Conservative Management vs. Arthroplasty in Knee Osteoarthritis
NCT06623149 · Status: ENROLLING_BY_INVITATION · Type: OBSERVATIONAL · Enrollment: 2500
Last updated 2025-03-12
Summary
The goal of this observational study is to learn about the long-term effects of a non-surgical management programme in people with osteoarthritis that are eligible for a knee joint replacement surgery to treat their knee osteoarthritis (KOA). The main question it aims to answer is:
\- Does the non-surgical management programme reduce the proportion of referred patients who are treated with a knee arthroplasty without reducing the health-related quality of life over a two-year perspective?
Conditions
- Knee Osteoarthrosis
Interventions
- BEHAVIORAL
-
Non-Surgical Intervention
After referral from the general practitioner to the orthopedic department, the patient is offered a 3-month non-operative treatment program. The conservative program consists of several elements that are offered on an individual basis. The program consists of 3 main elements: * Patient education/information * Specialized exercise supervised by a physiotherapist * Weight loss counseling with a dietician
- PROCEDURE
-
Current practice
After referral from the general practitioner to the orthopedic department, the patient is assessed by an orthopedic surgeon in the out-patient clinic according to standard practice with a focus on symptoms, history, physical examination, radiography, and an appraisal of the patient's expectations. If an indication for knee arthroplasty is found, the patient is offered knee arthroplasty, and if the patient accepts the offer, he/she is scheduled according to usual practice. If a patient declines the offer, the patient is informed that the hospital cannot offer any additional service, and the patient is referred back to primary care.
Sponsors & Collaborators
-
Marius Henriksen
lead OTHER
Principal Investigators
-
Marius Henriksen, Professor · The Parker Institute, Bispebjerg Frederiksberg University Hospital, Copenhagen, Denmark
-
Anders Odgaard, Professor · Rigshospitalet, Denmark
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-10-01
- Primary Completion
- 2027-04-30
- Completion
- 2030-04-30
Countries
- Denmark
Study Locations
More Related Trials
-
Is Non Surgical CaRE Using Treat to Target Multimodal meDIcal Strategies aBLE to Delay or Avoid Total Knee Replacement?
NCT06643845 ·Status: RECRUITING ·Phase: NA
-
Minimally Invasive Versus Conventional Approaches in Navigated Total Knee Arthroplasty (TKA)
NCT00839020 ·Status: TERMINATED ·Phase: PHASE4
-
Minimally Invasive Surgical Approaches In Total Knee Arthroplasty
NCT01461356 ·Status: COMPLETED ·Phase: NA
-
Stability of Contemporary Knee Arthroplasty
NCT02861794 ·Status: COMPLETED ·Phase: NA
-
Out Patient Surgery for Total Knee and Hip Replacement and Unicompartmental Knee Replacement - a Feasibility Study
NCT02544620 ·Status: COMPLETED
-
Does Rehabilitation After Total Hip and Knee Arthroplasty Work
NCT03750448 ·Status: COMPLETED ·Phase: NA
-
Risk of Serious Adverse Events Following Unsupervised vs Supervised Rehabilitation After Knee Arthroplasty
NCT07067060 ·Status: NOT_YET_RECRUITING
-
Comparative Effect of Mechanical and Functional Alignment in Bilateral Total Knee Arthroplasty on Ankle Alignment
NCT06259032 ·Status: COMPLETED ·Phase: NA
-
Weight-bearing Recommendation After Replacement of the Hip or Knee Joint
NCT00266396 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Outcomes Following Total Knee Arthroplasty
NCT02364011 ·Status: COMPLETED
-
Comparison of Restricted Versus Unrestricted Kinematic Alignment in 1ry TKA
NCT06726993 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
RCT Comparing Robotically-Assisted vs. Manually-Executed Total Knee Arthroplasties
NCT03482349 ·Status: COMPLETED ·Phase: NA
-
Weight Loss Intervention Before Total Knee Replacement
NCT01469403 ·Status: COMPLETED ·Phase: NA
-
Early Surgery Versus Conservative Therapy for Meniscal Injuries in Older Patients
NCT01850719 ·Status: COMPLETED ·Phase: NA
-
Minimal Versus Conventional Exposure in Unicompartmental Knee Arthroplasty
NCT00991445 ·Status: UNKNOWN ·Phase: NA
-
The personalKNEE Trial
NCT06507046 ·Status: RECRUITING ·Phase: NA
-
A Study of Patients Undergoing Total Knee and Hip Arthroplasty at a Regional Hospital in Denmark
NCT03008967 ·Status: COMPLETED
-
Knee Replacement Outcome Predicted by Physiotherapists
NCT02982785 ·Status: COMPLETED
-
Preoperative Pain, Function, and Activity for Total Hip and Knee Arthroplasty Patients
NCT01248039 ·Status: COMPLETED
-
Psychological, Sexually and Social Consequences of Osteoarthritis Treatment With THA or TKA and Joint Preserving Surgery
NCT01305759 ·Status: COMPLETED
-
A Randomized Trial Comparing High Tibial Osteotomy Plus Non-Surgical Treatment and Non-Surgical Treatment Alone
NCT02003976 ·Status: COMPLETED ·Phase: NA
-
Disability and Self-rated Health Following Primary Knee Replacement
NCT01236729 ·Status: COMPLETED
-
Rate of Infection After Using Antibiotic Loaded Cement and Regular Cement in Total Knee Arthroplasty
NCT06117839 ·Status: NOT_YET_RECRUITING
-
Anterior Referencing Versus Posterior Referencing in Minimally Invasive Total Knee Arthroplasty
NCT01135030 ·Status: COMPLETED ·Phase: NA
-
Prevalence and Incidence of Multiple Revisions Following Knee Arthroplasty in Denmark 1998-2021: A Nationwide Population-based Study
NCT06064318 ·Status: COMPLETED