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NCT Number: NCT06856356

Clinical Efficacy and Safety of Robot-assisted Total Knee Arthroplasty

The purpose of this clinical trial is to understand the application value of the Orthopedic Joint Surgery Navigation System in assisting surgeons to accurately place prosthetic components in adult knee replacement surgery. It will also confirm its effectiveness and safety in clinical application.

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Key information

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

the first affiliated hospital of USTC

Hefei, Anhui, 230001, China

Location status: Recruiting

Location contact

Chen Zhu, M.D

CONTACT

About this study

The purpose of this clinical trial is to understand the application value of the Orthopedic Joint Surgery Navigation System in assisting surgeons to accurately place prosthetic components in adult knee replacement surgery. It will also confirm its effectiveness and safety in clinical application. The main questions it aims to answer are:

Does the Orthopedic Joint Surgery Navigation System improve the accuracy of prosthetic component placement in knee replacement surgery? Is the Orthopedic Joint Surgery Navigation System superior to traditional total knee replacement What medical problems do participants encounter when taking medication ABC? Researchers will compare the Orthopedic Joint Surgery Navigation System with traditional total knee replacement surgery (using a "four-in-one" osteotomy guide) to see if the Orthopedic Joint Surgery Navigation System is superior to traditional total knee replacement in terms of prosthesis three-dimensional position, force alignment, patient satisfaction, functional scores, complications, etc.

Participants will:

End-stage knee osteoarthritis patients receive total knee replacement with the Orthopedic Joint Surgery Navigation System or traditional total knee replacement surgery Visit the clinic for examination and testing every 3 months Record their imaging data, satisfaction, functional scores, complications, etc.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Subjects voluntarily participate in the trial and sign the informed consent form;
  • Aged 18 to 80 years old (inclusive), regardless of gender;
  • Patients who need total knee replacement surgery;
  • Those who can communicate well with the researchers and comply with the trial requirements.

Exclusion criteria

  • Patients who are allergic to the drugs used in this trial or the implant materials;
  • Patients with immature bone development;
  • Patients with active infection;
  • Patients with neuropathy of the knee joint;
  • Patients with poor bone quality that is not conducive to prosthesis fixation;
  • Patients with general conditions or concomitant diseases that make it difficult for people to tolerate surgery;
  • Patients with insufficient quadriceps muscle strength;
  • Patients with insufficient skin coverage near the surgical site and intolerance to surgery;
  • Patients with severe femoral or tibial deformities and other severe deformities outside the joint;
  • Patients with metal implants in the joint surgical area that affect the execution of the surgical plan;
  • Pregnant or lactating women;
  • Patients with severe epilepsy or mental illness;
  • Patients with alcohol dependence or drug addiction;
  • Patients with severe coagulation disorders;
  • Patients who have participated in or are participating in other clinical trials within one month of enrollment;
  • Patients who are considered by the researchers to be unsuitable for participating in this clinical trial for other reasons. Those who meet any of the above exclusion criteria need to be excluded.

Treatment and study plan

Robot-assisted surgery

Procedure

Orthopedic surgeons perform total knee arthroplasty using an orthopedic joint surgery navigation system

Conventional total knee arthroplasty

Procedure

Orthopedic surgeons perform total knee arthroplasty using a 4 in 1 osteotomy guide

Primary outcomes

  1. Postoperative patient satisfaction

    Time frame: Month 1, Month 3, Month 6, Month 12, Month 24

    Use a questionnaire to investigate patients' satisfaction with their knee joint after surgery

  2. Forgotten Joint Scores

    Time frame: Month 1, Month 3, Month 6, Month 12, Month 24

    The Forgotten Joint Score (FJS) is a validated patient-reported outcome measure (PROM) tool designed to assess artificial prosthesis awareness during daily activities following total knee arthroplasty.The total score is 100 points. The higher the score, the better the degree of forgetfulness of the artificial joint.

  3. WOMAC score

    Time frame: Month 1, Month 3, Month 6, Month 12, Month 24

    Use WOMAC scoring scale to assess the condition of the knee joint. The WOMAC score consists of 24 items with a total score of 100. The higher the score, the more severe the limitation of joint function.

  4. Knee Society Score

    Time frame: Month 1, Month 3, Month 6, Month 12, Month 24

    The KSS score was assessed using the American Knee Society scoring criteria.The full score is 100 points. The higher the score, the better the patient's knee function.

Secondary outcomes

  1. SF-12

    Time frame: Month 1, Month 3, Month 6, Month 12, Month 24

    The health status of patients was assessed using the SF-12 health-related quality of life scale. The higher the score, the better the quality of life.

  2. visual analogue scale score

    Time frame: Month 1, Month 3, Month 6, Month 12, Month 24

    Visual analogue scale (VAS) for pain assessment。0 means no pain, 10 means the most painful, the higher the value, the higher the pain level of the patient

  3. Range of motion

    Time frame: Month 1, Month 3, Month 6, Month 12, Month 24

    Physical examination to assess the knee's range of motion

  4. Hip-knee-ankle angle

    Time frame: postoperative Day 1-3

    Measuring Hip-knee-ankle angle in radiology

  5. Complication

    Time frame: Month 1, Month 3, Month 6, Month 12, Month 24

    Record the patient's postoperative complications. For example, Persistent pain, fracture, superficial local infection, infection, thromboembolism.

Other outcomes

  1. mLDFA

    Time frame: preoperative Day 1-3, postoperative Day 1-3

    the lateral angle between the mechanical axis of the femur and the tangent of the distal end of the femoral prosthesis. The target value is 90°. >90° is varus, and <90° is valgus. Varus or valgus exceeding 3° is defined as femoral prosthesis position deviation.

  2. mMPTA

    Time frame: preoperative Day 1-3, postoperative Day 1-3

    medial angle between the mechanical axis of the tibia and the tangent of the tibial prosthesis, the target value is 90°, <90° is varus, >90° is valgus, and valgus exceeding 3° is defined as tibial prosthesis position deviation

  3. Femoral prosthesis flexion angle (α angle)

    Time frame: preoperative Day 1-3, postoperative Day 1-3

    on the standard lateral knee X-ray, the angle between the anatomical axis of the distal femur and the vertical line of the distal femoral prosthesis

  4. Tibial posterior tilt angle (β angle):

    Time frame: preoperative Day 1-3, postoperative Day 1-3

    on the standard lateral knee X-ray, the angle between the anatomical axis of the tibia and the lower surface of the tibial prosthesis.

Study contacts

Contact information is provided by the study sponsor or research team.

Xianyue Shen, M.D

CONTACT

[email protected]

17843122928

Xianzuo Zhang, Ph.D

CONTACT

[email protected]

+8618556533086

Sponsors and collaborators

Lead sponsor

The First Affiliated Hospital of University of Science and Technology of China

Other

Registry information

Official study title

Comparison of Clinical Efficacy and Safety of Robot-assisted Total Knee Arthroplasty and Conventional Total Knee Arthroplasty: a Randomized Controlled Study

Important dates

Study start
2023
Primary completion
2025
Study completion
2026
First posted
Mar 4, 2025
Registry last updated
Mar 4, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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