Surgery to remove synovium in the quadriceps tendon to reduce knee crepitus after total knee replacement
Partial Synovectomy in Articular Side of Quadriceps Tendon Reduces Crepitus After Posterior Stabilized Total Knee Arthroplasty : a Randomized, Controlled Trial
This study is testing if removing a part of the tissue around the quadriceps tendon can help reduce the annoying popping or crackling sound in the knee after total knee replacement surgery.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 78 (estimated) |
| Ages | 19 Years and up |
| Sex | All |
| Sponsor | Gangnam Severance Hospital Academic / other |
| Locations | 1 site (Seoul, GangnamGu) |
| Trial ID | NCT06129214 on ClinicalTrials.gov |
What this trial studies
This clinical trial aims to evaluate the effectiveness of partial synovectomy in the distal quadriceps tendon to reduce crepitus in patients undergoing total knee arthroplasty. Participants will be randomly assigned to either an experimental group, which will undergo synovium removal, or a control group, which will not. The study will measure crepitus levels at 3 months, 6 months, and 1 year post-surgery using various scoring systems. Radiologic and physiological evaluations will be conducted prior to surgery to ensure comparability between the two groups.
Who should consider this trial
Good fit: Ideal candidates for this study are patients scheduled for total knee arthroplasty who do not require patella resurfacing.
Not a fit: Patients with significant radiological or physiological variance between knees or those who experience unexpected complications may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly improve patient satisfaction and outcomes following total knee arthroplasty by reducing crepitus.
How similar studies have performed: While similar approaches have been explored, this specific randomized trial design focusing on synovium removal in the quadriceps tendon is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1.Patients who scheduled to perform both total knee arthroplasty(TKA) using posteiror crucitate sustain type (PS) Exclusion Criteria: 1. Lost follow up (Including death of patient) 2. Unexpected complication (e.g) Infection, periprosthetic fracture) 3. Patella resurfacing 4. Canceled surgical treatment 5. Refused to enrolled study 6. Too much radiological or physicological variance shown between either knee
Where this trial is running
Seoul, GangnamGu
- Gangnam Severance Hospital — Seoul, GangnamGu, South Korea (Recruiting)
Study contacts
- Study coordinator: Woo Suk Lee
- Email: gsirb@yuhs.ac
- Phone: 82-2-2019-4601
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.