Mechanical Alignment Vs Kalipered Kinematic Alignment Total Knee Arthroplasty

Description

Knee replacement surgery can be performed in one of two ways. Traditionally the goal was for the new joint to be in a neutral position with respect to the femur (thigh bone). This is called Mechanical Alignment (MA). The neutral position is different than the human knee's natural position, so MA often requires the surgeon to make additional cuts to the ligaments and other soft tissue around the knee. More recently surgeons have started to place the new joint in a position that more closely replicates the natural alignment of the human knee. This is called Kinemetic Alignment (KA). KA can be done without additional soft tissue dissection but the procedure requires a higher level of precision that can be difficult to achieve in every case. Some studies have found no difference in outcomes between MA and KA, whereas others have found KA to be superior. But these were small studies or studies that did not consider patient-rated outcomes.

Conditions

Knee Osteoarthritis, Knee Arthropathy

Study Overview

Study Details

Study overview

Knee replacement surgery can be performed in one of two ways. Traditionally the goal was for the new joint to be in a neutral position with respect to the femur (thigh bone). This is called Mechanical Alignment (MA). The neutral position is different than the human knee's natural position, so MA often requires the surgeon to make additional cuts to the ligaments and other soft tissue around the knee. More recently surgeons have started to place the new joint in a position that more closely replicates the natural alignment of the human knee. This is called Kinemetic Alignment (KA). KA can be done without additional soft tissue dissection but the procedure requires a higher level of precision that can be difficult to achieve in every case. Some studies have found no difference in outcomes between MA and KA, whereas others have found KA to be superior. But these were small studies or studies that did not consider patient-rated outcomes.

A Prospective, Randomized, Single-blinded Clinical Trial Comparing Mechanical Alignment Vs Kalipered Kinematic Alignment Total Knee Arthroplasty Using Medacta Spherika

Mechanical Alignment Vs Kalipered Kinematic Alignment Total Knee Arthroplasty

Condition
Knee Osteoarthritis
Intervention / Treatment

-

Contacts and Locations

Chicago

Northwestern Medicine, Chicago, Illinois, United States, 60611

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Patient undergoing primary TKA with a medially-stabilized SpheriKA knee system
  • * Able to read and understand consent form and PRO instruments and willing to return for follow up visits
  • * Varus or Valgus malalignment \>15 degrees to mechanical axis
  • * Flexion contracture \>15 degrees or flexion \<90 degrees
  • * BMI \>40
  • * Revision TKA or other prior knee surgery other than arthroscopy or arthroscopic-assisted ligament reconstruction
  • * Diagnosis or history of any of the following
  • * inflammatory arthritis
  • * infection in study knee
  • * chronic pain
  • * chronic opioid use
  • * metabolic musculoskeletal disorder other than osteopenia/osteoporosis
  • * Patients receiving workers' compensation for study condition
  • * Patients who cannot complete questionnaires in English
  • * Patients with comorbidities preventing surgery
  • * Patients who are not able to provide informed consent

Ages Eligible for Study

21 Years to 79 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Northwestern University,

Adam Edelstein, MD, PRINCIPAL_INVESTIGATOR, Assistant Professor of Orthopaedic Surgery

Study Record Dates

2028-12