Total Knee Replacement Component Alignment Using Manual Versus Custom Instrumentation
1 other identifier
interventional
112
1 country
1
Brief Summary
- 1.To determine whether the low-dose, biplanar x-ray imaging (EOS) has the same accuracy as computed axial tomography (CT)
- 2.To validate low-dose, biplanar x-ray imaging (EOS) as a tool to evaluate 3-dimensional alignment of Total Knee Replacement implants.
- 3.To evaluate differences in total knee replacement implant alignment in patients whose arthroplasty is performed using manual or custom instrumentation derived from preoperative CT
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jan 2015
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2015
CompletedFirst Submitted
Initial submission to the registry
October 13, 2015
CompletedFirst Posted
Study publicly available on registry
October 19, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 8, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
November 30, 2020
CompletedResults Posted
Study results publicly available
November 15, 2022
CompletedNovember 15, 2022
October 1, 2022
5.7 years
October 13, 2015
June 23, 2022
October 24, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
Post-Operative Hip-Knee-Angle (HKA)
Measured HKA change from pre-operative EOS longstanding X-ray to post-operative EOS at 6wks. comparing groups receiving manual instrumentation versus custom instrumentation
Pre-operative, 6 wks. post-op
Secondary Outcomes (3)
Tibial Varus Deformity
Pre-operative, 6 wks. post-op
Femoral Valgus Deformity
Pre-operative, 6 wks. post-op
Tibial Posterior Slope (Mean Deviation)
Pre-Operative - 6 wk. Post-Operative
Study Arms (4)
Manual (tibia) and manual (femur)
OTHERKnee replacement with Medacta GMK Sphere implants using manual instrumentation for both the tibia component and the femur component
Manual (tibia) and custom (femur)
OTHERKnee replacement with Medacta GMK Sphere implants using manual instrumentation for the tibia component and custom instrumentation for the femur component
Custom (tibia) and custom (femur)
OTHERKnee replacement with Medacta GMK Sphere implants using custom instrumentation for both the tibia component and the femur component
Custom (tibia) and manual (femur)
OTHERKnee replacement with Medacta GMK Sphere implants using custom instrumentation for the tibia component and manual instrumentation for the femur component
Interventions
Eligibility Criteria
You may qualify if:
- Radiographically confirmed diagnosis of osteoarthritis (OA)
- Failure of non-operative treatment for the diagnosis of symptomatic osteoarthritis
- Age greater than 18 years
- Desire to proceed with elective TKR
- Completion of informed consent and signature of written consent form
You may not qualify if:
- Ligamentous instability that may necessitate a constrained TKR implant
- Retained hardware in the distal femur or proximal tibia of the operative extremity
- Medical contraindication to undergo preoperative CT, or inability to tolerate preoperative CT
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Northwestern Medicine Department of Orthopaedic Surgery
Chicago, Illinois, 60611, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Melissa Shauver, MPH
- Organization
- Northwestern University
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- FACTORIAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
October 13, 2015
First Posted
October 19, 2015
Study Start
January 1, 2015
Primary Completion
September 8, 2020
Study Completion
November 30, 2020
Last Updated
November 15, 2022
Results First Posted
November 15, 2022
Record last verified: 2022-10