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A Randomized Prospective Trial of Total Knee Arthroplasty Options Comparing Standard Knee Cutting Guides and MRI Generated Patient Specific Custom Cutting Guides

Not Applicable
Completed
Conditions
Osteoarthritis of the Knee
Registration Number
NCT01072019
Lead Sponsor
Washington University School of Medicine
Brief Summary

The purpose of this study is to determine the surgical and clinical outcomes of patients receiving total knee replacement with the same implant using two different types of cutting guides during surgery:

1. Standard knee cutting guides;

2. MRI generated patient specific custom cutting guides.

Both types of cutting guides used in this study are registered with the U.S. Food and Drug Administration (FDA) and are routinely used for knee replacement surgery. However, it is unknown if one type of cutting guide has risks or benefits over the other.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
25
Inclusion Criteria
  • Age 18 - 75
  • Diagnosis of osteoarthritis of the knee and qualify for surgery, as indicated by one of the following:
  • Painful and disabled knee joint resulting from osteoarthritis where one or more compartments are involved;
  • Correction of varus or valgus.
  • Willing to participate and return for follow-up study visits.
Exclusion Criteria
  • Infection
  • Sepsis
  • Osteomyelitis
  • Uncooperative patient or patient with neurologic disorders who is incapable of following directions
  • Osteoporosis
  • Metabolic disorders which may impair bone formation
  • Osteomalacia
  • Distant foci of infections which may spread to the implant site
  • Rapid joint destruction
  • Marked bone loss or bone resorption apparent on roentgenogram
  • Vascular insufficiency
  • Muscular atrophy
  • Neuromuscular disease
  • Incomplete or deficient soft tissue surrounding the knee
  • Previous osteotomy
  • Diagnosis of rheumatoid arthritis
  • Previous patella fracture or surgery
  • Previous healed tibia or femur fractures
  • Previous joint replacement surgery
  • Cannot have an MRI
  • Patients receiving single-stage bilateral total knee arthroplasty (TKA)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Patient dissatisfaction following primary total knee replacement.Preoperatively, intraoperatively, and at four to six weeks, three months, six months, and one year postoperatively.
Secondary Outcome Measures
NameTimeMethod
Postoperative recovery time following primary total knee replacement.Immediate postoperative period (prior to discharge) and at four to six weeks, three months, six months, and one year postoperatively.

Trial Locations

Locations (1)

Washington University

🇺🇸

Saint Louis, Missouri, United States

Washington University
🇺🇸Saint Louis, Missouri, United States

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