Patient-specific Instruments as a Standard Procedure in Total Knee Arthroplasty

NCT ID: NCT01781598

Last Updated: 2013-02-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

73 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-09-30

Study Completion Date

2012-10-31

Brief Summary

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Description of logistics, learning curve and radiological results in 70 patients treated with patient specific instrumentation in total knee arthroplasty as a standard procedure

Detailed Description

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The Orthopaedic Clinic Gersthof is a teaching hospital, where the entire spectrum of joint replacements with emphasis on hips and knees is performed. Twenty surgeons perform TKAs at our institution, with approximately 400 TKAs implanted per year.

The PSI system of Smith \&Nephew® (Patient-Matched Cutting Blocks \[PMCB\]; the VISIONAIRE® technology) is applied. The preoperative image modality is based on a long leg standing X-ray as well as an MRI of the knee. The Genesis II® Endoprosthesis (Smith \& Nephew®) is used as the TKA implant.

This study is a observational monocentric prospective study.

Estimated enrollment: 70 Enrollment time: September 2011-October 2012 Primary outcome: Alignment

The postoperative X-rays (AP, lateral view, and long leg standing), taken 7-to-10 days after surgery are evaluated in terms of component position and restoration of the mechanical alignment. X-rays are routinely monitor-guided but not calibrated at our institution.

As a secondary outcome the learning curve is evaluated using the following parameters collected during surgery: the fit of the cutting blocks, changes of the implant size, bony recuts, soft tissue releases, and changes in inlay size. Gap balancing was subjectively judged by the operating surgeon. Operation time, number of blood transfusions, and early postoperative complications were recorded within the first 14 days after surgery.

Conditions

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Alignment

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients treated with Patient specific instruments in TKA

Total knee arthroplasty (TKA) (Smith &Nephew®)

Intervention Type DEVICE

Interventions

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Total knee arthroplasty (TKA) (Smith &Nephew®)

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Indication for TKA
* Genesis II endoprosthesis
* Operated using patient specific instruments (VISIONAIRE)

Exclusion Criteria

* contraindication for MRI
* varus/ valgus deformity \>15 degrees
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Orthopedic Clinic Gersthof

OTHER

Sponsor Role lead

Responsible Party

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Dominik Drnek

Dr. med. univ.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Orthopedic Clinic Gersthof

Vienna, , Austria

Site Status

Countries

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Austria

Other Identifiers

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PMCBv1

Identifier Type: -

Identifier Source: org_study_id

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