Functional outcome in two different designs of knee replacements

ISRCTN ISRCTN05635855
DOI https://doi.org/10.1186/ISRCTN05635855
Secondary identifying numbers N/A
Submission date
19/05/2008
Registration date
24/07/2008
Last edited
09/11/2012
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Marietta van der Linden
Scientific

School of Health Sciences
Queen Margaret University
Queen Margaret University Drive
Musselburgh
EH21 6UU
United Kingdom

Phone +44 (0)131 4740000
Email mvanderlinden@qmu.ac.uk

Study information

Study designProspective, double blind randomised controlled trial, single centre study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleA randomised controlled trial to compare the functional outcome between the PFC Sigma fixed bearing posterior cruciate ligament (PCL) preserving implant with the PFC Sigma posterior stabilised mobile bearing implant
Study objectivesThe aim of this study is to compare the functional outcome of the cruciate substituting PFC Sigma rotating platform flexion (RPF) implant with the cruciate retaining PFC Sigma cruciate retaining (CR) in patients with osteoarthritis.
Ethics approval(s)Ethics approval received from the Lothian Research Ethics Committee 2 on the 22nd May 2007 (ref: 07/S1102/12).
Health condition(s) or problem(s) studiedTotal knee replacement surgery
InterventionTwo groups of patients will be compared. The only difference in treatment between the two groups will be the use of the PFC Sigma RPF which has a mobile bearing and requires sacrificing of the posterior cruciate ligament and the posterior cruciate ligament retaining PFC Sigma implant which has a fixed bearing.

Follow-up will be one year after surgery when the primary and secondary outcome measures are collected.
Intervention typeOther
Primary outcome measureKnee excursion during functional activities as measured using electrogoniometry. Primary and secondary outcome measures are collected around one to three weeks before surgery and one year after surgery for both groups.
Secondary outcome measures1. The passive range of motion of the knee
2. Flexor and extensor strength as measured using a MIE myometer
3. Function as measured by the American Knee Society Score
4. Function, stiffness and pain as measured by the Western Ontario and McMaster Universities (WOMAC) questionnaire
5. Quality of life, using the 36-item short form health survey, version 2 (SF-36 v2)
6. Pain, using the Visual Analogue Score (0 = no pain to 10 = unbearable pain)
7. Walking speed
8. Physical mobility as measured by an activity monitor (activPAL)
9. Canadian Occupational Performance Measure

Primary and secondary outcome measures are collected around one to three weeks before surgery and one year after surgery for both groups.
Overall study start date01/09/2007
Completion date01/09/2009

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants90
Key inclusion criteriaNinety suitable men and women (no age limits) with osteoarthritis undergoing a Total Knee Replacement (TKR) at the New Royal Infirmary, Edinburgh who are able to actively flex the knee more than 90 degrees will be recruited from the waiting list of three orthopaedic surgeons. Suitable patients will be identified from medical records and will be living in the Lothian region. All subjects will be medically fit for testing and have no other lower limb impairments.
Key exclusion criteria1. Inflammatory polyarthritis
2. Disorders of the feet, ankles or hips or spine causing abnormal gait or significant pain
3. Dementia
4. Severe visual impairment
5. Neurological conditions affecting movement
6. Inability to give informed consent
7. Any other disorders of the contra-lateral knee causing abnormal gait or significant pain. Subjects with radiological evidence of osteoarthritis of the contra-lateral knee will be included provided the patient does not report significant pain or restriction in motion of the contra-lateral knee. Similarly patients with total knee arthroplasty of the contra-lateral knee will be included provided the patient does not report significant pain or restriction in motion of the contra-lateral knee.
Date of first enrolment01/09/2007
Date of final enrolment01/09/2009

Locations

Countries of recruitment

  • Scotland
  • United Kingdom

Study participating centre

School of Health Sciences
Musselburgh
EH21 6UU
United Kingdom

Sponsor information

Queen Margaret University (UK)
University/education

c/o Professor Marie Donaghy
School of Health Sciences
Queen Margaret University Drive
Musselburgh
EH21 6UU
Scotland
United Kingdom

Website http://www.qmu.ac.uk/
ROR logo "ROR" https://ror.org/002g3cb31

Funders

Funder type

Industry

DePuy International Ltd (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/08/2012 Yes No