ClinicalTrials.gg
RecruitingNCT05980442ORMAKUpdated Mar 27, 2026

Comparative Study of Navigation-assisted OrthoPilot® Elite and Robotic-assisted MAKO® Total Knee Arthroplasty

An observational study in Osteoarthritis, Knee, Joint Diseases and Rheumatoid Arthritis of Knee, sponsored by Aesculap AG. Recruiting at 1 site in Germany. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2026-03-27.

Sponsored by Aesculap AG (part of B. Braun) · Observational

From the registry’s dates

  • Started Jul 2024; still recruiting 2 years 4 months later.
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
140
Ages
18 Years to 90 Years
Sex
All
01

Study summary

Randomized, controlled, single center observational study to compare the safety and performance of navigation-assisted OrthoPilot Elite and robotic-assisted MAKO total knee arthroplasty (TKA). The aim of the study is the comparison of the clinical outcome between navigated and robotic-assisted TKA. The hypothesis of the study is that both treatments achieve similar results regarding functional and clinical aspects.

02

Conditions studied

  • Osteoarthritis, Knee
  • Joint Diseases
  • Rheumatoid Arthritis of Knee
  • Posttraumatic Arthropathy

Keywords

  • computer assisted orthopedic surgery
  • robotic assisted orthopedic surgery
  • orthopedic navigation
  • total knee arthroplasty
  • total knee replacement
03

In context

Osteoarthritis, Knee

3,292 studies on the registry are indexed under Osteoarthritis, Knee; 623 are open to participants now.

This study's planned enrollment of 140 is above the median of 100 across 486 observational studies indexed under Osteoarthritis, Knee.

Browse Osteoarthritis, Knee studies →

Lead sponsor

Aesculap AG is the lead sponsor of 105 studies on the registry; 20 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients between 18 and 90 years of age having indication for a fixed-bearing total knee endoprosthesis, without retropatellar arthrosis requiring patella resurfacing

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Indication for a TKA with a fixed-bearing total knee endoprosthesis
  • Written for participating in the clinical study

Exclusion criteria

Exclusion Criteria:

  • Patient age \<18 years and >90 years
  • Patient not willing to participate at the follow-up
  • Pregnancy
  • retropatellar arthrosis requiring patella resurfacing
  • American Society of Anaesthesiologists (ASA) Classification >3
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
140 participants (estimated)
Patient registry
No

Groups and cohorts

  • OrthoPilot® Elite

    navigated / computer assisted total knee replacement surgery

    Device: Navigated total knee arthroplasty

  • MAKO

    robot assisted total knee replacement surgery

    Device: Robot assisted total knee arthroplasty

Interventions

  • DeviceNavigated total knee arthroplasty

    Total knee arthroplasty with Columbus® total knee endoprosthesis using the OrthoPilot® Elite navigation system

    Also known as: Columbus® total knee endoprosthesis

  • DeviceRobot assisted total knee arthroplasty

    Total knee arthroplasty with Triathlon® total knee endoprosthesis using the MAKO® robot system

    Also known as: Triathlon® total knee endoprosthesis

06

What researchers measure

Primary outcomes

  1. Functional outcome of the Knee Surgery measured by the Knee Society Score (KSS) (functional component)

    Functional result one year postoperatively measured with the functional component of the Knee Society Score (KSS). The KSS is an examiner-administrated standard clinical evaluation tool reporting results for patients undergoing TKA. It separates findings in the operated knee (kKSS) score from findings related to the patient's function (fKSS), which might be affected by co-morbidities. The two sub-scores are reported separately ranging from 0 points (worst result) to 100 points (best results), as well as summarized score, total KSS. Final grading of total KSS results Scores of 160 to 200 will be rated as excellent, 140 to 159 as good, 120 to 139 as fair, and less than 120 as poor.

    Time frame: one year postoperatively

Secondary outcomes

  1. Survival of the implant components

    Kaplan-Meier Analysis is a standard statistical method to describe the survival of human subjects or medical products over a defined time period. The revision-free survival rate is the performance indicator of the product under investigation and confirms the clinical outcome of the knee prosthesis. Information on survival of the implant will be collected.

    Time frame: one year postoperatively

  2. Clinical outcome of the Knee Surgery measured by the Knee Society Score (KSS) (clinical component)

    Functional result one year postoperatively measured with the functional component of the Knee Society Score (KSS). The KSS is an examiner-administrated standard clinical evaluation tool reporting results for patients undergoing TKA. It separates findings in the operated knee (kKSS) score from findings related to the patient's function (fKSS), which might be affected by co-morbidities. The two sub-scores are reported separately ranging from 0 points (worst result) to 100 points (best results), as well as summarized score, total KSS. Final grading of total KSS results Scores of 160 to 200 will be rated as excellent, 140 to 159 as good, 120 to 139 as fair, and less than 120 as poor.

    Time frame: one year postoperatively

  3. Quality of Life [EQ-5D-5L]

    EQ-5D is a standardized 5-dimension (5D) 5-level (5L) measure of the health status and is developed by the EuroQol Group in order to have a simple and generic measure for clinical and economic assessment. Instructions for the user are directly included into the questionnaire and it consists of two pages. One cover five different dimensions (mobility, self care, usual activities, pain/discomfort, anxiety/depression) and the other one the EQ visual Analogue Scale (EQ-VAS). The VAS scale records the self rated health status of the patient from the level "the worst health you can imagine" to "the best health you can imagine".

    Time frame: one year postoperatively

  4. Anterior knee pain

    Anterior knee pain is used to evaluate the performance of the implantation and the implant itself. Rating is classified according to the description of Waters and Bentley in four dimensions: 0 (no pain), I (Mild pain that does not intrude on daily activities), II (Moderate pain that is a nuisance; patient not considering further surgery), III (Severe pain; Patient considering further surgery). The scoring is according to Feller et al. 0, 5, 10 and 15 points, respectively.

    Time frame: one year postoperatively

  5. Comparison of Radiographic alignment

    Alignment (femoral-knee baseline angle, tibial-knee baseline angle, femoral-tibial angle (mechanical))

    Time frame: one year postoperatively

  6. Comparison of Radiographic status

    potential presence of radiolucency at the interface between implant and bone on femoral and tibial components will be analyzed

    Time frame: one year postoperatively

  7. (Serious) Adverse Events

    During the course of the study, any upcoming intra- or postoperative (serious) adverse device events or effects ((S)AE) related or not related to the product under investigation, will be documented. The total number of (S)AEs will be summarized and further evaluated by the sponsor and reported according to local legislation and necessity. Recorded complications will be categorized and analyzed in order to assess the safety of the investigational product.

    Time frame: During the course of the study up to one year postoperatively

07

Study locations

1 of 1 sites recruiting
  • Bundeswehr Krankenhaus Ulm
    Ulm, Baden-Wurttemberg 89081, Germany
    Recruiting
    • Hans-Joachim Riesner, PD Dr. med. · Contact
    • Jörg Schneider, Dr. med. · Contact
    • Hans-Joachim Riesner, PD Dr. med. · Principal investigator
    • Jörg Schneider, Dr. med. · Sub investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jul 2024 (actual). Primary completion is estimated for Dec 2027, 41 months after the start.

Of 220 observational studies under Osteoarthritis, Knee, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 61. This study's planned 41 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 19, 2023
First posted
Aug 8, 2023
StartActual
Jul 3, 2024
Primary completionEst.
Dec 2027
CompletionEst.
Dec 2028
Last update
Mar 27, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05980442
Lead sponsor
Aesculap AG
Responsible party
Sponsor
First posted
Aug 8, 2023
Start date
Jul 3, 2024
Primary completion
Dec 2027 (estimated)
Completion
Dec 2028 (estimated)
Last update
Mar 27, 2026

Study contacts

Kristin Maier, Dr.
Contact
info@aesculap.de
+49746195
Marius Selig
Contact
info@aesculap.de
+49746195
Hans-Joachim Riesner, PD Dr. med.
principal investigator · Bundeswehr Krankenhaus Ulm

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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