Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Evaluating different alignment techniques in knee replacement surgery

Official title: Evaluation of Navigation-Assisted TKA Using Mechanical vs. Restricted Kinematic Alignment on Patient Reported Outcome Measures (PROMs): A Prospective, Randomized Clinical Study

Run by Exactech · NCT05516381 · Data updated 2026-11-12

This study is testing two different knee replacement surgery techniques to see which one helps patients recover better and feel happier after the operation.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment148 (estimated)
SponsorExactech
Industry-sponsored
Drugs / interventionschemotherapy, radiation
Locations1 site (Barcelona)
StatusRecruiting
StartedMay 15, 2023
Main results expectedDecember 2026
Study endsJune 2027
Registry record updatedJune 18, 2024
Trial IDNCT05516381 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are adults aged 18 and older who require total knee arthroplasty and can provide informed consent.

Probably not a fit

Patients with systemic infections, inadequate bone stock, or significant mental or neuromuscular disorders 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 aims to compare two surgical techniques for total knee arthroplasty (TKA): mechanical alignment (MA) and restricted inverse kinematic alignment (iKA), both assisted by navigation technology. A total of 148 patients will be randomly assigned to one of the two techniques using the Optetrak Logic® CR TKA device. The study will assess clinical outcomes and patient-reported outcome measures (PROMs) to determine the effectiveness of each approach. Participants will be blinded to their assigned technique until the study's completion.

Why it matters

Potential benefit: If successful, this study could lead to improved surgical outcomes and patient satisfaction in knee replacement surgeries.

How similar studies have gone: Previous studies have shown promising results with navigation-assisted techniques in knee arthroplasty, suggesting potential for success in this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Subjects must meet all of the following inclusion criteria to be included in the study:

  1. Subject must be at least 18 years of age at the time of the surgery (skeletally mature)
  2. Subject will receive a Optetrak Logic® CR device per the "Indications for Use" described above
  3. Subject must be willing to comply with the pre-operative and post-operative visit requirements
  4. Subject must be willing and able to provide written informed consent for participation in the study

Exclusion Criteria:

* Subjects will be excluded from the study if they meet any of the following exclusion criteria:

  1. Subject with a suspected or confirmed systemic infection and/or a secondary remote infection
  2. Subject without sufficient bone stock to allow appropriate insertion and fixation of the prosthesis
  3. Subject without sufficient soft tissue integrity to provide adequate stability
  4. Subject with either mental or neuromuscular disorders that do not allow control of the knee joint
  5. Subjects whose weight, age, or activity level might cause extreme loads and early failure of the system
  6. Subject is participating in another drug or device study other than knee replacement within the last three (3) months
  7. Subject has behavioral and/or mental issues that may interfere with their ability to follow post-operative instructions
  8. Subject is a prisoner
  9. Subject is pregnant
  10. Subject is undergoing radiation therapy where the targeted field involves the knee joint
  11. Subjects with malignancy involving proximal tibia, distal femur, or knee joint
  12. Subjects undergoing active administration of chemotherapy

Where it's running

  • Fundacio Mutua de Terrassa per a la Docenia i Recera Biomedica i Social, F.P.C.
    Barcelona, Spain
    Recruiting

Study contacts

  • Principal investigator: David Mateu-Vincent, Medical Degree — Orthpaedic Surgeon Hospital Universitaria Mutua Terrassa
  • Study coordinator: Alex Knisely, BSBA
  • Email: alex.knisely@exac.com
  • Phone: 352-474-9582

Similar studies

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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.