Navigated total knee replacement using OrthoPilot pheno4u TKA Level 1

Prospective, Single-arm, Multicenter Study to Evaluate the Performance of Navigated Total Knee Arthroplasty Using the OrthoPilot and the Software pheno4u TKA Level 1

Observational Aesculap AG · NCT06955481

This project will test whether the OrthoPilot pheno4u TKA Level 1 navigation software improves the accuracy and safety of navigated total knee replacement for adults (18–80) with osteoarthritis or other knee joint problems.

Quick facts

Study typeObservational
Enrollment120 (estimated)
Ages18 Years to 80 Years
SexAll
SponsorAesculap AG Industry-sponsored
Locations4 sites (Šumperk and 3 other locations)
Trial IDNCT06955481 on ClinicalTrials.gov

What this trial studies

This post‑market clinical follow-up is an observational, multi‑center project using the OrthoPilot Elite system with the new pheno4u TKA Level 1 navigation software during navigated total knee arthroplasty procedures. Surgeons will use the navigation software during routine TKA and the study will record navigation accuracy, intraoperative data, complications, and device‑related events. Patient‑reported outcome measures (PROMs) and functional outcomes will be collected at follow‑up visits to capture satisfaction and recovery. The study enrolls adults aged 18–80 indicated for a primary TKA with the specified implant and excludes patients with prior knee replacement, ASA class >3, pregnancy, or inability to complete follow‑up.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18–80 who need a primary total knee arthroplasty with the Aesculap implant using the OrthoPilot navigation system, can give informed consent, and can attend long‑term follow‑up visits.

Not a fit: Patients unlikely to benefit include those under 18 or over 80, pregnant patients, those with prior replacement of the index knee, ASA class >3, or individuals unable to participate in follow‑up examinations.

Why it matters

Potential benefit: If successful, the navigation software could lead to more accurate implant positioning, better function and satisfaction, and potentially longer prosthesis survival.

How similar studies have performed: Navigation‑assisted total knee arthroplasty has been used in many studies and often improves implant alignment, though evidence for consistent long‑term clinical advantage is mixed and this software version requires post‑market performance data.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Indication for a TKA with the OrthoPilot® Navigation System with a Aesculap total knee endo-prosthesis
* Written signed informed consent of patient
* Willingness and mental ability to participate at the long-term follow-up examinations

Exclusion Criteria:

* Pregnancy
* Patients \< 18 years or \> 80 years
* Patients unable to participate at the follow-up examination (physically, mentally)
* Previous joint replacement at the index knee
* ASA classification \> 3 ( ASA I: A healthy patient without systemic diseases. ASA II: A patient with a mild systemic disease that is well controlled (e.g., well-controlled diabetes or hypertension). ASA III: A patient with a severe systemic disease that causes functional limitations (e.g., poorly controlled diabetes, COPD). ASA IV: A patient with a life-threatening systemic disease (e.g., severe heart failure, sepsis). ASA V: A dying patient who is not expected to survive without the operation. ASA VI: A deceased patient whose organs are being removed for donation.)

Where this trial is running

Šumperk and 3 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Osteoarthritis, KneeJoint DiseasesRheumatoid Arthritis of KneePosttraumatic ArthropathyNavigationTotal Knee ArthroplastyOrthoPilot
Last reviewed 2026-06-09 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.