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Preoperative Alignment of Total Knee Replacement

Primary Purpose

Knee Arthritis

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
trumatch group
control group
Sponsored by
VA Palo Alto Health Care System
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Knee Arthritis focused on measuring alignment

Eligibility Criteria

18 Years - 90 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:patients undergoing primary total knee replacement -

Exclusion Criteria:patients who have hardware involving the hip, knee or ankle

-

Sites / Locations

  • Palo Alto VA HCS

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

control group

trumatch group

Arm Description

control group will have standard instrumentation of their knee replacement

the trumatch patient will have custom instruments made from preop CT scans

Outcomes

Primary Outcome Measures

Alignment of Knee - Measured Mechanical Axis From CT Data
the mean knee mechanical axis was determined from 3D CT data - negative value designates varus alignment

Secondary Outcome Measures

Surgical Time
the difference between the average surgical time will be determined and compared with 95% CI

Full Information

First Posted
November 15, 2010
Last Updated
May 9, 2013
Sponsor
VA Palo Alto Health Care System
Collaborators
DePuy Orthopaedics
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1. Study Identification

Unique Protocol Identification Number
NCT01242085
Brief Title
Preoperative Alignment of Total Knee Replacement
Official Title
Alignment of Total Knee Components Using Standard or Custom Instrumentation
Study Type
Interventional

2. Study Status

Record Verification Date
May 2013
Overall Recruitment Status
Completed
Study Start Date
November 2010 (undefined)
Primary Completion Date
May 2012 (Actual)
Study Completion Date
January 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
VA Palo Alto Health Care System
Collaborators
DePuy Orthopaedics

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The hypothesis of this study is that total knee alignment will be improved by preoperative planning from CT scans and the production of custom instruments compared to the use of standard instruments.
Detailed Description
Patients will be randomized to have either customized knee instruments or standard generic instrumentation for primary total knee replacement. Postoperative CT scan will be used to determine alignment of each group.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Knee Arthritis
Keywords
alignment

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
64 (Actual)

8. Arms, Groups, and Interventions

Arm Title
control group
Arm Type
Active Comparator
Arm Description
control group will have standard instrumentation of their knee replacement
Arm Title
trumatch group
Arm Type
Experimental
Arm Description
the trumatch patient will have custom instruments made from preop CT scans
Intervention Type
Procedure
Intervention Name(s)
trumatch group
Other Intervention Name(s)
trumatch CPI
Intervention Description
these patient will have CT based customized knee instruments used for surgery
Intervention Type
Procedure
Intervention Name(s)
control group
Other Intervention Name(s)
Depuy knee instruments
Intervention Description
these patients will have standard instrumentation used for for knee replacement
Primary Outcome Measure Information:
Title
Alignment of Knee - Measured Mechanical Axis From CT Data
Description
the mean knee mechanical axis was determined from 3D CT data - negative value designates varus alignment
Time Frame
postoperatively - CT done within 1 week of surgery
Secondary Outcome Measure Information:
Title
Surgical Time
Description
the difference between the average surgical time will be determined and compared with 95% CI
Time Frame
intraoperative surgical time

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:patients undergoing primary total knee replacement - Exclusion Criteria:patients who have hardware involving the hip, knee or ankle -
Facility Information:
Facility Name
Palo Alto VA HCS
City
Palo Alto
State/Province
California
ZIP/Postal Code
94304
Country
United States

12. IPD Sharing Statement

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Preoperative Alignment of Total Knee Replacement

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