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Bespoke vs Standard Instrumentation in TKR (SPHERE)

NHS Foundation Trust logo

NHS Foundation Trust

Status

Completed

Conditions

Knee Osteoarthritis

Treatments

Device: Patient specific instrumentation
Procedure: Conventional

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

Total knee replacements are operations that are offered to patients who have severe arthritis pain that is affecting daily activities that is no longer controlled with painkillers. The operation will replace the worn joints with metal implants and a plastic spacer. Total knee replacements are successful operations in the vast majority of patients. However, a small minority of patients are not entirely satisfied with the outcome of their knee replacement. Researchers are studying whether the precise positioning of the implant has an effect on the outcome.

This study will look at whether patient-specific instrumentation improves implant position and if it leads to improved patient function so that we know what to recommend in the future.

Enrollment

172 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patients with osteoarthritis of the knee which is sufficiently symptomatic to require knee arthroplasty as assessed by their consultant orthopaedic surgeon

Exclusion criteria

  • Patients with inflammatory arthropathy, patients requiring bone augmentation, patients with ligament incompetence or valgus deformity >5 degrees.

Trial design

Primary purpose

Basic Science

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

172 participants in 2 patient groups

Conventional
Active Comparator group
Description:
Total knee replacement with conventional instrumentation
Treatment:
Procedure: Conventional
Patient specific instrumentation
Active Comparator group
Description:
Total knee replacement with patient specific instrumentation
Treatment:
Device: Patient specific instrumentation
Device: Patient specific instrumentation

Trial contacts and locations

1

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Central trial contact

Leela Biant; Lawrie Rogerson

Data sourced from clinicaltrials.gov

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