Knee surgery Face-Off: does more trauma mean more inflammation?
NCT ID NCT05735847
First seen Sep 22, 2026 · Last updated Sep 23, 2026 · Updated 1 time
Summary
Researchers are studying whether total knee replacement causes a larger inflammatory response than partial knee replacement. The study enrolls adults with knee osteoarthritis who are candidates for either procedure. Participants give blood samples after surgery to measure markers of inflammation, and researchers track their recovery for two years to see if inflammation levels relate to how well patients do.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If the study shows that total knee replacement triggers more inflammation than partial knee replacement, doctors could use that information to better match patients to the right procedure and improve recovery.
- What could go wrong
- This is a small observational study of 29 people, so it cannot prove cause and effect. Inflammation markers in blood may not fully explain differences in pain or function after surgery.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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29 people
The number who actually took part.
- Started
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Feb 2023
- Finished
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Feb 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Study participants will be adults (i.e. at least 18 years old) who have diagnosis of KOA with an indication for primary KA (medial unicondylar or total arthroplasty).
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 18 or more * A clinical and radiological diagnosis of knee OA * Candidate for spinal anaesthesia * signed informed consent Exclusion Criteria: * Planned surgery within the observation period other than KA * Any contraindications to the use of torniquet during surgery * Any contraindication to the administration of pre-operative dexamethasone * KA indication due to sequelae of e.g. fracture(s) * Previous infection of the target knee joint * Injection of medication or substances in the target knee within 3 months prior to participation * Immuno-inflammatory arthritis as cause of knee OA * Known autoimmune and/or inflammatory disease e.g. colitis ulcerosa * Active cancer diagnosis with ongoing treatment * Current systemic treatment with glucocorticoids equivalent to \> 7.5 mg prednisolone/day * Surgery requiring spinal/general anaesthesia within the last 3 months prior to inclusion * Infection requiring medical/surgical treatment within the last 4 weeks prior to surgery for KA * Neurological dysfunction compromising mobility * Inability to understand or read Danish incl. instructions and questionnaires * Any other condition or impairment that, in the opinion of the investigator (or his/her delegate), makes a potential participant unsuitable for participation or which obstruct participation.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Department of Orthopaedic Surgery, Amager Hvidovre Hospital
Hvidovre, 2650, Denmark
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