Knee Replacement Surgery: Comparing Mechanical vs. Kinematic Alignment

This study is comparing two ways to perform total knee replacement surgery (Total Knee Arthroplasty or TKA) using the Medacta SpheriKA system. One method is Mechanical Alignment (MA), the traditional approach where the new joint is placed in a neutral position. The other is Kinematic Alignment (KA), which aims to put the new joint in a position that more closely matches your knee's natural alignment. Researchers want to see if one method leads to better outcomes. You might be able to join if you are between 21 and 79 years old, need a primary TKA with the Medacta SpheriKA system, and can understand the study information. The main goal is to measure your knee function and pain using a score called KOOS-JR 6 weeks after surgery. The study is currently unclear on its recruitment status.

Study design
This interventional study plans to enroll 95 participants. It compares two different surgical procedures for total knee replacement.
What's involved
You would undergo a primary total knee replacement surgery. You would also need to be willing to return for follow-up visits.
Compensation
Not stated in the trial record.
Follow-up
Your knee function and pain will be measured at 6 weeks after your surgery.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT06617871

Mechanical Alignment vs Kalipered Kinematic Alignment Total Knee Arthroplasty

Recruiting
NAAges 21–79InterventionalTreatment
Northwestern University
~95 participants
Updated 2026-03-24 on ClinicalTrials.gov
What's tested:Mechanical Alignment (MA)Kinematic Alignment (KA) Interventions:

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
6-week Knee Injury and Osteoarthritis - Joint Replacement Score (KOOS-JR)
Measured over 6 weeks postoperative
Knee Osteoarthritis
Knee Arthropathy

NCT06617871

Where you'd take part

This study runs at 1 site. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Northwestern Medicine

    Chicago, Illinoisstudy coordinator listed

    Recruiting

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

  • Adam Edelstein, MD · PRINCIPAL_INVESTIGATOR · Assistant Professor of Orthopaedic Surgery

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Eligibility criteria

Inclusion

Patient undergoing primary TKA with a medially-stabilized SpheriKA knee system
Able to read and understand consent form and PRO instruments and willing to return for follow up visits

Exclusion

Varus or Valgus malalignment \>15 degrees to mechanical axis
Flexion contracture \>15 degrees or flexion \<90 degrees
BMI \>40
Revision TKA or other prior knee surgery other than arthroscopy or arthroscopic-assisted ligament reconstruction
Diagnosis or history of any of the following
inflammatory arthritis
infection in study knee
chronic pain
chronic opioid use
metabolic musculoskeletal disorder other than osteopenia/osteoporosis
Patients receiving workers' compensation for study condition
Patients who cannot complete questionnaires in English
Patients with comorbidities preventing surgery
Patients who are not able to provide informed consent
  • 6-week Knee Injury and Osteoarthritis - Joint Replacement Score (KOOS-JR)6 weeks postoperative

    The Knee Injury and Osteoarthritis Score - Joint Replacement (KOOS-JR) score; range: 0 (worst knee health) - 100 (perfect knee health)