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RecruitingNCT06770153Updated Jan 26, 2026

Comparison Between the Use of the Tensioner and Standard Surgical Technique for Ligament Balancing of Total Knee Prostheses

An interventional study of Tensor and standard in Knee Injuries, sponsored by Istituto Ortopedico Rizzoli. Recruiting at 1 site in Italy. Open to participants aged 50 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-01-26.

Sponsored by Istituto Ortopedico Rizzoli · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2024; still recruiting 1 year 11 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
50 Years to 85 Years
Sex
All
01

Study summary

the objective of the present study is to compare the post-operative laxity using stress radiographs and clinical scores in two groups of patients undergoing primary PS TKA with identical prosthetic model performed in two specialized centers, of which one group implanted with standard technique and one group through the intraoperative use of the tensioner

02

Conditions studied

  • Knee Injuries

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Keywords

  • Knee prosthesis
  • prosthesis
  • knee
03

In context

Knee Injuries

249 studies on the registry are indexed under Knee Injuries; 48 are open to participants now.

This study's planned enrollment of 200 is above the median of 50 across 160 interventional studies indexed under Knee Injuries.

Browse Knee Injuries studies →

Lead sponsor

Istituto Ortopedico Rizzoli is the lead sponsor of 298 studies on the registry; 102 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • Male and female subjects candidates for primary cemented total knee prosthesis model Attune PS mobile plate DePuy.
  • Patients who possess all the psychophysical capabilities to be able to undergo the operation and all the check-ups with radiological tests included (e.g. all patients who are not willing to go to the institute for all the scheduled follow-up visits will be excluded) .
  • Patients who have signed the "informed consent" approved by the Ethics Committee.
  • Patients who are aged between 50-85.

Exclusion criteria

Exclusion Criteria:

  • Social conditions that prevent participation in the study in all its phases (homeless patients, with restrictions on personal freedom, etc.)
  • Patients suffering from deep venous insufficiency of the lower extremities or with a personal or family history of deep venous thrombosis or pulmonary embolism
  • Patients with a history of erysipelas in the lower extremities
  • Patients suffering from neurological or psycho-cognitive disorders
  • Patients suffering from post-traumatic arthrosis
  • Patients who have already undergone prosthetic surgery and/or arthrodesis at the level of a lower limb joint
  • Patients with axial knee deformities >15°
  • Pregnant female patients
  • Patients with rheumatic diseases
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
200 participants (estimated)

Study arms

  • Active comparator
    Standard

    Procedure: standard

  • Experimental
    Tensor

    Procedure: Tensor

Interventions

  • ProcedureTensor

    balancing will be carried out using the TEMIS DePuy tensioner and carrying out any releases according to the gap-balancing technique

  • Procedurestandard

    primary TKA implantation with ligament balancing without use of the tensioner

06

What researchers measure

Primary outcomes

  1. radiographical images

    take stress x-rays (150 N) of the knee using TELOS to objectively and reproducibly analyze the lift-off (distance between the prosthetic component femoral and the tibial prosthetic component measured in mm)

    Time frame: at baseline, after 3 months, after 6 months anfer 12 months

Secondary outcomes

  1. Hip-Knee-Anke Angle

    Hip-Knee-Anke Angle (HKA) on orthostatic panoramic radiographs of the pre- and post-operative lower limbs of the knee.

    Time frame: at baseline, after 3 months, after 6 months anfer 12 months

  2. Visual Analogue Scale

    Visual Analogue Scale (VAS) for pain: a scale from 0 to 10 where 0 is no pain and 10 is the worst pain ever

    Time frame: at baseline, after 3 months, after 6 months anfer 12 months

07

Study locations

1 of 1 sites recruiting
  • IRCCS Istituto Ortopedico Rizzoli
    Bologna, 40136, Italy
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

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 Jan 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06770153
Lead sponsor
Istituto Ortopedico Rizzoli
Responsible party
Sponsor
First posted
Jan 13, 2025
Start date
Oct 11, 2024
Primary completion
Aug 2026 (estimated)
Completion
Oct 2026 (estimated)
Last update
Jan 26, 2026

Oversight

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

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