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The traditional technique for implanting a total knee prosthesis, known as mechanical alignment, does not aim to preserve the original anatomy and laxity of the knee. Instead, the implants are "systematically" aligned to create a non-naturally straight lower limb. Respectively 20% and 50% of patients with a mechanically aligned total knee prosthesis are dissatisfied with the result, and complain of residual symptoms. A newer, more physiological technique for implanting a total knee prosthesis, known as kinematic alignment, aims to recreate the unique native anatomy and laxity of each patient's knee. The kinematic alignment technique has been shown to reduce the risk of residual symptoms and thus improve the patient's experience of his or her prosthetic knee. As a result of the emergence of the kinematic alignment technique, two manufacturers have developed total knee prosthesis implants specifically for this new insertion technique. A "made-to-measure" total knee prosthesis (ORIGIN® - Symbios, Yverdon-les-Bains, Switzerland) was developed with the aim of reproducing the unique contour of each implanted knee. Another manufacturer opted to develop a generic total knee prosthesis implant (SPHERIKA® - Medacta, Castel San Pietro, Switzerland), but with a design optimized for the kinematic alignment technique. These two models of total knee prosthesis each offer advantages and limitations that need to be assessed. The main aim of this study is therefore to compare the joint perception of these 2 prostheses. It will also look at the clinical and imaging results, the biomechanics of the prosthetic knee during gait, and the muscular strength of knee extension, obtained for these 2 total knee prostheses.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| total knee arthroplasty with kinematic alignment and SPHERIKA prosthesis | Experimental |
| |
| total knee arthroplasty with kinematic alignment and ORIGIN prosthesis | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SPHERIKA prosthesis | Procedure | total knee arthroplasty with kinematic alignement with SPHERIKA prosthesis |
|
| Measure | Description | Time Frame |
|---|---|---|
| Evolution of "forgotten joint score" | This score consists in 12 questions with a Likert scale from 0 to 5. A high score indicates a high degree of forgetfulness of the prosthesis on the part of the patient. | 2 months before surgery ; 45 days after surgery ; 1 year after surgery ; 2 years after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Frontal alignment of the lower limb | 2 months before surgery ; 45 days after surgery ; 1 year after surgery ; 2 years after surgery | |
| Walking ability | Evaluation of walking ability : walking speed, cadence, stride length, stride duration |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Charles Rivière, MD | Contact | +335 56 46 32 33 | charles.riviere@bari-arthroplasty.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinique du Sport | Recruiting | Mérignac | 33000 | France |
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| ORIGIN prosthesis | Procedure | total knee arthroplasty with kinematic alignement with ORIGIN prosthesis |
|
| 2 years after surgery |
| Evaluation of muscular strength | Measure of :
| 2 years after surgery |
| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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