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Robotic Assisted TKA

Not Applicable
Completed
Conditions
Total Knee Replacement
Interventions
Procedure: Conventional Total knee replacement
Procedure: Total knee replacement using Omnibot Knee System
Device: Omnibot Robotic Knee System
Registration Number
NCT06062615
Lead Sponsor
Rothman Institute Orthopaedics
Brief Summary

As an intraoperative tool, a modern robotic total knee arthroplasty (TKA) system should be able to identify a patient's native femoral and tibial anatomy, as well as, assess ligament tension and gap balance. The surgeon in real time is then able to develop and execute a patient specific plan in terms of component size, alignment and rotation. In our institution we have begun to use, the OMNIBotics Knee system (Corin), which utilizes an active motorized knee spacer, BalanceBot, to objectively measure ligament tension and gap balance after the tibia has been cut and its alignment confirmed. This information is then processed through the OMNIbotics computer algorithm to appropriately size, align, and rotate the femur component to balance the flexion and extension gaps. The purpose of this study is to perform a randomized pilot study looking for an effect on early functional outcomes comparing robotic assisted TKA (RATKA) versus conventional TKA technique.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • All unilateral primary knee arthroplasties performed by the investigator participating in this study will be eligible for inclusion
  • Diagnosis of primary osteoarthritis
Exclusion Criteria
  • Revision surgery
  • Bilateral knee surgery
  • Age <18 or >80
  • BMI >40
  • Baseline lower extremity strength less than 5/5
  • History of chronic narcotic use, defined as more than 5mg of oxycodone q4 hours
  • Functionally limiting spine disease
  • Other functionally limiting lower extremity disorder (i.e. symptomatic ipsilateral hip disease)
  • Patients who cannot perform the baseline functional tests
  • Allergy/contraindication to protocol medications
  • Post-traumatic arthritis
  • Inflammatory arthritis
  • Pregnancy
  • Prisoners
  • Patients receiving care as a result of a worker's compensable injury
  • General anesthesia

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Total knee replacement (TKR) with OmnibotOmnibot Robotic Knee SystemThe participant will undergo a robotic assisted TKR utilizing the Omnibot Knee System
Total knee replacement (TKR) without Omnibot systemConventional Total knee replacementThe participant will undergo TKR utilizing conventional techniques.
Total knee replacement (TKR) with OmnibotTotal knee replacement using Omnibot Knee SystemThe participant will undergo a robotic assisted TKR utilizing the Omnibot Knee System
Primary Outcome Measures
NameTimeMethod
Early functional outcomes #26 months

This will be measured by the stair climbing test.

early functional outcomes #16 months

This will be measured by the timed-up-and-go test.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Rothman Orthopaedic Institute

🇺🇸

Philadelphia, Pennsylvania, United States

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