Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID06839807

Adequately Diagnosing Total Knee Arthroplasty Loosening by Evaluating the AtMoves Knee System in Routine Clinical Care

Led by Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) · Updated on 2025-02-21

124

Participants Needed

7

Research Sites

13 weeks

Total Duration

On this page

Sponsors

A

Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

Lead Sponsor

S

Sint Maartenskliniek

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating the AtMoves Knee System to improve the diagnosis of aseptic loosening in patients who have received a total knee replacement. The main goal is to find out if using this specialized device during a CT scan can reduce the number of failed outcomes, defined by patient-reported knee function scores not showing meaningful improvement at 12 months. The study compares two groups to see if the AtMoves Knee System helps in clinical diagnosis and treatment decisions. Participants are randomly assigned to one of two groups. The intervention group undergoes a CT scan using the AtMoves Knee System, which applies specific forces to detect movement of the knee prosthesis component. Both groups continue with diagnostic and treatment plans determined by their orthopedic surgeons, with the control group not receiving the specialized CT scan. This allows researchers to assess the added value of the AtMoves system in routine clinical care. During the one-year follow-up period, participants complete questionnaires about their knee function. Researchers will track the percentage of failed outcomes, revision surgeries, diagnostic activities, related costs, medical use after diagnosis, societal productivity loss, and participant satisfaction with the AtMoves procedure. The study aims to provide a comprehensive evaluation of this diagnostic tool's impact on patient outcomes and healthcare use.

CONDITIONS

Brief Title

DIGITAL-KNEE Study: Adequately Diagnosing Total Knee Arthroplasty Loosening by Evaluating the AtMoves Knee System in a Routine Clinical Setting

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older
  • Have undergone unilateral or bilateral total knee arthroplasty surgery
  • Aseptic loosening is considered a possible diagnosis by the treating orthopedic surgeon
  • Orthopedic surgeon is uncertain of diagnosis after anamnesis, physical exam, and conventional x-ray
  • Surgeon requests additional exams or imaging to reach a diagnosis and treatment plan
  • Capable of giving informed consent and willing to undergo examination with the AtMoves Knee System
Not Eligible

You will not qualify if you...

  • Clear other cause for knee complaints besides aseptic loosening (e.g., septic loosening, neuropathic pain, non-healed peri-prosthetic fracture)
  • Surgical intervention of the index knee within the year before symptom start
  • Posttraumatic or congenital leg deformity incompatible with the loading device
  • Pregnancy or suspected pregnancy
  • Unable or unwilling to understand or sign informed consent or undergo AtMoves Knee System examination

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - Up to 6 months until the final diagnostic decision

Participants undergo diagnostic assessments to determine the presence of total knee arthroplasty loosening. Those in the intervention group have a CT-scan using the AtMoves Knee System in addition to usual diagnostic care, while the control group undergoes usual diagnostic care without the CT-scan.

Visits depend on diagnostic activities determined by the treating orthopedic surgeon

Long-term Monitoring

Duration - 12 months

Participants are observed for outcomes such as revision surgery, medical consumption, and productivity loss after diagnosis over a 12-month period.

Follow-up visits as scheduled for monitoring outcomes

Trial Site Locations

Total: 7 locations

1

St. Maartenskliniek

Nijmegen, Gelderland, Netherlands, 6574 NA

Not Yet Recruiting

2

Zuyderland Ziekenhuis

Heerlen, Limburg, Netherlands, 6419 PC

Not Yet Recruiting

3

Amphia ziekenhuis

Breda, North Brabant, Netherlands, 4818CK

Not Yet Recruiting

4

Amsterdam UMC

Amsterdam, North Holland, Netherlands, 1105AZ

Actively Recruiting

5

OCON

Hengelo, Overijsel, Netherlands, 7555 DL

Not Yet Recruiting

6

NoordWest Ziekenhuisgroep

Alkmaar, Netherlands

Not Yet Recruiting

7

Elisabeth-TweeSteden Ziekenhuis

Tilburg, Netherlands, 5022 GC

Not Yet Recruiting

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Research Team

M

Milo J.K. Mokkenstorm, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

DIAGNOSTIC

Number of Arms

2

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Published Research Related To This Trial

Non-invasive quantitative assessment of induced component displacement can safely and accurately diagnose tibial component loosening in patients: A prospective diagnostic study.

George S Buijs, Arthur J Kievit, Maaike A Ter Wee...

https://pubmed.ncbi.nlm.nih.gov/38819937