Accuracy of the Transpatellar Tendon Approach to Knee Arthrocentesis

NCT ID: NCT00888368

Last Updated: 2012-07-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-01-31

Study Completion Date

2009-08-31

Brief Summary

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The purpose of this study is:

* To determine the accuracy of intraarticular placement with the transpatellar tendon approach as compared to the suprapatellar approach. Patients undergoing knee arthroscopy will be consented for study of the injection of the fluid into the joint prior to portal placement or commencement of knee replacement. Patients will be randomized to receive injections via the transpatellar tendon or superolateral approach. Using injectable contrast and fluoroscopy, the placement of injections into the knee will be evaluated for accuracy. Injection attempts with contrast fluid that uniformly coats the articular surface on sagittal and coronal radiographs will be counted as successful. A concentration of contrast fluid in extraarticular fat will be counted as a failure.

Hypothesis: The rate of accuracy of intraarticular placement of the needle tip via the transpatellar tendon approach to knee aspiration is greater than that of the superolateral approach.

* To determine the distribution of contrast material with the transpatellar tendon and superolateral apporaches. Using a previously described evaluation technique of dividing the knee into seven compartments, sagittal and coronal fluoroscopy images will be evaluated to determine the distribution of contrast fluid.

Hypothesis: Contrast injected into the knee via the trasnpatellar tendon approach will penetrate as many compartments of the knee as contrast injected via the superolateral approach.

Detailed Description

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Conditions

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Knee Aspiration

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Transpatellar Approach

Group Type EXPERIMENTAL

Transpatellar Approach

Intervention Type PROCEDURE

The transpateller approach for the injection of the dye will be used.

Suprapatellar Approach

Group Type ACTIVE_COMPARATOR

Suprapatellar

Intervention Type PROCEDURE

The suprapatellar approach will be used for the injection of the dye.

Interventions

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Transpatellar Approach

The transpateller approach for the injection of the dye will be used.

Intervention Type PROCEDURE

Suprapatellar

The suprapatellar approach will be used for the injection of the dye.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* undergoing elective arthroscopic surgery of the knee
* age greater than 18 years old and less than 80 years old
* able to consent to a research study

Exclusion Criteria

* allergy to contrast dye, iodine or shellfish
* currently pregnant
* acute fracture or dislocation
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Denver Health and Hospital Authority

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Denver Health Medical Center

Denver, Colorado, United States

Site Status

Countries

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United States

Other Identifiers

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DHMC07-0387

Identifier Type: -

Identifier Source: org_study_id