized in 3 main groups of those who usually, selectively or rarely resurface. The aim of this prospective, randomized, controlled study to is compare the isokinetic performance and clinical outcome of TKAs with PR and without PR.
Patients undergoing TKA for primary osteoarthritis of the knee are randomly assigned to either the PR or non-PR groups. The differences between groups with respect to age, BMI, gender, and preoperative Knee Society Score (KSS), and isokinetic performance are evaluated. Patients are evaluated at postoperative 3, 6, and 12 months with KSS and at 6 months and 1 year with isokinetic measurements.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| patellar resurfacing | Experimental | patellar resurfacing in TKA |
|
| non-resurfacing | No Intervention | non-resurfacing TKA |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| patellar component | Device | patellar resurfacing |
|
| Measure | Description | Time Frame |
|---|---|---|
| isokinetic test | isokinetic test during extension and flexion of the knee | Change from preoperative isokinetic test results at 6th months and 12th months isokinetic test results |
| Measure | Description | Time Frame |
|---|---|---|
| Knee Society Score (KSS): It has two different subscales: Knee and Function 100-80: Excellent 79-70:Good 69-60:Fair below 60:Poor | Knee Society Score (KSS) | Change from preoperative KSS results at 3rd months, 6th months and 12th months KSS results |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Deniz CANKAYA, Assoc.Professor | Gulhane Teaching and Research Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gulhane Teaching and Research Hospital | Ankara | 06010 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| D012216 |
| Rheumatic Diseases |