Can GPS tech help surgeons align knee implants in obese patients?
NCT ID NCT03865524
First seen Sep 25, 2026 · Last updated Sep 25, 2026
Summary
Researchers are testing whether a GPS navigation system helps surgeons align total knee replacements more accurately than standard guides in obese patients. The trial enrolls 159 adults with knee osteoarthritis and a BMI of 30 or higher who are scheduled for a primary knee replacement. After surgery, the team measures X-rays to see how close each knee's mechanical axis comes to the target, aiming for a deviation of no more than 3 degrees.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- GPS navigation system for knee replacement surgery
- What this could lead to
- If navigation proves more accurate, surgeons could use it to place knee implants more precisely in obese patients, which may help the replacement last longer and feel better.
- What could go wrong
- This is a single-center study of 159 people, so results may not apply everywhere. Better X-ray alignment does not always translate into less pain or better function, and navigation adds operating time and cost.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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159 people
The number who actually took part.
- Started
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Feb 2019
- Finished
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Nov 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Men and women over 18 years old. * Written informed consent according to ICH / GCP and Spanish legislation, obtained before any study procedure. * Patient with a BMI equal to or greater than 30 Kg / m2 * Patients with clinical and radiological criteria of knee osteoarthritis. * Patients with indication for primary TKA according to medical criteria. Exclusion Criteria: * Pregnancy or lactation. * Inability to give informed consent in the absence of a legal representative. * Subjects that are participating in a study with medicines or other medical devices. * Those who show inability to follow the instructions or collaborate during the development of the study. * If in the opinion of the researcher there are findings in the physical examination, abnormalities in the results of the clinical analyzes or other medical, social or psychosocial factors that could have a negative influence * Having had a previous surgical procedure on or around the knee in the last 12 months (such as proximal tibial osteotomy, femoral osteotomy, open reduction and internal fixation for a fracture, patellectomy or patellar realignment). * Need a simultaneous bilateral TKA. * Have a varus angle or valgus ≥ 15 °. * Total revision knee arthroplasty.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Hospital Universitario Puerta de Hierro Majadahonda
Majadahonda, Madrid, 28222, Spain
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Hospital Universitario Santa Cristina
Madrid, Madrid, 28009, Spain
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