Weight-Bearing CT for Healing of Periprosthetic Knee Fractures
Official title: Assessment of Bone Displacement Under Loading Following Periprosthetic Fracture Repair With Weight-Bearing CT
Run by London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's · NCT06525610 · Data updated 2026-11-12
This study tests weight-bearing CT scans to better assess healing after distal femur fractures around a knee implant in adults 50–90 years old who recently had revision knee surgery.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 50 Years to 90 Years |
| Sex | All |
| Enrollment | 21 (estimated) |
| Sponsor | London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's Academic / other |
| Locations | 1 site (London, Ontario) |
| Status | Recruiting |
| Started | September 24, 2025 |
| Main results expected | August 2027 |
| Study ends | August 2027 |
| Registry record updated | September 29, 2026 |
| Trial ID | NCT06525610 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 50–90 who recently had revision surgery for distal femur fracture around a knee prosthesis, can provide consent, and can tolerate a weight-bearing CT exam.
✕Probably not a fit
Patients who are not able to stand for a weight-bearing CT or who have had prior revisions on the same knee may have limited or no benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study uses weight-bearing CT imaging to evaluate fracture fixation and bone healing around a total knee arthroplasty. Eligible participants are adults 50–90 who recently underwent revision surgery for a distal femur fracture and can stand for a weight-bearing CT exam. The goal is to standardize fracture healing assessment and improve guidance for post-operative care and potential revisions. Imaging will focus on visualizing bone ingrowth and implant stability to help clinicians make more informed treatment decisions. The study is conducted at London Health Sciences Centre Research Institute and Lawson Research Institute of St. Joseph's in London, Ontario.
Why it matters
Potential benefit: If successful, patients may benefit from more accurate fracture healing assessments that could reduce unnecessary revisions and optimize recovery guidance.
How similar studies have gone: Previous work in imaging-based fracture healing has shown promise for improving assessment accuracy, but standardized criteria are still evolving for periprosthetic knee fractures.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Recently underwent revision surgery for repair of a distal femur fracture surgery for total knee arthroplasty femoral component using a fracture fixation plate. Due to the study requiring the potential participant to be scanned \<1-week post-operation, the duration of "recently" will be defined as \<1 week post-operation. * Age 50-90 years * Body mass index up to 40kg/m2 * Able to provide informed consent * Able and willing to do study assessments and follow instructions Exclusion Criteria: * Prior revision surgery on the targeted knee * Does not understand English * Undergoing and/or have undergone revision surgery for any other indication * Received intramedullary nail or distal femur replacement * Cannot independently stand on one leg in the weight-bearing CT during the inducible displacement exam
Where it's running
-
London Health Sciences Centre Research Institute
London, Ontario, Canada Recruiting
Study contacts
- Principal investigator: Brent Lanting, MD — London Health Sciences Centre
- Study coordinator: Brent Lanting, MD
- Email: brent.lanting@lhsc.on.ca
- Phone: 519-685-8500
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.