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
• Interventions: Other: Instrument

• 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

Study Timeline

• Study First Submitted: 2010-02-18
• Study First Submitted QC: 2010-02-18
• Study First Posted: 2010-02-19
• Study Start: 2010-03
• Primary Completion: 2014-05
• Study Completion: 2014-05
• Status Verified: 2018-06
• Last Update Submitted: 2018-06-25
• Last Update Posted: 2018-06-27

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

Arm && Interventions

Group	Intervention	Description
Standard knee cutting guides	Instrument	Standard cutting guides use traditional instrumentation to determine knee implant positions. During surgery, a rod is placed in the leg bone and the cutting guide is attached to that rod.
MRI generated patient specific custom cutting guides	Instrument	Patient specific cutting guides are custom-made for each patient based on Magnetic Resonance Imaging (MRI). Before surgery, MRI of the knee is done and used to create a cutting guide that is formed to the exact shape of the knee. The patient specific cutting guides have platforms that can be attached to the bone, so the rod does not need to be placed in the leg bone.

Primary Outcome Measures

Name	Time	Method
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

Name	Time	Method
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