Robotic Assisted Surgery In Total Knee Replacement
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Triathlon.
- Кому может быть актуально
- Состояния в реестре: Knee Osteoarthritis. Базовые параметры: 18 лет — 80 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Швеция
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Robotic Assisted Surgery In Total Knee Replacement Versus Manual Total Knee Arthroplasty: A Randomized Controlled Trial
Обзор
The goal of this clinical trial is to compare robotic arm assisted surgery with manual surgery in patients operated with knee replacement. The main aim of the study is to compare changes in joint awareness (measured by the Forgotten Joint Score. Participants who are listed for knee arthroplasty are randomised to either robotic arm assisted surgery or manual surgery.
Подробное описание
Study Title:
Robotic Assisted Surgery in total knee replacement versus Manual Total Knee Arthroplasty: A randomised controlled trial
Type of study:
CE marked device study
Trial Design:
Multi-center site prospective parallel group randomised controlled trial
Trial Participants:
Listed for routine primary total knee replacements
Investigational Device:
MAKO Robotic Arm Assisted Surgical System
Control:
Conventional jig-based surgery
Implant (Intervention and Control):
Triathlon TKR
Planned Sample Size:
200 (100 MAKO, 100 Manual)
Follow-up duration:
24 months following surgery
Planned Trial Period:
Nov 2022 - 2024
Primary Objective:
To compare changes in joint awareness (measured by the Forgotten Joint Score (FJS)20) from baseline to 12 months following TKR between the two groups.
Secondary Objectives
1. To compare pain measured using the pain visual analogue scale. 2. To compare the health-related quality of life using the EQ5D-3L at baseline, 3, 12 and 24 months. 3. To compare changes in knee function in activities of daily living (measured by the Oxford knee score (OKS)19) from baseline to 3, 12 and 24 months. 4. To compare changes in clinically assessed pain and stiffness (measured by the Knee Society Score (KSS)) at baseline to 3 and 12 months. 5. To compare revision rate using implant migration measured by CTMA at 12 and 24 months as a surrogate marker for revision.
Primary Endpoint:
Functional outcome measured by the changes in joint awareness of the FJS score at 12 months following the intervention.
Secondary Endpoints:
Secondary outcomes will be collected up to 24 months following the intervention.
Device Name:
Both arms will receive Triathlon TKR with a highly crossed linked (X3) cruciate retaining polyethylene insert.
The intervention group will utilise the MAKO robotic arm to make the bone cuts.
Вмешательства
- Устройство Triathlon
Total knee arthroplasty
Первичные конечные точки
- Forgotten Joint Score [Срок оценки: 1 year]
Вторичные конечные точки (4)
- Knee pain [Срок оценки: 2 years]
- EQ-5D [Срок оценки: 3, 12, 24 months]
- Oxford Knee Score [Срок оценки: 3, 12, 24 months]
- Knee Society Score [Срок оценки: 3, 12, 24 months]
Критерии участия
Критерии включения
- Listed for elective primary TKR for end stage osteoarthritis
- Suitable candidate for a cruciate retaining TKR (Triathlon prosthesis)
- Male or Female, aged 18 years or above (18-80 at the time of listing for surgery).
- Able to understand and provide written consent.
Критерии исключения
- Varus deformity of > 20 degrees observed by consultant on examination
- Patient is unable to comply with the study protocol (incl. refusal for CT scan)
- Female participant who is pregnant, lactating or planning pregnancy during the course of the study.
- Requires patella resurfacing
- Inability to understand the patient information for the study, provide written informed consent or answer study questionnaires for cognitive or language reasons
- Any other significant disease or disorder which, in the opinion of the Investigator, may either put the participants at risk because of participation in the study, or may influence the result of the study, or the participant's ability to participate in the study.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Открытое
- Основная цель
- Лечение
Центры проведения
Швеция · 2 центра
- Sahlgrenska University hospital — Gothenburg
- Örebro University Hospital, Department of Medical Sciences — Örebro
Идентификаторы
NCT: NCT05842538 · RAKER