全膝关节置换术髌骨置换与髌骨成型的临床效果及影像学结果对比研究:一项随机对照试验

注册号:

Registration number:

ChiCTR2100045600 

最近更新日期:

Date of Last Refreshed on:

2021-12-04 12:40:04 

注册时间:

Date of Registration:

2021-04-19 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

全膝关节置换术髌骨置换与髌骨成型的临床效果及影像学结果对比研究:一项随机对照试验

Public title:

The Outcome of Total Knee Arthroplasty With and Without Patellar Resurfacing: a Randomized Controlled Trials

注册题目简写:

English Acronym:

研究课题的正式科学名称:

全膝关节置换术髌骨置换与髌骨成型的临床效果及影像学结果对比研究:一项随机对照试验

Scientific title:

The Outcome of Total Knee Arthroplasty With and Without Patellar Resurfacing: a Randomized Controlled Trials

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

王波 

研究负责人:

许鹏 

Applicant:

Wang Bo 

Study leader:

Xu Peng 

申请注册联系人电话:

Applicant telephone:

+86 17792360589

研究负责人电话:

Study leader's
telephone:

+86 13772090019

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

wangbofmmu@163.com

研究负责人电子邮件:

Study leader's E-mail:

sousou369@163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

陕西省西安市碑林区友谊东路555号

研究负责人通讯地址:

陕西省西安市碑林区友谊东路555号

Applicant address:

555 Friendship Road East, Beilin District, Xi'an, Shaanxi

Study leader's address:

555 Friendship Road East, Beilin District, Xi'an, Shaanxi

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

西安市红会医院

Applicant's institution:

Honghui Hospital, Xi'an Jiaotong University

研究负责人所在单位:

西安市红会医院

Affiliation of the Leader:

Honghui Hospital, Xi'an Jiaotong University College of Medicine

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

202104001

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

西安交通大学附属红会医院伦理委员会

Name of the ethic committee:

Ethics Committee of HongHui Hospital, Xi'an Jiaotong University

伦理委员会批准日期:

Date of approved by ethic committee:

2021-04-15 00:00:00

伦理委员会联系人:

贺宝荣

Contact Name of the ethic committee:

He Baorong

伦理委员会联系地址:

陕西省西安市碑林区友谊东路555号

Contact Address of the ethic committee:

555 Friendship Road East, Beilin District, Xi'an, Shaanxi

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

西安市红会医院

Primary sponsor:

HongHui Hospital, Xi’an Jiaotong University

研究实施负责(组长)单位地址:

陕西省西安市碑林区友谊东路555号

Primary sponsor's address:

555 Friendship Road East, Beilin District, Xi'an, Shaanxi

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

陕西

市(区县):

西安

Country:

China

Province:

Shaanxi

City:

Xi'an

单位(医院):

西安市红会医院

具体地址:

碑林区友谊东路555号

Institution
hospital:

HongHui Hospital, Xi'an Jiaotong University

Address:

555 Friendship Road East, Beilin District

经费或物资来源:

自筹

Source(s) of funding:

non-financing

研究疾病:

膝关节骨性关节炎  

Target disease:

End-stage Knee Osteoarthritis

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

本研究的目的就是通过对比研究我院单中心的髌骨置换与髌骨成型在TKA术后的临床效果及影像学结果的差异,试图为是否在TKA时推荐使用髌骨置换提供理论依据。  

Objectives of Study:

The aim of our study was to compare the clinical and radiological outcomes between patients with and without patellar resurfacing during total knee arthroplasty (TKA).

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1.非髌骨置换TKA术后再行髌骨置换者或一期双侧TKA者;
2.严重内外翻畸形(≥20°)或关节不稳需要使用限制性假体者;
3.膝关节屈曲挛缩畸形无法行髌骨轴位X线检查者;
4.合并严重关节外畸形,行TKA无法矫形者;
5.髌骨厚度小于22mm者;
6.药物或酒精成瘾者,心身疾病患者。

Exclusion criteria:

1.Patients who underwent patellar resurfacing after primary TKA, or one-stage bilateral TKA;
2.Patients with severe varus deformity (>= 20 degree) or joint instability requiring the use of restrictive prosthesis;
3.The knee flexion contracture deformity can not be performed by axial X-ray examination of patella;
4.Patients with severe extrarticular deformity and TKA could not be corrected successfully;
5.Patella thickness less than 22 mm;
6.Drug or alcohol addicts, psychosomatic diseases.

研究实施时间:

Study execute time:

From 2021-05-01 00:00:00 To 2022-04-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2021-05-01 00:00:00 To 2032-04-30 00:00:00

干预措施:

Interventions:

组别:

髌骨置换组

样本量:

129

Group:

Patellae Resurfaced Group

Sample size:

干预措施:

髌骨置换

干预措施代码:

Intervention:

Patellae Resurfacing

Intervention code:

组别:

髌骨成型组

样本量:

129

Group:

Patellae Shaping Group

Sample size:

干预措施:

无(对照组)

干预措施代码:

Intervention:

nothing

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

陕西 

市(区县):

西安 

Country:

China

Province:

Shaanxi

City:

Xi'an

单位(医院):

西安市红会医院 

单位级别:

三级甲等 

Institution
hospital:

Honghui Hospital, Xi'an Jiaotong University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

KSS膝关节评分

指标类型:

主要指标

Outcome:

KSS knee

Type:

Primary indicator

测量时间点:

术前、术后随访时

测量方法:

完成量表

Measure time point of outcome:

Pre-operation, Follow-up

Measure method:

Complete The Questionnaire

指标中文名:

KSS功能评分

指标类型:

主要指标

Outcome:

KSS function

Type:

Primary indicator

测量时间点:

术前、术后随访时

测量方法:

完成量表

Measure time point of outcome:

Pre-operation, Follow-up

Measure method:

Complete The Questionnaire

指标中文名:

膝关节遗忘评分

指标类型:

主要指标

Outcome:

Forgotten Joint Score

Type:

Primary indicator

测量时间点:

术后随访时

测量方法:

完成量表

Measure time point of outcome:

Follow-up

Measure method:

Complete The Questionnaire

指标中文名:

视觉模拟评分

指标类型:

主要指标

Outcome:

Visual Analogue Scale

Type:

Primary indicator

测量时间点:

术前、术后随访时

测量方法:

完成量表

Measure time point of outcome:

Pre-operation, Follow-up

Measure method:

Complete The Questionnaire

指标中文名:

膝关节活动度

指标类型:

主要指标

Outcome:

Range of Motion

Type:

Primary indicator

测量时间点:

术前、术后随访时

测量方法:

完成量表

Measure time point of outcome:

Pre-operation, Follow-up

Measure method:

Complete The Questionnaire

指标中文名:

下肢力线测量

指标类型:

主要指标

Outcome:

The Hip Knee Ankle angle

Type:

Primary indicator

测量时间点:

术前、术后

测量方法:

下肢全长片负重位

Measure time point of outcome:

Pre-operation, Post-operation

Measure method:

Full length X-Ray in weight-bearing position

指标中文名:

股骨机械轴与关节面夹角

指标类型:

主要指标

Outcome:

mFA

Type:

Primary indicator

测量时间点:

术前、术后

测量方法:

下肢全长片负重位

Measure time point of outcome:

Pre-operation, Post-operation

Measure method:

Full length X-Ray in weight-bearing position

指标中文名:

胫骨机械轴与关节面夹角

指标类型:

主要指标

Outcome:

mTA

Type:

Primary indicator

测量时间点:

术前、术后

测量方法:

下肢全长片负重位

Measure time point of outcome:

Pre-operation, Post-operation

Measure method:

Full length X-Ray in weight-bearing position

指标中文名:

Insall Salvati比值

指标类型:

主要指标

Outcome:

Insall Salvati Ratio

Type:

Primary indicator

测量时间点:

术前、术后

测量方法:

膝关节侧位全长片

Measure time point of outcome:

Pre-operation, Post-operation

Measure method:

Lateral Radiograph of Knee Joint

指标中文名:

胫骨后倾角度

指标类型:

主要指标

Outcome:

Posterior slope

Type:

Primary indicator

测量时间点:

术前、术后

测量方法:

膝关节侧位片

Measure time point of outcome:

Pre-operation, Follow-up

Measure method:

Lateral Radiograph of Knee Joint

指标中文名:

髌骨倾斜角

指标类型:

主要指标

Outcome:

Patellar Tilt

Type:

Primary indicator

测量时间点:

术前、术后

测量方法:

髌骨轴位片

Measure time point of outcome:

Pre-operation, Post-operation

Measure method:

Patellar Axial Radiograph

指标中文名:

髌骨偏移

指标类型:

主要指标

Outcome:

Patellar Translation

Type:

Primary indicator

测量时间点:

术前、术后

测量方法:

髌骨轴位片

Measure time point of outcome:

Pre-operation, Post-operation

Measure method:

Patellar Axial Radiograph

指标中文名:

髌股关节炎分级

指标类型:

主要指标

Outcome:

Stage of Patellofemoral OA

Type:

Primary indicator

测量时间点:

术前

测量方法:

髌骨轴位片

Measure time point of outcome:

Pre-operation

Measure method:

Patellar Axial Radiograph

指标中文名:

姓名

指标类型:

次要指标

Outcome:

Name of Patient

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

性别

指标类型:

次要指标

Outcome:

Gender

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

年龄

指标类型:

次要指标

Outcome:

Age

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

体重

指标类型:

次要指标

Outcome:

Weight

Type:

Secondary indicator

测量时间点:

术前、术后随访时

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

身高

指标类型:

次要指标

Outcome:

Height

Type:

Secondary indicator

测量时间点:

术前、术后随访时

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

侧别

指标类型:

次要指标

Outcome:

Side

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

股骨假体型号

指标类型:

次要指标

Outcome:

Femeral Prothesis Size

Type:

Secondary indicator

测量时间点:

术中

测量方法:

手术记录

Measure time point of outcome:

Measure method:

指标中文名:

胫骨假体型号

指标类型:

次要指标

Outcome:

Tibia Prothesis Size

Type:

Secondary indicator

测量时间点:

术中

测量方法:

手术记录

Measure time point of outcome:

Measure method:

指标中文名:

衬垫厚度

指标类型:

次要指标

Outcome:

Thickness of The Liner

Type:

Secondary indicator

测量时间点:

术中

测量方法:

手术记录

Measure time point of outcome:

Measure method:

指标中文名:

手术时间

指标类型:

次要指标

Outcome:

Time of Opration

Type:

Secondary indicator

测量时间点:

术后

测量方法:

手术记录

Measure time point of outcome:

Measure method:

指标中文名:

术前血红蛋白

指标类型:

次要指标

Outcome:

Pre-Opration Hb

Type:

Secondary indicator

测量时间点:

测量方法:

实验室检查

Measure time point of outcome:

Measure method:

指标中文名:

术后血红蛋白

指标类型:

次要指标

Outcome:

Post-Opration Hb

Type:

Secondary indicator

测量时间点:

测量方法:

实验室检查

Measure time point of outcome:

Measure method:

指标中文名:

术前糖化血红蛋白

指标类型:

次要指标

Outcome:

Pre-Opration HbAlc

Type:

Secondary indicator

测量时间点:

测量方法:

实验室检查

Measure time point of outcome:

Measure method:

指标中文名:

术前红细胞压积

指标类型:

次要指标

Outcome:

Pre-Opration HCT

Type:

Secondary indicator

测量时间点:

测量方法:

实验室检查

Measure time point of outcome:

Measure method:

指标中文名:

术后红细胞压积

指标类型:

次要指标

Outcome:

Post-Opration HCT

Type:

Secondary indicator

测量时间点:

测量方法:

实验室检查

Measure time point of outcome:

Measure method:

指标中文名:

术前血糖

指标类型:

次要指标

Outcome:

Pre-Opration Blood Glucose

Type:

Secondary indicator

测量时间点:

测量方法:

实验室检查

Measure time point of outcome:

Measure method:

指标中文名:

膝前痛

指标类型:

主要指标

Outcome:

Anterior Knee Pain

Type:

Primary indicator

测量时间点:

术后随访

测量方法:

询问及查体

Measure time point of outcome:

Follow-up

Measure method:

指标中文名:

髌股关节功能评分

指标类型:

主要指标

Outcome:

Feller Score

Type:

Primary indicator

测量时间点:

术前、术后随访

测量方法:

完成量表

Measure time point of outcome:

Pre-operation、Follow-up

Measure method:

Complete The Questionnaire

指标中文名:

髌骨异响

指标类型:

主要指标

Outcome:

Patella Noise

Type:

Primary indicator

测量时间点:

测量方法:

询问及查体

Measure time point of outcome:

Measure method:

指标中文名:

髌骨假体松动

指标类型:

次要指标

Outcome:

The Patella Prosthesis Loosing

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

髌骨骨折

指标类型:

次要指标

Outcome:

Patella Fracture

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

假体周围感染

指标类型:

次要指标

Outcome:

Periprosthesis Infection

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

膝关节翻修

指标类型:

次要指标

Outcome:

Revision

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

取出假体

指标类型:

次要指标

Outcome:

Remove the prosthesis

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

伤口愈合问题

指标类型:

次要指标

Outcome:

Wound Healing Problem

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

其他并发症

指标类型:

次要指标

Outcome:

Other Complications

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术中原髌骨厚度

指标类型:

次要指标

Outcome:

Thickness of The Patella

Type:

Secondary indicator

测量时间点:

测量方法:

测量

Measure time point of outcome:

Measure method:

指标中文名:

髌骨置换后厚度

指标类型:

次要指标

Outcome:

Post-opration Thickness of The Patella

Type:

Secondary indicator

测量时间点:

测量方法:

测量

Measure time point of outcome:

Measure method:

指标中文名:

假体周围骨折(股骨、胫骨)

指标类型:

次要指标

Outcome:

Fracture around prosthesis (femur, tibia)

Type:

Secondary indicator

测量时间点:

术后

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术前诊断

指标类型:

次要指标

Outcome:

Preoperative Diagnosis

Type:

Secondary indicator

测量时间点:

术前

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

髌骨成型后厚度

指标类型:

次要指标

Outcome:

Thickness after Patellae Shaping

Type:

Secondary indicator

测量时间点:

测量方法:

测量

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 45 years
最大 Max age 75 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

由EXCEL软件生成260个连续的随机数,将随机数按顺序编号依次放入260个信封,定义奇数为髌骨置换组,偶数为非髌骨置换组(髌骨成型组),于术中完成股骨胫骨截骨后,测量髌骨厚度≥22mm时打开信封。

Randomization Procedure (please state who generates the random number sequence and by what method):

260 consecutive random numbers were generated by Excel software, and the random numbers were placed into 260 envelopes in sequence. The odd number was defined as the patella replacement group, and the even number was defined as the non-patella replacement group (patella shaping group).

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

未说明

Blinding:

Not stated

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

中国临床试验注册中心 http://www.chictr.org.cn/

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Chinese clinical trial registry http://www.chictr.org.cn/

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

制作包括研究对象基线资料、术前术后的功能结果及影像学结果的表格,按照时间节点收集患者数据,并导入易侕DataWeb进行管理。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Tables including baseline data of subjects, preoperative and postoperative functional results and imaging results were prepared. Patient data were collected according to time nodes and imported into EmpowerStat DataWeb for management.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

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