- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04427943
Outcome After Revisions of Infected Knee Arthroplasties (RIKA)
Outcome After Revisions of Infected Knee Arthroplasties - a Prospective Multicenter Cohort Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
A prospective multicenter cohort study on all types of revision knee arthroplasty procedures performed due to infection.
Most previous studies investigating outcomes after revisions of infected knee artrplasties are single-center studies and retrospective. The study group has previously investigated outcome of the surgical treatment of infected knee arthroplasties in Denmark based on nationwide data from Danish registries. These studies revealed that the risk of treatment failure causing re-revision or mortality was 30-40% in Denmark.
Based on these findings, an ongoing randomized controlled trial "one-stage versus two-stage revisions of the infected knee arthroplasty" (ClinicalTrials.gov ID: NCT03435679) has been initiated by the study group in Febuary 2018. It has been possible to include 20% of the patients with surgically demanding periprosthetic knee infections from the including centres in this randomized trial due to in- and exclusions criteria. Hence, the investigators wish to include the remaining patients with periprosthetic knee joint infection in a prospective cohort study in order to obtain high quality prospective data on function, quality of life and complications after all types of surgical procedures performed due to periprosthetic knee joint infection. Based on these data it will be possible to evaluate the surgical treatment overall and it will be possible to evaluate whether the patients included in the randomized trial are representative.
Study aim:
To present patient reported outcome and postoperative complications after all types of surgical procedures performed due to periprosthetic knee infection. Furthermore, to analyze the role of potential risk factors (patient comorbidity, microbiological diagnosis, surgical intervention, antibiotic treatment, duration of symptoms) on outcome of the patients.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Martin Lindberg-Larsen, MD, PhD
- Phone Number: 0045 25213900
- Email: martin.lindberg-larsen@rsyd.dk
Study Locations
-
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Aalborg, Denmark
- Recruiting
- Aalborg University Hospital
-
Contact:
- Andreas Kappel, MD
- Phone Number: 004520604629
- Email: andreas.kappel@rn.dk
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Copenhagen, Denmark
- Not yet recruiting
- Rigshospitalet
-
Contact:
- Anders Odgaard, MD, PhD
- Phone Number: 0045 27478245
- Email: anders.odgaard@regionh.dk
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Copenhagen, Denmark
- Recruiting
- Bispebjerg Hospital
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Contact:
- Jens Bagger, MD
- Phone Number: 21603580
- Email: jens.bagger@regionh.dk
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Copenhagen, Denmark
- Recruiting
- Hvidovre
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Contact:
- Kirill Gromov
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Horsens, Denmark
- Recruiting
- Horsens Hospital
-
Contact:
- Jeppe Lange, MD, PhD
- Phone Number: 0045 26853290
- Email: jeppe.lange@clin.au.dk
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Næstved, Denmark
- Recruiting
- Næstved Hospital
-
Contact:
- Henrik Schrøder, MD
- Phone Number: 0045 50567163
- Email: hemsc@regionsjaelland.dk
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Odense, Denmark
- Recruiting
- Odense Universitets Hospital
-
Contact:
- Martin Lindberg-Larsen, MD, PhD
- Phone Number: 0045 25213900
- Email: martin.lindberg-larsen@rsyd.dk
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Vejle, Denmark
- Recruiting
- Vejle Hospital
-
Contact:
- Thomas Bruno Lind-Hansen, MD, PhD
- Phone Number: 0045 22289260
- Email: Thomas.Bruno.Lind-Hansen@rsyd.dk
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Clinical signs of periprosthetic knee joint infection and indication for revision surgery
- Speak and understand Danish and have given informed consent
Exclusion Criteria:
- Participation in "one-stage versus two-stage revisions of the infected knee arthroplasty"
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
RIKA cohort
patients with periprosthetic knee joint infection scheduled for revision knee arthroplasty surgery
|
The intervention is the planned revision surgery according to local guidelines.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Oxford Knee Score (Area Under Curve (AUC) from preoperatively to 12 months postoperatively)
Time Frame: Measured preoperatively 6 weeks, 3, 6, 9, 12 months postoperatively
|
Change in Oxford Knee Score from preoperatively to 12 months postoperatively measured as Area Under Curve.
Oxford Knee Score ranges from 0 to 48, 48 = best score.
|
Measured preoperatively 6 weeks, 3, 6, 9, 12 months postoperatively
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Oxford Knee Score (Area Under Curve, AUC from preop. to 12 months postop.)
Time Frame: Time Frame: Measured preoperatively, 6 weeks, 3, 6, 9, 12, 18 and 24 months postoperatively
|
Change in Oxford Knee Score from preoperatively to 24 months postoperatively measured as Area Under Curve.
Oxford Knee Score ranges from 0 to 48, 48 = best score.
|
Time Frame: Measured preoperatively, 6 weeks, 3, 6, 9, 12, 18 and 24 months postoperatively
|
Change in EuroQol five-dimensional descriptive system (EQ-5D-5L) from preop to 24 months postop.
Time Frame: Measured preoperatively, 6 weeks, 3, 6, 9, 12, 18 and 24 months postoperatively.
|
Quality of life questionnaire
|
Measured preoperatively, 6 weeks, 3, 6, 9, 12, 18 and 24 months postoperatively.
|
Number of participants re-revised (re-revision rate)
Time Frame: 2 year postoperatively
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Number of patients re-revised due to infection and other causes within 2 years postoperatively.
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2 year postoperatively
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Number of participants dying (mortality rate)
Time Frame: 2 years postoperatively
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Number of participants dying within 2 years posoperatively
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2 years postoperatively
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Number of participants readmitted (readmission rate)
Time Frame: 90 days postoperatively
|
Number of participant readmitted within 90 days postoperatively
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90 days postoperatively
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Martin Lindberg-Larsen, MD, PhD, Odense University Hospital
Publications and helpful links
General Publications
- Lindberg-Larsen M, Odgaard A, Fredborg C, Schroder HM; One-stage vs Two-stage Collaboration Group. One-stage versus two-stage revision of the infected knee arthroplasty - a randomized multicenter clinical trial study protocol. BMC Musculoskelet Disord. 2021 Feb 12;22(1):175. doi: 10.1186/s12891-021-04044-8.
- Lindberg-Larsen M, Pitter FT, Voldstedlund M, Schroder HM, Bagger J. Microbiological diagnosis in revision of infected knee arthroplasties in Denmark. Infect Dis (Lond). 2017 Nov-Dec;49(11-12):824-830. doi: 10.1080/23744235.2017.1350878. Epub 2017 Jul 8.
- Lindberg-Larsen M, Jorgensen CC, Bagger J, Schroder HM, Kehlet H. Revision of infected knee arthroplasties in Denmark. Acta Orthop. 2016 Aug;87(4):333-8. doi: 10.3109/17453674.2016.1148453. Epub 2016 Feb 22.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- S-20170108/69984
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Periprosthetic Knee Infection
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Odense University HospitalRegion of Southern Denmark; Odense Patient Data Explorative NetworkRecruitingPeriprosthetic Knee InfectionDenmark
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