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Knee OsteoarthritisNCT06010979

Clinical Cohort Study of Knee Arthroplasty Assisted by Digital Technology

An observational study of Knee Osteoarthritis, run by Tian Hua at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Through this cohort study, previous clinical data can be systematically reviewed and supplemented through clinical follow-up. Prospective enrollment and follow-up observation of subsequent patients can also be carried out to build a retrospective-prospective two-way cohort study. Read more about this study

Who is it for?
Any age
Conditions the study is for
Knee Osteoarthritis
What is being tested?
conventional intrumentation assisted knee arthroplasty, computer navigation assisted knee arthroplasty and robotic system assisted knee arthroplasty
Type of treatment
Surgery or procedure
How many people
12,000 participants
Where
1 siteChina
Study dates
1 Jan 2024to 31 Dec 2026
How long will I take part?
3 Years
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Patients undergoing knee replacement in our hospital

Who may be able to join

  • a. primary knee osteoarthritis;
  • b. Unilateral primary knee replacement;
  • c. Surgical methods were traditional surgery, surgical robot, computer navigation or personalized osteotomy guide

Who cannot join

  • a. A history of renal insufficiency (Cr > 2.5), liver insufficiency, severe heart disease (or coronary stenting within the last 12 months), severe respiratory disease, history of VTE or high risk of thrombosis (hereditary/acquired thrombotic disease), cotting disorder, stroke, and malignancy;
  • b. Those who do not accept this test for any reason and refuse to sign the informed consent.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site, 1 recruiting
  • Peking University Third Hospital

    Beijing, Beijing Municipality, 100181

    Tian Hua, MD, 86-18211070116, tianhua@bjmu.edu.cn

    Zheng Yuhang, bachelor, 86-18811185091, 1710301104@pku.edu.cn

    Recruiting

Other trials in China

About this study

Through this cohort study, previous clinical data can be systematically reviewed and supplemented through clinical follow-up. Prospective enrollment and follow-up observation of subsequent patients can also be carried out to build a retrospective-prospective two-way cohort study. The intraoperative, perioperative, clinical follow-up and health economics of surgical robot, computer navigation, personalized osteotomy guide and other digital technologies and traditional TKA were comprehensively and objectively compared, the results and conclusions of the center were summarized and reported, and the effectiveness and safety of digital assistive technology applied to TKA were explored, providing references for clinical diagnosis and follow-up research.

Read the detailed description

Through this cohort study, previous clinical data can be systematically reviewed and supplemented by follow-up visits. Prospective enrollment and follow-up of subsequent patients can also be carried out to build a retrospective-prospective two-way cohort study. The preoperative situation (general statistical information, educational level, preoperative clinical function score, etc.), intraoperative situation (operative time, intraoperative blood loss, intraoperative complications, etc.), perioperative situation (total postoperative blood loss, blood transfusion rate, postoperative complications, etc.) and clinical follow-up situation were comprehensively and objectively compared with surgical robot, computer navigation, personalized osteotomy guide and other digital technologies and traditional TKA We summarized and reported the results and conclusions of the center (postoperative force line, implant location, pain, mobility, clinical function score, patient satisfaction and postoperative complications, etc.) and health economics (average length of stay, hospitalization cost, etc.) to provide reference for clinical diagnosis and follow-up research.

Being tested
conventional intrumentation assisted knee arthroplasty, computer navigation assisted knee arthroplasty, robotic system assisted knee arthroplasty, patient-spercific assisted knee arthroplasty
Keywords
total knee arthroplasty, knee osteoarthritis, computer navigation, robotic system, patient-spercific instrumentation
Medical subject headings
Osteoarthritis, Knee

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • conventional intrumentation assisted knee arthroplastyProcedure or surgery

    conventional intrumentation assisted knee arthroplasty

  • computer navigation assisted knee arthroplastyProcedure or surgery

    computer navigation assisted knee arthroplasty

  • robotic system assisted knee arthroplastyProcedure or surgery

    robotic system assisted knee arthroplasty

  • patient-spercific assisted knee arthroplastyProcedure or surgery

    patient-spercific assisted knee arthroplasty

Study groups in NCT06010979
Study groupRoleWhat they receive
conventional groupConventional instrument-assisted knee arthroplasty
Receives: Procedure: conventional intrumentation assisted knee arthroplasty
CAS groupcomputer navigation assisted knee arthroplasty
Receives: Procedure: computer navigation assisted knee arthroplasty
RAS grouprobotic system assisted knee arthroplasty
Receives: Procedure: robotic system assisted knee arthroplasty
PSI grouppatient-spercific instrumentation assisted knee arthroplasty
Receives: Procedure: patient-spercific assisted knee arthroplasty

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. mechanical axis

    The postoperative HKA Angle was measured, that is, the Angle between the center of the hip joint and the center of the knee joint and the center of the knee joint and the center of the ankle joint on the full-length X-ray film of the lower limb. The target Angle was defined as 0°, the Angle was positive when the knee was varus, the Angle was negative when the knee was varus, and the acceptable range was ±3°, beyond which the line deviation was defined.

    Measured: Postoperative day 3

Secondary outcomes (41)
  1. operation time

    The surgical time is defined as the time from incision to the completion of the skin suture, accurate to minutes

    Measured: immediately after the surgery

  2. Intraoperative blood loss

    Intraoperative blood loss = total amount of fluid drawn during the operation - intraoperative irrigation volume + intraoperative gauze infiltration blood loss, accurate to ml

    Measured: immediately after the surgery

  3. Intraoperative complications

    Various complications occurred during the operation were recorded

    Measured: immediately after the surgery

  4. Total postoperative blood loss

    Gross linear equation was used to calculate total blood loss and latent blood loss 3 days after surgery. Total blood loss = preoperative blood volume (PBV) × (preoperative hematocrit - postoperative hematocrit). PBV was calculated using Nadler method: PBV=K1× height (m) 3+K2× weight (kg) +K3, where male K1=0.3669, K2=0.03219, K3=0.6041; Female K1=0.3561, K2=0.03308, K3=0.1833. Postoperative total blood loss = total blood loss - intraoperative blood loss;

    Measured: Postoperative day 3

  5. Blood transfusion rate

    The postoperative blood transfusion situation and the amount of blood transfusion were recorded. The blood was transfused mainly with suspended red blood cells, and the amount of a single transfusion was 400ml. The Hb situation was evaluated again by blood routine review on the morning of the second day after transfusion.

    Indications for postoperative blood transfusion: No blood transfusion for Hb up to 8g/L or above; Hb up to 7g/L (including) must be transfused; Hb is between 7-8g/L, and blood transfusion should be given when anemia symptoms such as dizziness, weakness, palpitation, etc.

    Measured: At discharge

  6. Postoperative complication

    The postoperative complications such as wound nonunion, wound infection, hematomas and anemia were recorded.

    Measured: 3 years postoperatively

  7. Rotation Angle of femur prosthesis

    On the horizontal plane of CT scan of the affected knee, the Angle between the line of the posterior condyle of the femoral prosthesis and the line of the transcondyle of the femur was shown. The target Angle was defined as 0° external rotation of the femoral prosthesis, positive Angle during external rotation, negative Angle during internal rotation, acceptable range of ±2°, beyond which was defined as angular deviation

    Measured: Postoperative day 3

  8. Visual analogue scale

    The pain of the affected limb was assessed by Visual analogue scale. The highest score is ten and the lowest score is zero. A higher score indicates a higher level of pain.

    Measured: Postoperative day 3

  9. Visual analogue scale

    The pain of the affected limb was assessed by Visual analogue scale. The highest score is ten and the lowest score is zero. A higher score indicates a higher level of pain.

    Measured: 2 weeks postoperatively

  10. Visual analogue scale

    The pain of the affected limb was assessed by Visual analogue scale. The highest score is ten and the lowest score is zero. A higher score indicates a higher level of pain.

    Measured: 6 weeks postoperatively

  11. Visual analogue scale

    The pain of the affected limb was assessed by Visual analogue scale. The highest score is ten and the lowest score is zero. A higher score indicates a higher level of pain.

    Measured: 3 months postoperatively

  12. Visual analogue scale

    The pain of the affected limb was assessed by Visual analogue scale. The highest score is ten and the lowest score is zero. A higher score indicates a higher level of pain.

    Measured: 6 months postoperatively

  13. Visual analogue scale

    The pain of the affected limb was assessed by Visual analogue scale. The highest score is ten and the lowest score is zero. A higher score indicates a higher level of pain.

    Measured: 12 months postoperatively

  14. Visual analogue scale

    The pain of the affected limb was assessed by Visual analogue scale. The highest score is ten and the lowest score is zero. A higher score indicates a higher level of pain.

    Measured: 24 months postoperatively

  15. Visual analogue scale

    The pain of the affected limb was assessed by Visual analogue scale. The highest score is ten and the lowest score is zero. A higher score indicates a higher level of pain.

    Measured: 36 months postoperatively

  16. Range of motion

    The Range of motion of the knee on the operative side of the patient was measured

    Measured: 3 days postoperatively

  17. Range of motion

    The Range of motion of the knee on the operative side of the patient was measured

    Measured: 2 weeks postoperatively

  18. Range of motion

    The Range of motion of the knee on the operative side of the patient was measured

    Measured: 6 weeks postoperatively

  19. Range of motion

    The Range of motion of the knee on the operative side of the patient was measured

    Measured: 3 months postoperatively

  20. Range of motion

    The Range of motion of the knee on the operative side of the patient was measured

    Measured: 6 months postoperatively

  21. Range of motion

    The Range of motion of the knee on the operative side of the patient was measured

    Measured: 12 months postoperatively

  22. Range of motion

    The Range of motion of the knee on the operative side of the patient was measured

    Measured: 24 months postoperatively

  23. Range of motion

    The Range of motion of the knee on the operative side of the patient was measured

    Measured: 36 months postoperatively

  24. knee society score

    This method is to evaluate the patient's knee joint and its function in two aspects according to the particularity of joint replacement surgery through the evaluator interview and physical examination, that is, to obtain the information of joint anatomy, biomechanics and other aspects, and to understand the patient's functional recovery. Knee joint evaluation is to evaluate the impact of surgery on the joint and the recovery of the joint after surgery, such as: joint pain, joint range of motion, ligament stability, muscle strength, bone alignment, contracture deformity; Functional assessments include activities of daily living, walking ability, going up and down stairs, and the need for AIDS. The evaluation was numerically quantified (see table), and the knee joint score and the functional score were obtained respectively. The higher the value, the better the function.

    Measured: 6 weeks postoperatively

  25. knee society score

    This method is to evaluate the patient's knee joint and its function in two aspects according to the particularity of joint replacement surgery through the evaluator interview and physical examination, that is, to obtain the information of joint anatomy, biomechanics and other aspects, and to understand the patient's functional recovery. Knee joint evaluation is to evaluate the impact of surgery on the joint and the recovery of the joint after surgery, such as: joint pain, joint range of motion, ligament stability, muscle strength, bone alignment, contracture deformity; Functional assessments include activities of daily living, walking ability, going up and down stairs, and the need for AIDS. The evaluation was numerically quantified (see table), and the knee joint score and the functional score were obtained respectively. The higher the value, the better the function.

    Measured: 3 months postoperatively

  26. knee society score

    This method is to evaluate the patient's knee joint and its function in two aspects according to the particularity of joint replacement surgery through the evaluator interview and physical examination, that is, to obtain the information of joint anatomy, biomechanics and other aspects, and to understand the patient's functional recovery. Knee joint evaluation is to evaluate the impact of surgery on the joint and the recovery of the joint after surgery, such as: joint pain, joint range of motion, ligament stability, muscle strength, bone alignment, contracture deformity; Functional assessments include activities of daily living, walking ability, going up and down stairs, and the need for AIDS. The evaluation was numerically quantified (see table), and the knee joint score and the functional score were obtained respectively. The higher the value, the better the function.

    Measured: 6 months postoperatively

  27. knee society score

    This method is to evaluate the patient's knee joint and its function in two aspects according to the particularity of joint replacement surgery through the evaluator interview and physical examination, that is, to obtain the information of joint anatomy, biomechanics and other aspects, and to understand the patient's functional recovery. Knee joint evaluation is to evaluate the impact of surgery on the joint and the recovery of the joint after surgery, such as: joint pain, joint range of motion, ligament stability, muscle strength, bone alignment, contracture deformity; Functional assessments include activities of daily living, walking ability, going up and down stairs, and the need for AIDS. The evaluation was numerically quantified (see table), and the knee joint score and the functional score were obtained respectively. The higher the value, the better the function.

    Measured: 12 months postoperatively

  28. knee society score

    This method is to evaluate the patient's knee joint and its function in two aspects according to the particularity of joint replacement surgery through the evaluator interview and physical examination, that is, to obtain the information of joint anatomy, biomechanics and other aspects, and to understand the patient's functional recovery. Knee joint evaluation is to evaluate the impact of surgery on the joint and the recovery of the joint after surgery, such as: joint pain, joint range of motion, ligament stability, muscle strength, bone alignment, contracture deformity; Functional assessments include activities of daily living, walking ability, going up and down stairs, and the need for AIDS. The evaluation was numerically quantified (see table), and the knee joint score and the functional score were obtained respectively. The higher the value, the better the function.

    Measured: 24 months postoperatively

  29. knee society score

    This method is to evaluate the patient's knee joint and its function in two aspects according to the particularity of joint replacement surgery through the evaluator interview and physical examination, that is, to obtain the information of joint anatomy, biomechanics and other aspects, and to understand the patient's functional recovery. Knee joint evaluation is to evaluate the impact of surgery on the joint and the recovery of the joint after surgery, such as: joint pain, joint range of motion, ligament stability, muscle strength, bone alignment, contracture deformity; Functional assessments include activities of daily living, walking ability, going up and down stairs, and the need for AIDS. The evaluation was numerically quantified (see table), and the knee joint score and the functional score were obtained respectively. The higher the value, the better the function.

    Measured: 36 months postoperatively

  30. Western Ontario and McMaster Universities Osteoarthritis Index

    This score is used to assess the severity of arthritis and its therapeutic effect based on the patient's relevant signs and symptoms. The structure and function of the knee joint were evaluated by pain, stiffness and joint function. A higher score indicates better functionality.

    Measured: 6 weeks postoperatively

  31. Western Ontario and McMaster Universities Osteoarthritis Index

    This score is used to assess the severity of arthritis and its therapeutic effect based on the patient's relevant signs and symptoms. The structure and function of the knee joint were evaluated by pain, stiffness and joint function. A higher score indicates better functionality.

    Measured: 3 months postoperatively

  32. Western Ontario and McMaster Universities Osteoarthritis Index

    This score is used to assess the severity of arthritis and its therapeutic effect based on the patient's relevant signs and symptoms. The structure and function of the knee joint were evaluated by pain, stiffness and joint function. A higher score indicates better functionality.

    Measured: 6 months postoperatively

  33. Western Ontario and McMaster Universities Osteoarthritis Index

    This score is used to assess the severity of arthritis and its therapeutic effect based on the patient's relevant signs and symptoms. The structure and function of the knee joint were evaluated by pain, stiffness and joint function. A higher score indicates better functionality.

    Measured: 12 months postoperatively

  34. Western Ontario and McMaster Universities Osteoarthritis Index

    This score is used to assess the severity of arthritis and its therapeutic effect based on the patient's relevant signs and symptoms. The structure and function of the knee joint were evaluated by pain, stiffness and joint function. A higher score indicates better functionality.

    Measured: 24 months postoperatively

  35. Western Ontario and McMaster Universities Osteoarthritis Index

    This score is used to assess the severity of arthritis and its therapeutic effect based on the patient's relevant signs and symptoms. The structure and function of the knee joint were evaluated by pain, stiffness and joint function. A higher score indicates better functionality.

    Measured: 36 months postoperatively

  36. Patient satisfaction

    At follow-up, patients' satisfaction scores were recorded (using 5-Likert scale). The higher the score, the higher the satisfaction

    Measured: 6 months postoperatively

  37. Patient satisfaction

    At follow-up, patients' satisfaction scores were recorded (using 5-Likert scale). The higher the score, the higher the satisfaction

    Measured: 12 months postoperatively

  38. Patient satisfaction

    At follow-up, patients' satisfaction scores were recorded (using 5-Likert scale). The higher the score, the higher the satisfaction

    Measured: 24 months postoperatively

  39. Patient satisfaction

    At follow-up, patients' satisfaction scores were recorded (using 5-Likert scale). The higher the score, the higher the satisfaction

    Measured: 36 months postoperatively

  40. Length of stay

    The number of days a patient stays in hospital from admission to discharge

    Measured: an average of 3 days postoperatively

  41. Medical expenses

    The total cost of a patient from admission to discharge

    Measured: an average of 3 days postoperatively

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Aug 2023
  2. Study start1 Jan 2024 (estimated)
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Other
Enrolment
12,000 participants (estimated)
Target duration
3 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT06010979
Sponsor's protocol ID
TKAcohort
Status last verified
Aug 2023
First submitted
9 Aug 2023
Last updated
25 Aug 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: It will be published as an academic paper

Questions about this trial

What is this clinical trial studying?

An observational study of Knee Osteoarthritis, run by Tian Hua at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 25 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Tian Hua, MD (86-13511065187, tianhua@bjmu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

mechanical axis (time frame: Postoperative day 3). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Aug 2023.

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