Total knee arthroplasty versus patellofemoral arthroplasty in patients with severe arthritis of the patellofemoral joint

ISRCTN ISRCTN34863373
DOI https://doi.org/10.1186/ISRCTN34863373
Secondary identifying numbers AP1170
Submission date
20/08/2009
Registration date
02/09/2009
Last edited
28/07/2023
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 Juul Achten
Scientific

Warwick Orthopaedics Research Manager
Clinical Sciences Research Institute
Clifford Bridge Road
Coventry
CV2 2DX
United Kingdom

Study information

Study designSingle-centre randomised clinical trial
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 titleThe Warwick patellofemoral arthroplasty trial: a randomised clinical trial of total knee arthroplasty versus patellofemoral arthroplasty in patients with severe arthritis of the patellofemoral joint
Study objectivesThe objective of the study is to recruit 64 patients who are eligible for patellofemoral arthroplasty (PFA) and randomly assign these patients to either PFA or total knee arthroplasty (TKA).

The aims of the study are:
1. To quantify and draw inferences on observed differences in knee function for PFA and TKA at one-year post-operatively
2. To determine the complication rate of PFA versus TKA at one-year post-operatively
3. To investigate the cost effectiveness of PFA versus TKA

On 04/08/2011 the overall trial end date for this trial was extended from 31/12/2011 to 30/04/2013 to allow the team to achieve their target recruitment level.
Ethics approval(s)Coventry Research Ethics Committee, 03/03/2009, ref: 09/H1210/9
Health condition(s) or problem(s) studiedPatellofemoral osteoarthritis
InterventionAll potential participants for this study will be identified by Orthopaedic Consultants in the arthroplasty clinics. Eligible patients will be randomised in a 1:1 allocation to a TKA or PFA. The patients allocated to TKA will have all of the surfaces of their knee joint replaced. The patients allocated to PFA will only have their patellofemoral articulation replaced. Both forms of treatment are well-established, but the exact details of the surgery will be left to the discretion of the surgeon in this pragmatic trial. The follow-up for both arms of the study will be equal: 12 months.

Further information can be obtained from:
Mr Matthew Costa
Clinical Sciences Research Institute
Clifford Bridge Road
Coventry CV2 2DX
United Kingdom
T: +44 (0)24 7696 8616
F: +44 (0)24 7696 8617
Intervention typeProcedure/Surgery
Primary outcome measureWestern Ontario and McMaster Osteoarthritis Index (WOMAC), used to determine knee function at 6 weeks, 3 months, 6 months and 12 months
Secondary outcome measuresMeasured pre-operatively, 3, 6 and 12 months post-operatively:
1. UCLA Knee Rating Score
2. Oxford Knee Score
3. EuroQOl
4. Knee Society Score
Overall study start date01/03/2009
Completion date30/04/2013

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants64 patients
Total final enrolment64
Key inclusion criteria1. Medically fit for an operation
2. Severe isolated patellofemoral osteoarthritis of the knee
3. Deemed suitable for a PFA by the consultant surgeon
4. Both male and female patients, aged 18 years and older
Key exclusion criteria1. Unfit for an operation
2. Tibiofemoral arthritis of the knee
Date of first enrolment01/03/2009
Date of final enrolment05/04/2012

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Clinical Sciences Research Institute
Coventry
CV2 2DX
United Kingdom

Sponsor information

University of Warwick
University/education

University House
Coventry
CV4 8UW
England
United Kingdom

Website http://www2.warwick.ac.uk/fac/med/research/csri/
ROR logo "ROR" https://ror.org/01a77tt86
University Hospitals Coventry and Warwickshire NHS Trust (UK)
Hospital/treatment centre

c/o Mrs Ceri Jones
Research and Development Department
University Hospital
1st Floor Rotunda
Clifford Bridge Road
Coventry
CV2 2DX
England
United Kingdom

Funders

Funder type

Charity

Action Medical Research (UK)
Private sector organisation / Trusts, charities, foundations (both public and private)
Alternative name(s)
actionmedres, action medical research for children, AMR
Location
United Kingdom

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?
Protocol article Protocol 23/11/2011 Yes No
Results article 01/03/2020 28/07/2023 Yes No

Editorial Notes

28/07/2023: Publication reference and total final enrolment added.
04/10/2017: Publication reference added.