UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000018207
Receipt number R000021035
Scientific Title The effects of anatomic alignment on the clinical outcome of total knee arthroplasty: A randomized prospective study.
Date of disclosure of the study information 2015/07/10
Last modified on 2021/09/08 08:46:56

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Basic information

Public title

The effects of anatomic alignment on the clinical outcome of total knee arthroplasty: A randomized prospective study.

Acronym

Anatomically-aligned total knee arthroplasty

Scientific Title

The effects of anatomic alignment on the clinical outcome of total knee arthroplasty: A randomized prospective study.

Scientific Title:Acronym

Anatomically-aligned total knee arthroplasty

Region

Japan


Condition

Condition

Osteoarthritis of the knee

Classification by specialty

Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

A traditional neutral alignment total knee technique has been considered as very successful in terms of implant survivorship, however, 20% of the patients undergoing neutrally-aligned TKA are dissatisfied with the clinical results.
Recently, anatomically aligned total knee techniques have been growing in popularity among surgeons who are not completely satisfied with the outcomes of the traditional neutrally-alignment TKA.
This study is designed to seek insights on optimal implant alignment for higher patient satisfaction.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

New Knee Society Score (w/Patient satisfaction) at 6mo and 1 year F/U

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

TKA reproducing each patient's original anatomy

Interventions/Control_2

TKA with conventional neutral alignment

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

50 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients indicated for TKA due to medial knee osteoarthritis
(Kellgren & Lowrence III<)

Key exclusion criteria

Cases with primary cause besides osteoarthritis
Cases with inflammatory arthritis
Cases with lateral knee osteoarthritis

Target sample size

90


Research contact person

Name of lead principal investigator

1st name Yasuo
Middle name
Last name Niki

Organization

Keio University

Division name

School of Medicine,Department of Orthopaedic Surgery

Zip code

1608582

Address

Shinanomachi35, Shinjuku, Tokyo

TEL

0353633812

Email

y-niki@keio.jp


Public contact

Name of contact person

1st name Yasuo
Middle name
Last name Niki

Organization

Keio University

Division name

School of Medicine,Department of Orthopaedic Surgery

Zip code

1608582

Address

Shinanomachi35, Shinjuku, Tokyo

TEL

0353633812

Homepage URL


Email

y-niki@keio.jp


Sponsor or person

Institute

Keio University,School of Medicine,Department of Orthopaedic Surgery

Institute

Department

Personal name



Funding Source

Organization

MicroPort Orthopedics Japan K.K.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

USA


Other related organizations

Co-sponsor

Department of Orthopaedic Surgery, Hiratsuka Hospital
Department of Orthopaedic Surgery,Fussa Hospital

Name of secondary funder(s)

None


IRB Contact (For public release)

Organization

Keio University

Address

35, Shinanomachi, Shinjuku

Tel

0353633812

Email

y-niki@keio.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2015 Year 07 Month 10 Day


Related information

URL releasing protocol

in submission to American journal

Publication of results

Unpublished


Result

URL related to results and publications

in submission to the Journal (Arthroplasty today)

Number of participants that the trial has enrolled

16

Results

anatomically aligned TKA exhibited greater internal rotation ot the tibia relative to femur during gait, suggesting that anatomical alignment restored normal knee kinematics in OA patients.

Results date posted

2021 Year 09 Month 03 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

KL4 endstage OA

Participant flow

excluded patients refusing radiological exposure during gait analysis and image fluoroscopic analysis

Adverse events

none

Outcome measures

gait parameter
knee rotation angle

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2014 Year 12 Month 02 Day

Date of IRB

2015 Year 01 Month 09 Day

Anticipated trial start date

2015 Year 07 Month 03 Day

Last follow-up date

2019 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded

2020 Year 12 Month 31 Day


Other

Other related information



Management information

Registered date

2015 Year 07 Month 06 Day

Last modified on

2021 Year 09 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000021035


Research Plan
Registered date File name
2021/09/03 figure 0202二木.pptx

Research case data specifications
Registered date File name
2021/09/03 Manuscript.docx

Research case data
Registered date File name
2021/09/03 Manuscript.docx