关节镜下病灶清理治疗老年膝关节退行性骨关节炎的有效性及安全性

注册号:

Registration number:

ChiCTR1800015208 

最近更新日期:

Date of Last Refreshed on:

2018-03-14 20:37:45 

注册时间:

Date of Registration:

2018-03-14 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

关节镜下病灶清理治疗老年膝关节退行性骨关节炎的有效性及安全性

Public title:

Effectiveness and safety of arthroscopic debridement for the treatment of degenerative knee osteoarthritis in elderly patients

注册题目简写:

English Acronym:

研究课题的正式科学名称:

关节镜下病灶清理治疗老年膝关节退行性骨关节炎的有效性及安全性

Scientific title:

Effectiveness and safety of arthroscopic debridement for the treatment of degenerative knee osteoarthritis in elderly patients

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:

陆永春 

研究负责人:

陆永春 

Applicant:

Yongchun Lu 

Study leader:

Yongchun Lu 

申请注册联系人电话:

Applicant telephone:

+86 18004218907

研究负责人电话:

Study leader's
telephone:

+86 18004218907

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:

15542121010@126.com

研究负责人电子邮件:

Study leader's E-mail:

15542121010@126.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:

辽宁省朝阳市朝阳大街四段26号

研究负责人通讯地址:

辽宁省朝阳市朝阳大街四段26号

Applicant address:

26 Fourth Section, Chaoyang Street, Chaoyang, Liaoning, China

Study leader's address:

26 Fourth Section, Chaoyang Street, Chaoyang, Liaoning, China

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:

朝阳市第二医院

Applicant's institution:

Second Hospital of Chaoyang City

研究负责人所在单位:

朝阳市第二医院

Affiliation of the Leader:

Second Hospital of Chaoyang City

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:

2017-08-01

伦理委员会批件附件:

Approved file of Ethical Committee:

批准本研究的伦理委员会名称:

朝阳市第二医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Second Hospital of Chaoyang City

伦理委员会批准日期:

Date of approved by ethic committee:

2013-08-26 00:00:00

伦理委员会联系人:

赵贵辛

Contact Name of the ethic committee:

Guixin Zhao

伦理委员会联系地址:

辽宁省朝阳市朝阳大街四段26号

Contact Address of the ethic committee:

26 Fourth Section, Chaoyang Street, Chaoyang, Liaoning, China

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:

朝阳市第二医院

Primary sponsor:

Second Hospital of Chaoyang City

研究实施负责(组长)单位地址:

辽宁省朝阳市朝阳大街四段26号

Primary sponsor's address:

26 Fourth Section, Chaoyang Street, Chaoyang, Liaoning, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

辽宁

市(区县):

朝阳

Country:

China

Province:

Liaoning

City:

Chaoyang

单位(医院):

朝阳市第二医院

具体地址:

辽宁省朝阳市朝阳大街四段26号

Institution
hospital:

Second Hospital of Chaoyang City

Address:

26 Fourth Section, Chaoyang Street, Chaoyang, Liaoning, China

经费或物资来源:

自费

Source(s) of funding:

Self-funded

研究疾病:

骨关节炎  

Target disease:

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:

非随机对照试验 

Study design:

Non randomized control 

研究目的:

观察关节镜下清理治疗老年膝关节退行性骨关节炎2年随访的临床疗效及不良反应发生情况。  

Objectives of Study:

To investigate the clinical efficacy and the incidence of adverse reactions of arthroscopic debridement for the treatment of degenerative knee osteoarthritis in the elderly patients through a 2-year follow up.

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:

- 近3个月内使用激素类药物者;
- 已经做过相应膝关节手术者;
- 膝关节类风湿关节炎、血色素沉着症、血友病、痛风、神经性疾病、股骨头坏死等继发关节炎者;
- 患者全身情况差不能耐受手术者及存在其他关节镜手术禁忌证者;
- 有精神病史者;
- 同时合并内科疾病及髋关节、脊柱疾病不能行走者;
- 关节镜术后有进行其他治疗或手术不能进行评估者。

Exclusion criteria:

1. Use of hormone drugs in the last 3 months;
2. Subjected to knee surgery;
3. With secondary arthritis such as knee rheumatoid arthritis, hemochromatosis, hemophilia, gout, nervous disease, and femoral head necrosis;
4. Have poor general condition, cannot tolerate the surgery, and have other contraindications for arthroscopic surgery;
5. With a history of mental disorder;
6. Patients have medical diseases and those who cannot walk because of hip and spine diseases;
7. Patients who cannot be evaluated because of other treatments or surgeries after arthroscopic surgery.

研究实施时间:

Study execute time:

From 2018-06-01 00:00:00 To 2021-08-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2018-06-01 00:00:00 To 2018-12-01 00:00:00

干预措施:

Interventions:

组别:

1

样本量:

106

Group:

1

Sample size:

干预措施:

膝关节穿刺抽液+注射玻璃酸钠

干预措施代码:

Intervention:

knee joint aspiration and sodium hyaluronate injection

Intervention code:

组别:

2

样本量:

106

Group:

2

Sample size:

干预措施:

关节镜下病灶清理+注射玻璃酸纳

干预措施代码:

Intervention:

Arthroscopic debridement+sodium hyaluronate injection

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

辽宁 

市(区县):

朝阳 

Country:

China

Province:

Liaoning

City:

Chaoyang

单位(医院):

朝阳市第二医院 

单位级别:

三级甲等 

Institution
hospital:

Second Hospital of Chaoyang City

Level of the institution:

Tertiary A Hospital

测量指标:

Outcomes:

指标中文名:

膝关节HSS评分等级为优的患者例数百分率

指标类型:

主要指标

Outcome:

The percentage of the number of patients with Hospital for Special Surgery (HSS) knee score ≥ 85 points

Type:

Primary indicator

测量时间点:

术后2年

测量方法:

Measure time point of outcome:

At 2 years after surgery

Measure method:

指标中文名:

HSS评分等级为优的患者例数百分率

指标类型:

次要指标

Outcome:

The percentage of the number of patients with Hospital for Special Surgery (HSS) knee score ≥ 85 points

Type:

Secondary indicator

测量时间点:

术前、术后1周、1个月、3个月、6个月、1年

测量方法:

Measure time point of outcome:

Before surgery, 1 week, 1 month, 3 months, 6 months, and 1 year after surgery

Measure method:

指标中文名:

住院费用

指标类型:

次要指标

Outcome:

Hospitalization costs

Type:

Secondary indicator

测量时间点:

术后2年

测量方法:

Measure time point of outcome:

At 2 years after surgery

Measure method:

指标中文名:

膝关节HSS评分

指标类型:

次要指标

Outcome:

Knee HSS score

Type:

Secondary indicator

测量时间点:

术前、术后1周、1个月、3个月、6个月、1年、2年

测量方法:

Measure time point of outcome:

before surgery, 1 week, 1 month, 3 months, 6 months, 1 year, and 2 years after surgery

Measure method:

指标中文名:

目测类比评分

指标类型:

次要指标

Outcome:

Visual Analogue Scale (VAS) score

Type:

Secondary indicator

测量时间点:

术前、术后1周、1个月、3个月、6个月、1年、2年

测量方法:

Measure time point of outcome:

before surgery, 1 week, 1 month, 3 months, 6 months, 1 year, and 2 years after surgery

Measure method:

指标中文名:

WOMAC骨性关节炎指数评分

指标类型:

次要指标

Outcome:

The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)

Type:

Secondary indicator

测量时间点:

术前、术后1周、1个月、3个月、6个月、1年、2年

测量方法:

Measure time point of outcome:

before surgery, 1 week, 1 month, 3 months, 6 months, 1 year, and 2 years after surgery

Measure method:

指标中文名:

膝关节活动度

指标类型:

次要指标

Outcome:

Knee range of motion

Type:

Secondary indicator

测量时间点:

术前、术后1周、1个月、3个月、6个月、1年、2年

测量方法:

Measure time point of outcome:

before surgery, 1 week, 1 month, 3 months, 6 months, 1 year, and 2 years after surgery

Measure method:

指标中文名:

膝关节X射线形态

指标类型:

次要指标

Outcome:

Knee X-ray morphology

Type:

Secondary indicator

测量时间点:

术前、术后1周、1个月、3个月、6个月、1年、2年

测量方法:

Measure time point of outcome:

before surgery, 1 week, 1 month, 3 months, 6 months, 1 year, and 2 years after surgery

Measure method:

指标中文名:

不良反应发生率

指标类型:

次要指标

Outcome:

Incidence of adverse reactions

Type:

Secondary indicator

测量时间点:

术后1周、1个月、3个月、6个月、1年、2年

测量方法:

Measure time point of outcome:

1 week, 1 month, 3 months, 6 months, 1 year, and 2 years after surgery

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

No

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:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 50 years
最大 Max age 70 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):

试验未采用随机化分组

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

In this study, randomization grouping is not used

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:

试验的分组未采用盲法。

Blinding:

No

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

否No

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):

出版数据将公开发布于www.figshare.com

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

Anonymized trial data will be published at www.figshare.com

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:

数据收集方法:以病例报告表(Case Report Form,CRF)的形式收集数据,并经统一表格汇总。具体数据包括人口统计学信息、疾病分型、伴随疾病情况和不良反应发生情况,数据以双重录入的形式转化为电子版文件。 数据管理:只有项目负责人有权利查询数据库文件,该文件不允许再作变动。所有与本次临床试验有关的研究资料均由朝阳市第二医院保存。数据监察委员会(IDMC)对研究数据的监督和管理贯穿临床研究整个环节,以保证研究过程的科学性、严谨性和资料真实性、完整性。由2名工作人员负责抄录所需要的试验结果信息,结果数据表格由研究者制作、核对并对数据库进行锁定。

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

Data collection Case report forms will be filled by the investigators accurately, completely, and on time. Written records including demographic information, disease classification, accompanying diseases, and adverse events will be transferred to an electronic format by professional staff using a double data entry strategy. Data management Only the project manager will have the right to inquire about the database, which will be locked by the project manager themselves. All research materials related to this trial will be preserved by the Second Hospital of Chaoyao, China. Research data will be monitored and managed by an Independent Data Monitoring Committee throughout the clinical research process to ensure scientific integrity and rigor, as well as obtain true and complete data. Two staff members will be responsible for transcribing the required information on results. Data will be recorded and checked by investigators and the database will be locked.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2018-03-14 20:37:45