Robot vs surgeon: which knee replacement works better?
NCT ID NCT07201207
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compares robotic-assisted knee replacement to the traditional manual method in 170 adults aged 50-80 with end-stage knee arthritis. Participants are randomly assigned to one of the two surgeries and followed for 2 years to measure knee function, recovery speed, and cost, with a 10-year check for complications. The goal is to see if robotic guidance leads to better outcomes and fewer problems.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Robotic-assisted total knee arthroplasty (MAKO) vs manual total knee arthroplasty
- What this could lead to
- If robotic-assisted knee replacement proves better, it could lead to improved function, faster recovery, and fewer complications for people with severe knee arthritis.
- What could go wrong
- This is a single-center trial with 170 participants, so results may not apply to everyone. The difference between methods might be small, and robotic surgery is more expensive.
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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About 170 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2025
An estimate. Start dates often move.
- Expected to finish
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Sep 2037
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.
- Ages
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50 to 80 years
- 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 * Age over 50 and below 80 years * End-stage Kellgren-Lawrence grade IV KOA * Failed conservative treatment Exclusion criteria * Post-traumatic knee osteoarthritis * Rheumatoid arthritis * Previous knee infections * Previous knee surgery (other than diagnostic arthroscopy or meniscectomy) * Knee range of motion within 15 to 100 degrees * Mechanical axis over 15 degrees of varus or over 10 degrees of valgus * Body mass index over 40 kg/m2 * Significant patellofemoral osteoarthritis (Kellgren-Lawrence grade III or IV) * Diabetes treated with insulin * Malignancy with ongoing treatment * Systemic glukocorticosteroid or antimetabolite medication during the last 5 years * Conditions that do not allow general anesthesia * Patients' denial for operative treatment and/or participation in the trial
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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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.
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