Total Knee Arthroplasty With Personalized Implantation: Computer Navigation-Assisted Surgery Versus Robotic-Assisted Surgery
NCT07574762
Summary
Title: Personalized Total Knee Arthroplasty: Computer-Assisted Navigation vs. Robotic Assistance (CAN-ARD). Summary: Knee osteoarthritis is frequently treated with Total Knee Arthroplasty (TKA). However, approximately 20% of patients remain dissatisfied following the procedure. This study aims to compare two surgical assistance technologies designed to improve prosthetic placement accuracy: Computer-Assisted Navigation (CAN) and Robotic-Arm Assistance (RA). The primary objective is to determine if there is a significant difference in functional outcomes and the "forgotten joint" sensation (measured by the Forgotten Joint Score - FJS) between patients operated on with robotic assistance versus those with traditional navigation at 3, 12, and 24 months post-surgery. The study's hypothesis is that there is no major clinical difference between these two techniques when applied within a personalized alignment strategy.
Eligibility
Inclusion Criteria: * Patient providing written informed consent according to regulatory requirements * Male or female patients aged ≥18 years * Patients undergoing primary total knee arthroplasty for osteoarthritis * Use of Attune® prosthesis with posterior cruciate ligament retention (CR) and patellar resurfacing Exclusion Criteria: * History of ligament reconstruction * Previous fracture or bone surgery (osteotomy) of the ipsilateral femur or tibia (except hip or ankle surgery) * Preoperative knee stiffness with flexion contracture \>15° or flexion \<90° * Individuals deprived of liberty by judicial or administrative decision * Patients not affiliated with a social security system * Patients unable to understand French * Patients with cognitive impairment * Patients whose place of residence makes close clinical follow-up impossible -- Women of childbearing potential without effective contraception * Pregnant or breastfeeding women
Conditions2
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NCT07574762