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Three Techniques for Establishing Component Alignment in Total Knee Reconstruction: A Randomised Clinical Trial

A comparison of extramedullary, intramedullary and computer-assisted surgery alignment techniques for establishing component alignment in total knee reconstruction: a randomised clinical trial

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12609000404224
Enrollment
107
Registered
2009-06-02
Start date
2009-03-24
Completion date
2009-11-11
Last updated
2020-02-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The purpose of the study is to determine which surgical technique provides the best alignment for total knee replacements The null hypothesis is that all techniques are equally good.

Interventions

Patients will undergo total knee replacement (TKR) using one of three methods: 1. extramedullary alignment (surgery uses a jig placed on the outside of the leg to determine cut placement) 2. intramedullary alignment surgery uses a jig placed on a rod sitting in the medullary canal of the tibia to determine cut placement) 3. Computer assisted surgery (CAS) alignment, surgery uses a jig, placement of which is determined by computer reconstruction of the leg to determine cut placement) The surger

Patients will undergo total knee replacement (TKR) using one of three methods: 1. extramedullary alignment (surgery uses a jig placed on the outside of the leg to determine cut placement) 2. intramedullary alignment surgery uses a jig placed on a rod sitting in the medullary canal of the tibia to determine cut placement) 3. Computer assisted surgery (CAS) alignment, surgery uses a jig, placement of which is determined by computer reconstruction of the leg to determine cut placement) The surgery takes 1-2 hours for all the procedures.

Sponsors

Riaz Khan
Lead SponsorIndividual

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)

Eligibility

Sex/Gender
All
Age
40 Years to 90 Years
Healthy volunteers
No

Inclusion criteria

Primary total knee replacement for varus osteoarthritis

Exclusion criteria

Patients will be excluded from the trial for tibial deformity (including past fracture or high tibial osteotomy) or valgus deformity.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026