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CompletedNCT06638047RA-TKAUpdated Oct 15, 2024

Early Clinical and Radiological Outcomes of a Novel Robotic TKA System

An interventional study of robotic-assisted TKA and CI-TKA in Total Knee Anthroplasty and Robotic Surgery, sponsored by Peking University Third Hospital. Completed at 1 site in China. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2024-10-15.

Sponsored by Peking University Third Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years after the study started (first participant enrolled Sep 2022, registered Oct 2024).
Phase
Not applicable
Study type
Interventional
Enrollment
144
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

This study aimed to evaluate the early clinical and radiological outcomes of robot assisted total knee arthroplasty, and to determine the efficiency and safety of its bone resection and implant positioning of the novel robot system.

144 patients undergoing primary TKA were enrolled in this prospective, multicenter RCT conducted in 3 hospitals. The primary outcome was the rate of patients whose postoperative alignment was less than 3° deviated from the planned evaluated by full-length weight-bearing X-rays of the lower limb at 12 weeks postoperatively. Secondary outcomes will include coronal and sagittal alignment of the components, operation times, blood loss, 12-week range of motion(ROM), 12-week postoperative functional outcomes and satisfaction evaluated by the American Knee Society Score (KSS) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and adverse events (AEs).

02

Conditions studied

  • Total Knee Anthroplasty
  • Robotic Surgery

Keywords

  • total knee arthroplasty
  • robot
  • radiological
  • clinical outcome
  • postoperative alignment
03

In context

Lead sponsor

Peking University Third Hospital is the lead sponsor of 735 studies on the registry; 262 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients aged 18-85 years (including 18 and 85), regardless of gender;
  • Patients scheduled for unilateral primary total knee arthroplasty based on the clinical judgment of the study physician;
  • The subject or their guardian has been informed of the study, agrees to all terms of the trial, signs an informed consent form approved by the ethics committee, and agrees to participate in the trial.

Exclusion criteria

Exclusion Criteria:

  • The side scheduled for surgery has significant hip joint disease, such as substantial bone defects or severe limitations in joint mobility;
  • Patients with active infections around the knee joint or systemic infections;
  • Discontinuity or severe functional loss of the knee extensor mechanism, painless knee joint fusion, Charcot joint, poor surgical tolerance, or other conditions that may adversely affect surgical prognosis;
  • Patients with contraindications for traditional TKA surgery;
  • Pregnant or breastfeeding women;
  • Patients known to have excessive alcohol consumption or substance abuse; Body mass index (BMI) > 35 kg/m²;
  • Patients who have participated in other clinical trials within one month prior to signing the informed consent form;
  • Patients with mental or intellectual disabilities that may affect clinical outcome evaluations;
  • Patients deemed unsuitable for participation in this clinical trial by the investigator.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
144 participants (actual)

Study arms

  • Experimental
    RA TKA

    Robotic-assisted TKA

    Procedure: robotic-assisted TKA

  • Active comparator
    CI TKA

    TKA with conventional instruments

    Procedure: CI-TKA

Interventions

  • Procedurerobotic-assisted TKA

    Robotic-assisted TKA means that TKA surgery is operated with the guidance of robotic system.

  • ProcedureCI-TKA

    TKA operated with conventional instruments

06

What researchers measure

Primary outcomes

  1. HKA outliers

    the proportion of patients with a deviation of ≤ 3° between the mechanical axis (hip-knee-ankle angle, or HKA angle) measured from a full-length, frontal-view lower limb X-ray

    Time frame: 12 weeks post-surgery

Secondary outcomes

  1. FFC angle

    frontal femoral component (FFC) angle

    Time frame: 12 weeks post-surgery

  2. outliers of FFC angle

    outliers of frontal femoral component (FFC) angle (\>3 degree)

    Time frame: 12 weeks post-surgery

  3. FTC angle

    frontal tibia component (FTC) angle

    Time frame: 12 weeks post-surgery

  4. outliers of FTC angle

    outliers of frontal tibia component (FTC) angle (\>3 degree)

    Time frame: 12 weeks post-surgery

  5. LFC angle

    lateral femoral component (LFC) angle

    Time frame: 12 weeks post-surgery

  6. outliers of LFC angle

    outliers of lateral femoral component (LFC) angle (\>3 degree)

    Time frame: 12 weeks post-surgery

  7. LTC angle

    lateral tibia component (LTC) angle

    Time frame: 12 weeks post-surgery

  8. outliers of LTC angle

    outliers of lateral tibia component (LTC) angle (\>3 degree)

    Time frame: 12 weeks post-surgery

  9. Surgical duration

    In this study, surgical duration is defined as the time from the first incision to the completion of skin closure

    Time frame: During operation

  10. Blood loss

    Postoperative blood loss is calculated using the Gross formula in this study. The Gross equation was used to calculate the total blood loss (mL) as preoperative blood volume×(preoperative HCT level-postoperative HCT level).

    Time frame: 3 days after surgery

  11. ROM

    ROM refers to the maximum passive range of knee motion

    Time frame: 12 weeks post-surgery

  12. Knee Society Score (KSS)

    The KSS, developed by the American Knee Society, evaluates objective knee indicators, symptoms, patient satisfaction, patient expectations, and functional activities. A total score above 85 is considered excellent, 70-84 is good, 60-69 is fair, and below 60 is poor.

    Time frame: screening and 12 weeks post-surgery.

  13. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)

    The WOMAC measures knee function in terms of pain, stiffness, and physical function across 25 items. Pain is assessed with five items, stiffness with two items, and physical function with 18 items. Each item is scored from 0 to 4, with higher scores indicating more severe symptoms.

    Time frame: screening and 12 weeks post-surgery.

  14. Incidence of adverse events and serious adverse events

    Throughout the study, any adverse events that occurred were recorded, and the corresponding incidence was calculated. Similarly, any serious adverse events that occurred during the study were recorded, and the corresponding incidence was calculated.

    Time frame: Through study completion, an average of 12 weeks

07

Study locations

1 site
  • Peking University Third Hospital
    Beijing, Beijing 100191, China
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 Oct 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06638047
Lead sponsor
Peking University Third Hospital
Responsible party
Tian Hua (MD, Peking University Third Hospital) — Principal investigator
First posted
Oct 15, 2024
Start date
Sep 8, 2022
Primary completion
Feb 2, 2023
Completion
May 13, 2024
Last update
Oct 15, 2024

Oversight

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

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