AzTrials
AzTrials

Musculoskeletal DeformitySIMULANCT06380530

Advanced Surgical Simulation Processes in the Correction of Skeletal Defects and Deformities

A study testing Deformity correction in people with Musculoskeletal Deformity and Musculoskeletal Abnormalities, run by Istituto Ortopedico Rizzoli at 7 sites in Italy.

Recruiting

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

Sites and contacts
Official record
Search all trials

Trial summary

Virtual Surgical Planning (VSP), Computer-Aided Surgical Simulation (CASS) for bone corrections, and the customization of implants and devices through 3D printing, known as Patient-Specific Instruments (PSI) and Graft-Specific Instruments (GSI), are assuming increasingly central roles in orthopedic clinical and… Read more about this study

Who is it for?
Ages 2 to 40 years
What is being tested?
Deformity correction
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
7 sitesItaly
Study dates
31 Oct 2024to May 2029
Phase
Interventional
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 2 to 40 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Diagnosis of musculoskeletal disease (MSD) of the limbs;
  • Need for mono- or polyaxial correction by one or more osteotomies;
  • Presence of specific consent to participate in the trial;

Who cannot join

  • Patients who refuse to participate in the study
  • Patients who do not undergo radiological follow-up examinations for VSP or for whom the radiological record is insufficient to conduct VSP;
  • Patients who undergo different interventions for correction of MSD (growth modulation interventions by epiphysiodesis and hemiepiphysiodesis, progressive correction by external circular/hexapodal fixation);
  • Pregnant or lactating women

Trial locations and contacts

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

Grazia Chiara Menozzi contact

0516366 ext. 484

graziachiara.menozzi@ior.it

Giovanni Trisolino, MD contact

0516366 ext. 484

giovanni.trisolino@ior.it

7 sites in 1 country

Italy7 sites, 7 recruiting
  • IRCCS Istituto Ortopedico Rizzoli

    Bologna, BO, 40136

    Grazia Chiara Menozzi, 0516266 ext. 484, graziachiara.menozzi@ior.it

    Recruiting
  • Istituto Giannina Gaslini

    Genova

    Giorgio Marrè Brunenghi, MD, giorgiomarre@gaslini.org

    Not yet recruiting
  • Galeazzi Orthopedic Institute

    Milan

    Fabio Verdoni, MD, fabio.verdoni@grupposandonato.it

    Not yet recruiting
  • Policlinico San Matteo

    Pavia

    Gianluigi Pasta, MD

    Not yet recruiting
  • Istituto Nazionale Tumori Regina Elena

    Roma

    Roberto Biagini, MD, roberto.biagini@ifo.it

    Not yet recruiting
  • Ospedale Pediatrico Bambino Gesù

    Roma

    Pier Francesco Costici, MD, pierfrancesco.costici@opbg.net

    Not yet recruiting
  • Istituto Clinico Humanitas

    Rozzano, MI

    Tommaso Bonanzinga, MD, tommaso.bonanzinga@hunimed.eu

    Not yet recruiting

Other trials in Italy

About this study

Virtual Surgical Planning (VSP), Computer-Aided Surgical Simulation (CASS) for bone corrections, and the customization of implants and devices through 3D printing, known as Patient-Specific Instruments (PSI) and Graft-Specific Instruments (GSI), are assuming increasingly central roles in orthopedic clinical and surgical practice.

One area witnessing notable advancement is the treatment of musculoskeletal disorders (MMS) in children, adolescents, and young adults. These disorders involve severe and rare abnormalities in skeletal formation and development across three-dimensional planes, often affecting multiple limbs. Managing such deformities is complex, challenging to standardize, and prone to unpredictable clinical, radiographic, and functional outcomes.

Read more

The application of 3D modeling and printing technologies offers a deeper understanding of deformities and facilitates improved prediction, precision, reproducibility, and safety in surgical interventions.

The Musculoskeletal Apparatus Network (RAMS Network) centers are equipped with advanced 3D laboratories for surgical simulation and planning, aligned with the overarching goal of improving surgery quality through "in-silico" medicine (ISM) principles.

At present, numerous complex surgeries involving Virtual Surgical Planning (VSP) and sterilizable 3D-printed Patient-Specific Instruments (PSI) and/or Graft-Specific Instruments (GSI) are being simulated and performed at the Rizzoli Institute. Preliminary data from previous protocols indicate a significant reduction in surgical time with the implementation of VSP and the utilization of PSI and GSI.

The aim of this study is to enhance the current process of simulating, planning, and designing surgical support tools within 3D Printing Point-of-Care (3D POC) facilities. To achieve this, it is imperative to expand case volumes and systematically organize, categorize, and standardize simulation and planning procedures.

Being tested
Deformity correction
Keywords
Virtual Surgical Planning, Patient-Specific instrument, Graft-Specific instrument, Pediatric Orthopedics
Medical subject headings
Musculoskeletal Abnormalities, Musculoskeletal Diseases

What participants receive

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

  • Deformity correctionProcedure or surgery

    Surgeries to correct bone defomity, supported by the use of preoperative planning and/or patient-specific instruments

Study groups in NCT06380530
Study groupRoleWhat they receive
Pediatric patients with musculoskeletal diseasesExperimentalChildren, adolescents, and young adults suffering from musculoskeletal disorders (MMD) who exhibit complex conditions characterized by rare and severe anomalies in skeletal development. These abnormalities may affect bones, joints, and musculotendinous structures.
Receives: Procedure: Deformity correction

What is being measured

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

  1. Achieved skeletal corrections

    Assessment of achieved skeletal corrections compared to planned corrections, measured on standard radiographs or CT scans depending on the type of deformity corrected

    Measured: At baseline (day 0)

  2. Achieved skeletal corrections

    Assessment of achieved skeletal corrections compared to planned corrections, measured on standard radiographs or CT scans depending on the type of deformity corrected

    Measured: After 1 year

Secondary outcomes (9)
  1. Operating room times

    Operating room times for each planned procedure

    Measured: At baseline (day 0)

  2. Fluoroscopy times

    Fluoroscopy times for each planned procedure

    Measured: At baseline (day 0)

  3. Blood loss

    Blood loss for each patient

    Measured: At baseline (day 0)

  4. Intra- and peri-operative complications

    Intra- and peri-operative complications for each patient

    Measured: At baseline (day 0)

  5. Suitability of PSIs

    Suitability of PSIs in relation to the planned surgery

    Measured: At baseline (day 0)

  6. Suitability of GSIs

    Suitability of GSIs, if needed, in relation to the planned surgery

    Measured: At baseline (day 0)

  7. Suitability of bone graft

    Suitability of bone graft, if needed, in relation to the planned surgery

    Measured: At baseline (day 0)

  8. Clinical-functional outcome

    Clinical-functional outcome will be assessed by preoperative and one-year follow-up administration of the Pediatric Outcome Data Collection Instrument (PODCI) questionnaire for pediatric patients or the Short Form Health Survey 36 (SF-36) for young adults

    Measured: At baseline (day 0)

  9. Clinical-functional outcome

    Clinical-functional outcome will be assessed by preoperative and one-year follow-up administration of the Pediatric Outcome Data Collection Instrument (PODCI) questionnaire for pediatric patients or the Short Form Health Survey 36 (SF-36) for young adults

    Measured: After 1 year

Timeline

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

  1. First posted24 Apr 2024
  2. Study start31 Oct 2024
  3. Primary completionMay 2028 (estimated)
  4. Study completionMay 2029 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06380530
Sponsor's protocol ID
SIMULA
Acronym
SIMULA
Status last verified
Dec 2025
First submitted
18 Apr 2024
Last updated
26 Dec 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • R. Michaels et al., "3D printing in surgical simulation: emphasized importance in the COVID-19 pandemic era," https://doi.org/10.2217/3dp-2021-0009, vol. 5, no. 1, pp. 5-9, May 2021, doi: 10.2217/3DP-2021-0009.

  • S. Dash, S. K. Shakyawar, M. Sharma, and S. Kaushik, "Big data in healthcare: management, analysis and future prospects," J Big Data, vol. 6, no. 1, pp. 1-25, Dec. 2019, doi: 10.1186/S40537-019-0217-0/FIGURES/6.

  • G. Pravettoni and S. Triberti, "A 'P5' Approach to Healthcare and Health Technology," P5 eHealth: An Agenda for the Health Technologies of the Future, pp. 3-17, 2020, doi: 10.1007/978-3-030-27994-3_1.

  • Anaya JM, Duarte-Rey C, Sarmiento-Monroy JC, Bardey D, Castiblanco J, Rojas-Villarraga A. Personalized medicine. Closing the gap between knowledge and clinical practice. Autoimmun Rev. 2016 Aug;15(8):833-42. doi: 10.1016/j.autrev.2016.06.005. Epub 2016 Jun 11.

    PubMed 27302209
  • Coppola L, Cianflone A, Grimaldi AM, Incoronato M, Bevilacqua P, Messina F, Baselice S, Soricelli A, Mirabelli P, Salvatore M. Biobanking in health care: evolution and future directions. J Transl Med. 2019 May 22;17(1):172. doi: 10.1186/s12967-019-1922-3.

    PubMed 31118074
  • Pop B, Fetica B, Blaga ML, Trifa AP, Achimas-Cadariu P, Vlad CI, Achimas-Cadariu A. The role of medical registries, potential applications and limitations. Med Pharm Rep. 2019 Jan;92(1):7-14. doi: 10.15386/cjmed-1015. Epub 2019 Jan 15.

    PubMed 30957080
  • Dorsey ER. The new platforms of health care. NPJ Digit Med. 2021 Jul 15;4(1):112. doi: 10.1038/s41746-021-00478-5.

    PubMed 34267312
  • Tumiene B, Graessner H, Mathijssen IM, Pereira AM, Schaefer F, Scarpa M, Blay JY, Dollfus H, Hoogerbrugge N. European Reference Networks: challenges and opportunities. J Community Genet. 2021 Apr;12(2):217-229. doi: 10.1007/s12687-021-00521-8. Epub 2021 Mar 17.

    PubMed 33733400
  • Vivarelli L, Govoni M, Attala D, Zoccali C, Biagini R, Dallari D. Custom Massive Allograft in a Case of Pelvic Bone Tumour: Simulation of Processing with Computerised Numerical Control vs. Robotic Machining. J Clin Med. 2022 May 15;11(10):2781. doi: 10.3390/jcm11102781.

    PubMed 35628908
  • Benedetti MG, et al. Prot. CHILD-DEROT. 'Studio pilota per la pianificazione del trattamento alterazioni torsionali dell'arto inferiore nei bambini affetti da paralisi cerebrale infantile mediante valutazione integrata morfologica e funzionale.' CE AVEC 718/2021/Oss/IOR. 30/09/2021.

  • L. Frizziero et al., "Computer-aided surgical simulation for correcting complex limb deformities in children," Applied Sciences (Switzerland), vol. 10, no. 15, Aug. 2020, doi: 10.3390/app10155181.

  • Raza M, Murphy D, Gelfer Y. The effect of three-dimensional (3D) printing on quantitative and qualitative outcomes in paediatric orthopaedic osteotomies: a systematic review. EFORT Open Rev. 2021 Feb 1;6(2):130-138. doi: 10.1302/2058-5241.6.200092. eCollection 2021 Feb.

    PubMed 33828856
  • Grassi FR, Grassi R, Vivarelli L, Dallari D, Govoni M, Nardi GM, Kalemaj Z, Ballini A. Design Techniques to Optimize the Scaffold Performance: Freeze-dried Bone Custom-made Allografts for Maxillary Alveolar Horizontal Ridge Augmentation. Materials (Basel). 2020 Mar 19;13(6):1393. doi: 10.3390/ma13061393.

    PubMed 32204393
  • Frizziero L, Santi GM, Leon-Cardenas C, Donnici G, Liverani A, Papaleo P, Napolitano F, Pagliari C, Di Gennaro GL, Stallone S, Stilli S, Trisolino G, Zarantonello P. In-House, Fast FDM Prototyping of a Custom Cutting Guide for a Lower-Risk Pediatric Femoral Osteotomy. Bioengineering (Basel). 2021 May 26;8(6):71. doi: 10.3390/bioengineering8060071.

    PubMed 34073324
  • L. Frizziero et al., "Paediatric orthopaedic surgery with 3D printing: Improvements and cost reduction," Symmetry (Basel), vol. 11, no. 10, Oct. 2019, doi: 10.3390/sym11101317.

Questions about this trial

What is this clinical trial studying?

A study testing Deformity correction in people with Musculoskeletal Deformity and Musculoskeletal Abnormalities, run by Istituto Ortopedico Rizzoli at 7 sites in Italy.

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 4 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 26 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in Italy. 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 Grazia Chiara Menozzi (0516366 ext. 484, graziachiara.menozzi@ior.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Achieved skeletal corrections (time frame: At baseline (day 0)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06380530, which also lists 27 linked publications.

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 26 Dec 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in