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Trial registered on ANZCTR
Registration number
ACTRN12611000115932
Ethics application status
Approved
Date submitted
15/09/2010
Date registered
1/02/2011
Date last updated
1/02/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
Assessing the accuracy of bone cuts in total knee arthroplasty using custom patient specific cutting blocks
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Scientific title
Assessing the accuracy of bone cuts in total knee arthroplasty using Smith & Nephew Visionaire custom patient specific cutting blocks
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Secondary ID [1]
252691
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nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
osteoarthritis of the knee
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Condition category
Condition code
Musculoskeletal
258362
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0
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Osteoarthritis
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Surgery
258365
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0
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Surgical techniques
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patient Matched Instrumentation(PMI) in Total Knee Arthroplasty (TKA).
All patients will undergo routine pre-operative assessment as well as an Magnetic Resonance Image (MRI) scan & long leg x-rays which are used to make “Visionaire” patient matched disposable cutting blocks (instruments). The cutting blocks are made from pure ‘nylon 12’ material, and are made as a single use disposable item designed to match perfectly the patients anatomy.
At the time of surgery, patients will undergo routine preparation for navigation with computer assisted surgery (CAS) surgery.
Instead of manual placement of a standard cutting blocks under navigation, the Visionaire cutting blocks will then be applied and fixed with standard pins. The position of the blocks will then be referenced to the patients anatomy registered on the CAS, and the data recorded. If the position is inadequate, the blocks will be replaced with standard CAS instruments and the surgery proceed as normal. The surgery will take approximately 90 minutes.
All patients will be assessed post-operatively with standard radiographs including long leg films to assess alignment and verify component position. These will be done by 12 weeks post-op.
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Intervention code [1]
257201
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Treatment: Surgery
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Comparator / control treatment
uncontrolled
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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intra-operative alignment of cutting blocks as assessed with computer navigation
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Assessment method [1]
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Timepoint [1]
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intra-operative
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Secondary outcome [1]
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alignment measured on post-operative radiopraphs
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Assessment method [1]
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Timepoint [1]
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12 weeks post-operative
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Eligibility
Key inclusion criteria
all patients presenting for total knee arthroplasty who are able to have an Magnetic Resonance Image (MRI) scan
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Minimum age
50
Years
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Maximum age
90
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
patients unable to have an Magnetic Resonance Image(MRI) scan
previous major surgery about the knee
patients unable to undergo elective surgery
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/04/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Smith & Nephew
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Address [1]
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19-25 Khertoum Rd
North Ryde
NSW 2113
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Dr Price Gallie
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Address
123 Nerang St
Southport 4215
QLD
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Country
Australia
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Secondary sponsor category [1]
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Commercial sector/Industry
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Name [1]
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Smith & Nephew
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Address [1]
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19-25 Khertoum Rd
North Ryde
NSW 2113
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Country [1]
256875
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Gold Coast Hospital Regional Ethics Comittee
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Ethics committee address [1]
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108 Nerang St Southport 4215 QLD
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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09/12/2009
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Ethics approval number [1]
259671
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Summary
Brief summary
Patient matched instruments use pre-operative MRI and radiographs to produced custom instruments for total knee replacement surgery. We aim to verify the accuracy of these blocks using standard intra-operative navigation with computer assisted surgery, and post-operatively with xray assessment.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Price Gallie
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Address
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123 Nerang St
Southport
4215 QLD
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Country
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Australia
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Phone
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+617 55913454
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Price Gallie
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Address
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123 Nerang St
Southport
4215 QLD
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Country
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Australia
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Phone
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+617 55913454
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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