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Enrolling by invitationNCT06447922Updated Jul 13, 2026

Metal Ion Concentrations After Total Knee Arthroplasty

An observational study in Arthroplasty, Replacement, Knee, Total Knee Replacement and Blood Metal Ion Concentration, sponsored by Mayo Clinic. Enrolling by invitation at 1 site in United States. Open to participants aged 18 Years to 100 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-13.

Sponsored by Mayo Clinic · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
60
Ages
18 Years to 100 Years
Sex
All
01

Study summary

The purpose of this study is to analyze the metal ion concentrations in the patients blood following robotic-assisted total knee arthroplasty (TKA) compared to conventional total knee arthroplasty using cutting guides.

Read the detailed description

This study focuses on comparing metal ion levels in 50 inpatient participants undergoing primary total knee arthroplasty (TKA) with either conventional cutting guides or robotic assistance. Baseline blood examinations for Cobalt, Chromium, Titanium, and Nickel will be performed before TKA implantation at preoperative visits and on the first day following the procedure. The investigation will encompass patients receiving both conventional and robotic-assisted primary TKA, framed within a prospective cohort study design. Baseline characteristics and additional follow-up information will be gathered.

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Conditions studied

  • Arthroplasty, Replacement, Knee
  • Total Knee Replacement
  • Blood Metal Ion Concentration
03

In context

Lead sponsor

Mayo Clinic is the lead sponsor of 3,218 studies on the registry; 670 are open to participants now.

Of its 445 completed or terminated interventional studies of FDA-regulated products, 313 (70%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Adult patients eligible for a primary total knee replacement who have not had a prior joint replacement or surgery where metal implants were placed.

Inclusion criteria

  • Adults undergoing conventional or robotic-assisted TKA
  • Consent to the study

Exclusion criteria

Exclusion Criteria:

  • Patients who have undergone any previous arthroplasty procedures.
  • Patients with metal implants, such as plates, nails, and screws, used in the repair of traumatic injuries.
  • Patients below 110 pounds.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
60 participants (estimated)
Patient registry
No

Groups and cohorts

  • Conventional TKA with Cutting Guides

    Patients undergoing a conventional total knee arthroplasty with cutting guides (no robot-assistance).

    Other: Metal ion level testing

  • Robot-Assisted TKA

    Patients undergoing a robot-assisted total knee arthroplasty.

    Other: Metal ion level testing

Interventions

  • OtherMetal ion level testing

    Patients will undergo a pre- and post-operative blood draw to analyze metal ion levels (Cobalt, Chromium, Titanium and Nickel)

06

What researchers measure

Primary outcomes

  1. Overall blood metal ion differences between procedures (Conventional TKA vs Robot-Assisted TKA)

    Difference in overall blood metal ion levels (Cobalt, Chromium, Titanium, and Nickel) between patients undergoing total knee arthroplasty (TKA) with conventional cutting guides and those undergoing TKA with robotic assistance.

    Time frame: Pre-operatively, first post-operative day.

Secondary outcomes

  1. Comparison of post-operative blood metal levels between procedures: Cobalt

    Difference in post-operative levels, adjusted for the pre-operative levels, between Conventional TKA with Cutting Guides vs Robot-Assisted TKA

    Time frame: First post-operative day

  2. Comparison of post-operative blood metal levels between procedures: Chromium

    Difference in post-operative levels, adjusted for the pre-operative levels, between Conventional TKA with Cutting Guides vs Robot-Assisted TKA

    Time frame: First post-operative day

  3. Comparison of post-operative blood metal levels between procedures: Titanium

    Difference in post-operative levels, adjusted for the pre-operative levels, between Conventional TKA with Cutting Guides vs Robot-Assisted TKA

    Time frame: First post-operative day

  4. Comparison of post-operative blood metal levels between procedures: Nickel

    Difference in post-operative levels, adjusted for the pre-operative levels, between Conventional TKA with Cutting Guides vs Robot-Assisted TKA

    Time frame: First post-operative day

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Study locations

1 site
  • Mayo Clinic in Rochester
    Rochester, Minnesota 55905, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06447922
Lead sponsor
Mayo Clinic
Responsible party
Matthew P. Abdel, M.D. (Principal Investigator, Mayo Clinic) — Principal investigator
First posted
Jun 7, 2024
Start date
Jun 25, 2024
Primary completion
Oct 2026 (estimated)
Completion
Oct 2026 (estimated)
Last update
Jul 13, 2026

Study contacts

Matthew P Abdel
principal investigator · Mayo Clinic

Oversight

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

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No contact was published for this record. The registry link below has the sponsor’s details.

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