评价计算机导航技术、3D打印截骨导板对比传统术式对TKA结果影响的随机对照研究

注册号:

Registration number:

ChiCTR-INR-17012881 

最近更新日期:

Date of Last Refreshed on:

2017-10-03 12:35:40 

注册时间:

Date of Registration:

2017-10-03 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

评价计算机导航技术、3D打印截骨导板对比传统术式对TKA结果影响的随机对照研究

Public title:

The evaluation about effects of computer assisted system and patient-specific instrumentation on TKA outcomes compared with conventional procedures: A prospective randomized controlled study

注册题目简写:

English Acronym:

研究课题的正式科学名称:

评价计算机导航技术、3D打印截骨导板对比传统术式对TKA结果影响的随机对照研究

Scientific title:

The evaluation about effects of computer assisted system and patient-specific instrumentation on TKA outcomes compared with conventional procedures: A prospective randomized controlled study

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

BYSY2016010

申请注册联系人:

李杨 

研究负责人:

田华 

Applicant:

Yang Li 

Study leader:

Hua Tian 

申请注册联系人电话:

Applicant telephone:

+86 13810634362

研究负责人电话:

Study leader's
telephone:

+86 13511065178

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

liyangdr@bjmu.edu.cn

研究负责人电子邮件:

Study leader's E-mail:

tianhua@bjmu.edu.cn

申请单位网址(自愿提供):

Applicant website(voluntary supply):

www.puh3.net.cn

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

北京海淀区花园北路49号

研究负责人通讯地址:

北京海淀区花园北路49号

Applicant address:

49 Huayuan Road North, Haidian District, Beijing, China

Study leader's address:

49 Huayuan Road North, Haidian District, Beijing,China

申请注册联系人邮政编码:

Applicant postcode:

100191

研究负责人邮政编码:

Study leader's postcode:

100191

申请人所在单位:

北京大学第三医院骨科

Applicant's institution:

Peking University Third Hospital Orthopaedics Department

研究负责人所在单位:

北京大学第三医院骨科

Affiliation of the Leader:

Peking University Third Hospital Orthopaedics Department

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

IRB00006761-2016064

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

北京大学第三医院医学科学研究伦理委员会

Name of the ethic committee:

Peking University Third Hospital Medical Science Research Ethics Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2017-03-23 00:00:00

伦理委员会联系人:

Contact Name of the ethic committee:

伦理委员会联系地址:

Contact Address of the ethic committee:

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

北京大学第三医院骨科

Primary sponsor:

Peking University Third Hospital Orthopaedics Department

研究实施负责(组长)单位地址:

北京海淀区花园北路49号

Primary sponsor's address:

49 Huayuan Road North, Haidian District, Beijing, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

北京市

市(区县):

海淀区

Country:

China

Province:

Beijing

City:

Haidian District

单位(医院):

北京大学第三医院

具体地址:

北京海淀区花园北路49号

Institution
hospital:

Peking University Third Hospital

Address:

49 Huayuan Road North, Haidian District, Beijing, China

经费或物资来源:

2016年北京大学第三医院临床重点项目——培育探索项目

Source(s) of funding:

Peking University Third Hospital Clinical Key Project in 2016-Cultivation and Exploration Project

研究疾病:

膝关节骨性关节炎  

Target disease:

Osteoarthritis of knee

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

治疗新技术临床试验 

Study phase:

New Treatment Measure Clinical Study

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

本课题拟通过前瞻性的随机对照研究,比较计算机导航系统、3D打印病人个性化截骨导板和传统术式,这三种技术对全膝关节置换术结果的影响,包括:1.手术时间;2.术后3天血色素丢失量、总失血量、隐性失血量和术后输血率;3.术后下肢力线(髋-膝-踝角)和股骨假体外旋角度;4.术后3个月、1年时膝关节的功能评分。  

Objectives of Study:

Using a prospective randomized controlled trial, the goal of this study is to compare the effects of computer assisted system, 3D printing patient-specific instrumentation and conventional procedures on TKA outcomes,include: 1. Surgical time; 2. Decrease of hemoglobin level, total measured blood loss, hidden blood loss in the third day after operation and the rates of allogenic blood transfusion; 3. Postoperative hip-knee-ankle alignment, the angle of femoral external rotarion; 4. The function outcomes at three months,and one year after operation.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1.长期服用抗凝药物;2.合并严重系统性疾病,包括:肾功能不全、肝功能不全、心力衰竭、严重呼吸系统疾患、凝血功能异常、中风以及恶性肿瘤病史。3.因任何原因不接受此试验拒绝签署知情同意书

Exclusion criteria:

1. Long term use of anticoagulant medicines;
2. With history of severe systemic disease, includes: renal insufficiency,hepatic insufficiency, heart failure,severe respiratory disorder, coagulation disorder, stroke and malignant tumor history;
3. Refuse to sign the consent of this study for any reason.

研究实施时间:

Study execute time:

From 2017-10-09 00:00:00 To 2018-10-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2017-10-09 00:00:00 To 2018-10-31 00:00:00

干预措施:

Interventions:

组别:

计算机导航组

样本量:

45

Group:

The CAS group

Sample size:

干预措施:

计算机导航膝关节置换

干预措施代码:

Intervention:

Totally knee arthroplasty with Computer-Assisted Surgery

Intervention code:

组别:

截骨导板组

样本量:

45

Group:

The PSI group

Sample size:

干预措施:

3D打印病人个性化截骨导板膝关节置换

干预措施代码:

Intervention:

Totally knee arthroplasty with Patient-Specific Instrumentation

Intervention code:

组别:

传统术式对照组

样本量:

45

Group:

The control group

Sample size:

干预措施:

传统常规手术的膝关节置换

干预措施代码:

Intervention:

Totally knee arthroplasty with standard conventional procedures

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

北京市 

市(区县):

海淀区 

Country:

China

Province:

Beijing

City:

Haidian District

单位(医院):

北京大学第三医院 

单位级别:

三级甲等 

Institution
hospital:

Peking University third hospital

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

血色素丢失量

指标类型:

主要指标

Outcome:

Decrease of hemoglobin level

Type:

Primary indicator

测量时间点:

术后第3天

测量方法:

Measure time point of outcome:

3 days after operation

Measure method:

指标中文名:

总失血量

指标类型:

主要指标

Outcome:

Total measured blood loss

Type:

Primary indicator

测量时间点:

术后第3天

测量方法:

Measure time point of outcome:

3 days after operation

Measure method:

指标中文名:

隐性失血量

指标类型:

主要指标

Outcome:

Hidden blood loss

Type:

Primary indicator

测量时间点:

术后第3天

测量方法:

Measure time point of outcome:

3 days after operation

Measure method:

指标中文名:

输血率

指标类型:

主要指标

Outcome:

The rates of allogenic blood transfusion

Type:

Primary indicator

测量时间点:

术后

测量方法:

Measure time point of outcome:

post-operation

Measure method:

指标中文名:

下肢力线

指标类型:

主要指标

Outcome:

Lower limb hip-knee-ankle alignment

Type:

Primary indicator

测量时间点:

术后

测量方法:

Measure time point of outcome:

post-operation

Measure method:

指标中文名:

股骨假体外旋角度

指标类型:

主要指标

Outcome:

The angle of femoral component external rotarion

Type:

Primary indicator

测量时间点:

术后

测量方法:

Measure time point of outcome:

post-operation

Measure method:

指标中文名:

手术时间

指标类型:

主要指标

Outcome:

Surgical time

Type:

Primary indicator

测量时间点:

术中

测量方法:

Measure time point of outcome:

Intra-operation

Measure method:

指标中文名:

特种外科医院评分

指标类型:

次要指标

Outcome:

HSS score

Type:

Secondary indicator

测量时间点:

术后3个月,1年

测量方法:

Measure time point of outcome:

3 months and 1 year after operation

Measure method:

指标中文名:

西大略湖和麦克马斯特大学骨关节炎指数评分

指标类型:

次要指标

Outcome:

WOMAC

Type:

Secondary indicator

测量时间点:

术后3个月,1年

测量方法:

Measure time point of outcome:

3 months and 1 year after operation

Measure method:

指标中文名:

不良反应

指标类型:

副作用指标

Outcome:

complication

Type:

Adverse events

测量时间点:

术后

测量方法:

Measure time point of outcome:

post-operation

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

none

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 110 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

由独立人员根据SAS 9.4软件生成区组随机序号对入选患者进行随机分组

Randomization Procedure (please state who generates the random number sequence and by what method):

The patients will be randomly assigned by an independent researcher according to the software SAS 9.4 to generate a random number list(block=9).

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

Blinding:

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

北京大学第三医院骨科

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Orthopedic department of Peking university 3rd hospital

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

北京大学第三医院流行病学研究中心

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Epidemiological research center of Peking university 3rd hospital

数据与安全监察委员会:

Data and Safety Monitoring Committee:

注册人:

Name of Registration:

 2017-10-03 12:35:40