About this trial
This multicenter, prospective cohort study will evaluate whether Robotic-Assisted total knee arthroplasty (RATKA) with a Medial Congruent implant is a successful method to improve implant alignment, insert thickness accuracy, and patient satisfaction, compared to a conventional TKA (cTKA) Medial Pivot technique. It aims to assess and compare clinical and functional outcomes in patients with severe knee osteoarthritis at 3, 6, and 12 months.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
Robotic assisted total knee arthroplasty
Procedure/Surgery• ROSA RATKA with Zimmer Biomet Persona Medial Congruent
Conventional total knee arthroplasty (cTKA)
Procedure/SurgerycTKA with Microport Evolution Medial-Pivot
Treatment groups
Trial outcomes
Primary outcomes
Polyethylene insert thickness
Insert Thickness: Measured and analyzed in millimeters
Mechanical axis outliers
Outliers: Defined as more than 2.0 degrees from mechanical alignment, measured on full-leg X-ray
Secondary outcomes
International knee documentation committe (IKDC) subjective score
The IKDC is a purely subjective assessment that assigns patients a functional overall rating. Three (3) categories are examined by the questionnaire: symptoms, athletic activity, and knee function. The symptoms subscale aids in evaluating issues like pain, stiffness, edema, and knee giving way. The ICC, which varies from 0.87 to 0.98, was deemed sufficient (\>0.70). Overall, it was discovered that the IKDC-SKF has positive test-retest reliability (Grevnerts et al. 2015). The IKDC subjective form scored acceptable for construct validity (84% confirmation of the predefined hypotheses) and responsiveness (86% confirmation of the predefined hypotheses) (van Meer et al. 2015).
Forgotten joint score-12 (FJS-12)
The primary objective of the FJS-12 is to evaluate the extent to which patients "forget" their artificial joints during daily activities. A higher score indicates that the patient is less aware of their joint, suggesting better surgical outcomes and higher levels of patient satisfaction.
Sponsors and contacts
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George Emil Palade University of Medicine, Pharmacy, Sciences and Technology of Targu Mures
Lead sponsor
Iuliu Hatieganu University of Medicine and Pharmacy
Collaborator
County Clinical Emergency Hospital Cluj-Napoca
Collaborator