Knee replacement: can a different guide improve implant alignment?
NCT ID NCT07815080
First seen Sep 11, 2026 · Last updated Sep 11, 2026
Summary
Researchers compare two tools for positioning the femoral component during total knee replacement: an extramedullary guide and the standard intramedullary guide. The study includes 75 patients treated with the extramedullary guide and compares them with 75 earlier patients treated with the intramedullary guide. The main measure is the angle of the implant on X-rays taken three months after surgery. The study also tracks adverse events to check the safety of the extramedullary guide.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- extramedullary alignment guide for total knee replacement
- What this could lead to
- If the extramedullary guide works as well as the standard guide, surgeons could have an alternative way to position the knee implant that avoids drilling into the thigh bone's canal.
- What could go wrong
- This is a comparison study, not a test of a new drug, and it may show no meaningful difference between the two guides. The retrospective part uses past patient records, which can introduce bias, and the results may not apply to all knee replacement patients.
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.
- Participants
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About 150 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2025
- Expected to finish
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Oct 2027
An estimate. End dates often move.
- 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.
Who is studied
The study shall include a total of 150 patients: 75 will be included in the extramedullary group, to be compared with a corresponding previous group of 75 patients treated with intramedullary guide. Patients meeting the inclusion criteria (mentioned below) will be recruited separately by each participating institution. Patient enrolled in the retrospective analysis have been operated upon between January 2021 and September 2025.
- 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: * Male or female ≥ 18 years old * Indication to primary TKA, for any diagnosis operated with EM or IM guides * Signature of the informed consent (only for prospective cohort) * Been operated upon between January 2021 and September 2025 (only for retrospective cohort) Exclusion Criteria: * Revision surgery of knee arthroplasty * Patients with malignant diseases (at the time of surgery) * Patients with proven or suspect infections (at the time of surgery) * Pregnancy end/or lactating (auto declaration) * Patient with known allergy to the specific metallic components of the prosthesis (at the time of surgery)
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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IRCCS Ospedale Galeazzi-Sant'Ambrogio [coordinator]
RECRUITINGMilan, 20157, Italy
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Istituto Clinico San Siro
COMPLETEDMilan, 20148, Italy
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Ospedale Cottolengo
COMPLETEDTorino, 10152, Italy
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