Clinical trial Recruiting at 1 site Phase 4 Interventional Ages 18 and up

Comparing two knee replacement techniques for better outcomes

Official title: Kinematic and Mechanical Alignment Randomized Trial (KMART): A Technology-Focused Randomized Controlled Trial

Run by McMaster University · NCT06787417 · Data updated 2026-11-12

This study is testing two different knee replacement techniques to see which one helps people with knee osteoarthritis feel better and move more easily after surgery.

Quick facts

PhasePhase 4
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment260 (estimated)
SponsorMcMaster University
Academic / other
Locations1 site (Hamilton, Ontario)
StatusRecruiting
StartedFebruary 20, 2025
Main results expectedFebruary 2028
Study endsFebruary 2029
Registry record updatedMay 8, 2025
Trial IDNCT06787417 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with knee osteoarthritis requiring total knee arthroplasty.

Probably not a fit

Patients who have cognitive disabilities, language barriers, or those undergoing revision knee surgery may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial investigates the effectiveness of two different surgical techniques for total knee arthroplasty: mechanical alignment and restricted kinematic alignment. Mechanical alignment aims for a straight knee to enhance implant longevity, while restricted kinematic alignment customizes the knee replacement to fit each patient's unique anatomy. The study will assess patient satisfaction, functional outcomes, and knee motion to determine which approach yields better results. By utilizing robotic-assisted surgery, the trial aims to provide more personalized treatment options for patients with knee osteoarthritis.

Why it matters

Potential benefit: If successful, this study could lead to improved patient satisfaction and functional outcomes after knee replacement surgery.

How similar studies have gone: Previous studies have shown comparable outcomes between mechanical and kinematic alignment, but this trial aims to clarify the benefits of personalized approaches.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adult aged 18 years or older
* Knee osteoarthritis requiring total knee arthroplasty
* Provide informed consent

Exclusion Criteria:

* Inability to provide informed consent (e.g. cognitive disability, language barrier)
* Revision knee surgery
* Simultaneous bilateral knee surgery
* Recent lower extremity surgery or trauma interfering with gait assessment
* A CT scan cannot be obtained prior to surgery
* Inability or unwillingness to comply with the study protocol

Where it's running

  • St. Joseph's Healthcare
    Hamilton, Ontario, Canada
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.