Prophecy Guide Outcomes in Total Knee Replacement Surgery

NCT ID: NCT01163708

Last Updated: 2010-07-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

188 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-08-31

Study Completion Date

2017-12-31

Brief Summary

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This project aims to assess two different techniques used to position the knee replacement implant during surgery. The patients will be randomised to receive either the following:

1. The established Navigation System (gold standard)
2. The new Prophecy Technique (validated by the Navigation System)

The study hypothesis is there will be no difference between the gold standard Navigation system and the Prophecy technique in relation to the placement of the knee implant.

Detailed Description

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Knee joint pain is often the cause of reduced joint and limb function. Total knee joint replacement is a procedure which aims to relieve pain and help to improve mobility. There has been continued development and improvement in knee implant design and the instruments required during surgery to assist with the accurate placement of the implant. These developments have reduced surgery time and assisted in the accurate positioning of the knee implant, which leads to better long term outcomes.

Navigation system is a computerised system currently used intraoperatively to position the Advance knee implant. The Prophecy technique is a pre-operative alignment technique. Patient undergo a MRI or CT scan which is used to manufacture personalised cutting blocks which are then used intraoperatively to position the knee implant.

Conditions

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Osteoarthritis of the Knee Total Knee Replacement

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

SINGLE

Participants

Study Groups

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Navigation alone

Navigation system alone vs Prophecy technique with Navigation system validation

Group Type ACTIVE_COMPARATOR

Navigation System

Intervention Type DEVICE

Prophecy and Navigation validation

Group Type EXPERIMENTAL

Prophecy Technique

Intervention Type DEVICE

Navigation computerised system is used intraoperatively to correct implant the Advance knee implant. Prophecy is a pre-alignment technique where a pre-op MRI or CT scan is used to manufacture personalised cutting blocks to assist the surgeon in correct implanting the Advance knee implant intraoperatively

Interventions

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Prophecy Technique

Navigation computerised system is used intraoperatively to correct implant the Advance knee implant. Prophecy is a pre-alignment technique where a pre-op MRI or CT scan is used to manufacture personalised cutting blocks to assist the surgeon in correct implanting the Advance knee implant intraoperatively

Intervention Type DEVICE

Navigation System

Intervention Type DEVICE

Other Intervention Names

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Prophecy Preoperative alignment

Eligibility Criteria

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Inclusion Criteria

1. Patients requiring a total Knee Arthroplasty as determined jointly by the surgeon and the patient.
2. Over 65 years of age at time of surgery.
3. Patients with the Varus or Valgus Osteoarthritis
4. Patients who understand the conditions of the study and are willing to participate for the length of the prescribed term of follow-up.
5. Patients who are capable of, and have given, informed consent to their participation in the study.
6. The individual does not have an active infection within the affected joint.
7. The individual has not had a previous total knee replacement or knee fusion of the affected knee joint.
8. The individual is skeletally mature.
9. The individual is not pregnant.
10. The individual is not a prisoner.
11. The individual has no plans to relocate to another geographic area before the completion of the study.

Exclusion Criteria

1. Previous surgery requiring implanting a device.
2. Knee deformity is \>30° anatomic varus (as measured on an AP radiograph taken with the patient standing)
3. Knee deformity is \>30° anatomic valgus (as measured on an AP radiograph taken with the patient standing) \>20° knee flexion contracture (as measured by investigator examination)
4. Those patients requiring bone grafting or any other procedure that would extend the operative time beyond that of just replacing the knee should be excluded.
5. The individual is classified as morbidly obese (\>40 BMI).
6. The individual is physically or mentally compromised (i.e., currently being treated for a psychiatric disorder, senile dementia, Alzheimer's disease, presence of alcohol or substance abuse), and is unwilling or unable to comply with postoperative scheduled clinical and radiographic evaluation and rehabilitation.
7. The individual has a neuromuscular or neuro-sensory deficiency which limits the ability to evaluate the safety and effectiveness of the device.
Minimum Eligible Age

65 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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LSS Surgical Pty Ltd

UNKNOWN

Sponsor Role collaborator

Global Orthopaedic Technology

INDUSTRY

Sponsor Role lead

Responsible Party

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Brisbane Orthopaedic Specialist Services

Principal Investigators

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Hugh English

Role: PRINCIPAL_INVESTIGATOR

Brisbane Orthopaedic Specialist Services

Locations

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Holy Spirit Northside Private Hospital

Chermside, Queensland, Australia

Site Status

Prince Charles Hospital

Chermside, Queensland, Australia

Site Status

Countries

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Australia

Central Contacts

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Hugh English

Role: CONTACT

Phone: +61 1300 436 454

Email: [email protected]

Kath Hore

Role: CONTACT

Phone: +61 1300 436 454

Email: [email protected]

Facility Contacts

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Kath Hore

Role: primary

Gladys Williams

Role: backup

Kath Hore

Role: primary

Gladys Williams

Role: backup

Other Identifiers

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Pro-Nav-10

Identifier Type: -

Identifier Source: org_study_id