Trial Outcomes & Findings for In Vivo Determination of 3D Patellofemoral Mechanics (NCT NCT01290627)

NCT ID: NCT01290627

Last Updated: 2019-10-29

Results Overview

Full extension to maximum flexion. Degrees of flexion analyzed for participants with and without implants.

Recruitment status

COMPLETED

Target enrollment

30 participants

Primary outcome timeframe

Average post-operative time for LCS-PS group was 56 months. Average post-operative time for PS RP group was 55.7 months.

Results posted on

2019-10-29

Participant Flow

Patients were recruited from the Colorado Joint Replacement practice of Drs. Doug Dennis and Brian Haas in Denver, CO after the study was approved by respective IRBs beginning 5/27/11.

Participant milestones

Participant milestones
Measure
Knee Prosthesis LCS PS RP TKA
Subjects implanted with DePuy Low Contact Stress (LCS) Poster Stabilizing (PS) Rotating Platform (RP) Total Knee Arthroplasty (TKA)
Knee Prosthesis Sigma PS RP TKA
Subjects implanted with a DePuy Sigma Posterior Stabilizing (PS) Rotating Platform (RP) Total Knee Arthroplasty (TKA)
Control
Subjects with normal knees
Overall Study
STARTED
10
10
10
Overall Study
COMPLETED
10
10
10
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

In Vivo Determination of 3D Patellofemoral Mechanics

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Knee Prosthesis LCS PS RP TKA
n=10 Participants
Subjects implanted with DePuy Low Contact Stress (LCS) Poster Stabilizing (PS) Rotating Platform (RP) Total Knee Arthroplasty (TKA)
Knee Prosthesis Sigma PS RP TKA
n=10 Participants
Subjects implanted with a DePuy Sigma Posterior Stabilizing (PS) Rotating Platform (RP) Total Knee Arthroplasty (TKA)
Control
n=10 Participants
Subjects with normal knees
Total
n=30 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=93 Participants
5 Participants
n=4 Participants
10 Participants
n=27 Participants
20 Participants
n=483 Participants
Age, Categorical
>=65 years
5 Participants
n=93 Participants
5 Participants
n=4 Participants
0 Participants
n=27 Participants
10 Participants
n=483 Participants
Age, Continuous
62.5 years
STANDARD_DEVIATION 7.8 • n=93 Participants
64.3 years
STANDARD_DEVIATION 8.7 • n=4 Participants
34.2 years
STANDARD_DEVIATION 8.9 • n=27 Participants
53.67 years
STANDARD_DEVIATION 16.18 • n=483 Participants
Sex: Female, Male
Female
4 Participants
n=93 Participants
1 Participants
n=4 Participants
8 Participants
n=27 Participants
13 Participants
n=483 Participants
Sex: Female, Male
Male
6 Participants
n=93 Participants
9 Participants
n=4 Participants
2 Participants
n=27 Participants
17 Participants
n=483 Participants
Region of Enrollment
United States
10 participants
n=93 Participants
10 participants
n=4 Participants
10 participants
n=27 Participants
30 participants
n=483 Participants

PRIMARY outcome

Timeframe: Average post-operative time for LCS-PS group was 56 months. Average post-operative time for PS RP group was 55.7 months.

Population: Unit analyzed is an orthopaedic implant and subjects with normal knees do not have orthopaedic implants.

Full extension to maximum flexion. Degrees of flexion analyzed for participants with and without implants.

Outcome measures

Outcome measures
Measure
Knee Prosthesis LCS PS RP TKA
n=10 Implants/Knees
Subjects implanted with DePuy Low Contact Stress (LCS) Poster Stabilizing (PS) Rotating Platform (RP) Total Knee Arthroplasty (TKA)
Knee Prosthesis Sigma PS RP TKA
n=10 Implants/Knees
Subjects implanted with a DePuy Sigma Posterior Stabilizing (PS) Rotating Platform (RP) Total Knee Arthroplasty (TKA)
Control
n=10 Implants/Knees
Subjects with normal knees
Patella Flexion With Respect to Femur
80.0 degrees
Standard Deviation 13.6
83.4 degrees
Standard Deviation 12.9
93.7 degrees
Standard Deviation 12.9

PRIMARY outcome

Timeframe: Average post-operative time for LCS-PS group was 56 months. Average post-operative time for PS RP group was 55.7 months.

Population: Unit analyzed is an orthopaedic implant and subjects with normal knees do not have orthopaedic implants.

Patellar rotation from full extension to maximum flexion for subjects with and without implants. A positive measurement of patellar rotation refers to positive flexion of the patella about the medial-lateral axis, where the patella component rotates so that the top of the patella rotates toward the femur and the bottom rotates away. Conversely, a negative measurement refers to negative flexion of the patella about this axis, where the patellar component rotates so that the top of the patella moves away from the femur and the bottom moves towards.

Outcome measures

Outcome measures
Measure
Knee Prosthesis LCS PS RP TKA
n=10 Implants/Knees
Subjects implanted with DePuy Low Contact Stress (LCS) Poster Stabilizing (PS) Rotating Platform (RP) Total Knee Arthroplasty (TKA)
Knee Prosthesis Sigma PS RP TKA
n=10 Implants/Knees
Subjects implanted with a DePuy Sigma Posterior Stabilizing (PS) Rotating Platform (RP) Total Knee Arthroplasty (TKA)
Control
n=10 Implants/Knees
Subjects with normal knees
Patella Rotation With Respect to Femur
.5 degrees
Standard Deviation 5.0
-.06 degrees
Standard Deviation 3.1
-1.6 degrees
Standard Deviation 6.1

PRIMARY outcome

Timeframe: Average post-operative time for LCS-PS group was 56 months. Average post-operative time for PS RP group was 55.7 months.

Population: Unit analyzed is an orthopaedic implant and subjects with normal knees do not have orthopaedic implants.

full extension to maximum flexion for participants with and without implants.

Outcome measures

Outcome measures
Measure
Knee Prosthesis LCS PS RP TKA
n=10 Implants/Knees
Subjects implanted with DePuy Low Contact Stress (LCS) Poster Stabilizing (PS) Rotating Platform (RP) Total Knee Arthroplasty (TKA)
Knee Prosthesis Sigma PS RP TKA
n=10 Implants/Knees
Subjects implanted with a DePuy Sigma Posterior Stabilizing (PS) Rotating Platform (RP) Total Knee Arthroplasty (TKA)
Control
n=10 Participants
Subjects with normal knees
Patella Tilt With Respect to Femur
4.2 degrees
Standard Deviation 5.1
2.6 degrees
Standard Deviation 6.4
5.3 degrees
Standard Deviation 5.9

PRIMARY outcome

Timeframe: Average post-operative time for LCS-PS group was 56 months. Average post-operative time for PS RP group was 55.7 months.

Population: Unit analyzed is an orthopaedic implant and subjects with normal knees do not have orthopaedic implants.

full extension to maximum flexion for participants with and without implants. Position of the patellar contact point was determined by locating the closest point to the femur on the patella throughout flexion. There are 2 patello-femoral contact points: a point on the medial aspect of the patella and a point on the lateral aspect of the patella. Throughout flexion, the medial contact point generally moves closer to the top of the patella (hence the positive value for the results). The translation of this contact point is normalized to report a ratio between -1 and 1. In other words, the distance the point has traveled compared to the total height of the patella. For example, if the patella is 8 cm in height and the point travels approximately 2 cm upwards during flexion, the value would be reported as +2/8 = +0.25. Definition of normalized: "multiply (a series, function, or item of data) by a factor that makes the norm or some associated quantity such as an integral equal

Outcome measures

Outcome measures
Measure
Knee Prosthesis LCS PS RP TKA
n=10 Implants/Knees
Subjects implanted with DePuy Low Contact Stress (LCS) Poster Stabilizing (PS) Rotating Platform (RP) Total Knee Arthroplasty (TKA)
Knee Prosthesis Sigma PS RP TKA
n=10 Implants/Knees
Subjects implanted with a DePuy Sigma Posterior Stabilizing (PS) Rotating Platform (RP) Total Knee Arthroplasty (TKA)
Control
n=10 Implants/Knees
Subjects with normal knees
Normalized Medial Patella Contact Point Translation
.34 ratio of patella height
Standard Deviation .18
.12 ratio of patella height
Standard Deviation .17
.40 ratio of patella height
Standard Deviation .41

PRIMARY outcome

Timeframe: Average post-operative time for LCS-PS group was 56 months. Average post-operative time for PS RP group was 55.7 months.

Population: Unit analyzed is an orthopaedic implant and subjects with normal knees do not have orthopaedic implants.

full extension to maximum flexion for participants with and without implants. Position of patellar contact point was determined by locating closest point to femur on patella throughout flexion. There are 2 patello-femoral contact points: 1 point on the medial aspect of the patella and 1 point on the lateral aspect of the patella. Throughout flexion, lateral contact point generally moves closer to the top of the patella (hence, the positive value for the results). The translation of this contact point is normalized to report a ratio between -1 and 1. The distance the point has traveled compared to the total height of the patella. For example, if the patella is 8 cm in height and the point travels approximately 2 cm upwards during flexion, the value would be reported as +2/8 = +0.25. Definition of normalized: "multiply (a series, function, or item of data) by a factor that makes the norm or some associated quantity such as an integral equal to a desired value (usually 1)."

Outcome measures

Outcome measures
Measure
Knee Prosthesis LCS PS RP TKA
n=10 Implants/Knees
Subjects implanted with DePuy Low Contact Stress (LCS) Poster Stabilizing (PS) Rotating Platform (RP) Total Knee Arthroplasty (TKA)
Knee Prosthesis Sigma PS RP TKA
n=10 Implants/Knees
Subjects implanted with a DePuy Sigma Posterior Stabilizing (PS) Rotating Platform (RP) Total Knee Arthroplasty (TKA)
Control
n=10 Implants/Knees
Subjects with normal knees
Normalized Lateral Patella Contact Point Translation
0.09 ratio of patella height
Standard Deviation .22
.20 ratio of patella height
Standard Deviation .17
.45 ratio of patella height
Standard Deviation .52

Adverse Events

Knee Prosthesis LCS PS RP TKA

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Knee Prosthesis Sigma PS RP TKA

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Richard Komistek, Ph. D.

The University of Tennessee

Phone: 86598744159

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place