Trial Outcomes & Findings for Ascension® Post- Approval Study; PyroCarbon Metacarpophalangeal Total Joint Prosthesis (NCT NCT02408471)

NCT ID: NCT02408471

Last Updated: 2023-10-10

Results Overview

Count of participants with a revision surgery.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

97 participants

Primary outcome timeframe

12 months

Results posted on

2023-10-10

Participant Flow

Participants recruited from 25 June 2002 to early termination on 03 January 2015.

One bilateral participant completed the study in 2010 for the left hand and the same participant enrolled in the study again in 2011 for the right hand. Each enrollment is accounted for separately as appropriate for the total number of participants enrolled.

Participant milestones

Participant milestones
Measure
Ascension® MCP Finger Implant
Single arm study, patient treated with Ascension® PyroCarbon MCP implant. Ascension® MCP Finger Implant: Patients who meet inclusion/ exclusion criteria are treated with the Ascension® MCP.
Overall Study
STARTED
97
Overall Study
COMPLETED
69
Overall Study
NOT COMPLETED
28

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Only data available for age used for analysis.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ascension® MCP Finger Implant
n=97 hands
Single arm study, patient treated with Ascension® PyroCarbon MCP implant. Ascension® MCP Finger Implant: Patients who meet inclusion/ exclusion criteria are treated with the Ascension® MCP.
Age, Continuous
59.9 years
STANDARD_DEVIATION 12.0 • n=92 Participants • Only data available for age used for analysis.
Sex: Female, Male
Female
48 hands
n=97 hands
Sex: Female, Male
Male
49 hands
n=97 hands
Race/Ethnicity, Customized
Race/Ethnicity · Black
1 hands
n=97 hands
Race/Ethnicity, Customized
Race/Ethnicity · Caucasian/White
42 hands
n=97 hands
Race/Ethnicity, Customized
Race/Ethnicity · Hispanic/Latino
1 hands
n=97 hands
Race/Ethnicity, Customized
Race/Ethnicity · Unknown
6 hands
n=97 hands
Race/Ethnicity, Customized
Race/Ethnicity · Not Retrieved
47 hands
n=97 hands
Region of Enrollment
United States
97 participants
n=97 Participants
Number of Affected Joints
162 joints
n=97 Participants

PRIMARY outcome

Timeframe: 12 months

Count of participants with a revision surgery.

Outcome measures

Outcome measures
Measure
Ascension® MCP Finger Implant
n=97 Participants
Single arm study, patient treated with Ascension® PyroCarbon MCP implant. Ascension® MCP Finger Implant: Patients who meet inclusion/ exclusion criteria are treated with the Ascension® MCP.
Number of Participants With Revisions
6 Participants

SECONDARY outcome

Timeframe: Preoperatively to 12 months

Population: Number of Participants Analyzed indicates overall population throughout the given time frame with any available joint data necessary for the assessment specified.

Range of motion measured by clinical assessment for joint extension and joint flexion. Measurements of extension and flexion made and recorded to the nearest degree using a goniometer with the wrist in the neutral position. Extension measured with fingers actively extended and flexion measured after the participant made a fist.

Outcome measures

Outcome measures
Measure
Ascension® MCP Finger Implant
n=122 joints
Single arm study, patient treated with Ascension® PyroCarbon MCP implant. Ascension® MCP Finger Implant: Patients who meet inclusion/ exclusion criteria are treated with the Ascension® MCP.
Change in Joint Range of Motion
Joint Extension
18.2 degrees
Standard Deviation 30.2
Change in Joint Range of Motion
Joint Flexion
-6.2 degrees
Standard Deviation 25.8

SECONDARY outcome

Timeframe: Preoperatively to 12 months

Population: Number of Participants Analyzed indicates overall population throughout the given time frame with any available joint data necessary for the assessment specified.

Measurements of ulnar deviation made for each implanted metacarpophalangeal (MCP) joint. Measurements made to the nearest degree using a goniometer with the participant's wrist in a neutral position and the finger(s) fully extended (e.g., no extension deficit). Radial deviation or ulnar deviation direction checked.

Outcome measures

Outcome measures
Measure
Ascension® MCP Finger Implant
n=102 joints
Single arm study, patient treated with Ascension® PyroCarbon MCP implant. Ascension® MCP Finger Implant: Patients who meet inclusion/ exclusion criteria are treated with the Ascension® MCP.
Change in Radial-Ulnar Deviation
Radial Deviation
0 degrees
Standard Deviation NA
Standard Deviation could not be calculated due to insufficient participant data available for Radial Deviation.
Change in Radial-Ulnar Deviation
Ulnar Deviation
-9.4 degrees
Standard Deviation 21.1

SECONDARY outcome

Timeframe: Preoperatively to 12 months

Population: Number of Participants Analyzed indicates overall population throughout the given time frame with any available joint data necessary for the assessment specified.

Quantitative measurements of opposition tip pinch strength was made for each implanted digit. Measurements made using a pinch meter. For each strength measurement, the participant made 3 attempts with the maximum value recorded. If the participant could not perform the pinch test due to inflammation, excessive pain, or some other reason, DNA (which stands for "Did Not Attempt") was recorded. If the participant performs the pinch test but cannot register significant load, the value zero (0) was recorded.

Outcome measures

Outcome measures
Measure
Ascension® MCP Finger Implant
n=113 joints
Single arm study, patient treated with Ascension® PyroCarbon MCP implant. Ascension® MCP Finger Implant: Patients who meet inclusion/ exclusion criteria are treated with the Ascension® MCP.
Change in Tip Pinch
1.3 kilograms
Standard Deviation 1.9

SECONDARY outcome

Timeframe: Preoperatively to 12 months

Population: Number of Participants Analyzed indicates overall population throughout the given time frame with any available joint data necessary for the assessment specified.

Implanted hand grip strength measured using a grip dynamometer instrument.

Outcome measures

Outcome measures
Measure
Ascension® MCP Finger Implant
n=108 joints
Single arm study, patient treated with Ascension® PyroCarbon MCP implant. Ascension® MCP Finger Implant: Patients who meet inclusion/ exclusion criteria are treated with the Ascension® MCP.
Change in Grip Strength
-0.8 kilograms
Standard Deviation 14.8

SECONDARY outcome

Timeframe: Preoperatively, 6 weeks, 12 weeks, 6 months, and 12 months

Population: Participants with available data necessary for the assessment specified for the given time frame.

VAS Function based on a scale of 0 to 100 as completed by the participant with 0 indicating worse function and 100 indicating normal function

Outcome measures

Outcome measures
Measure
Ascension® MCP Finger Implant
n=97 Participants
Single arm study, patient treated with Ascension® PyroCarbon MCP implant. Ascension® MCP Finger Implant: Patients who meet inclusion/ exclusion criteria are treated with the Ascension® MCP.
Function Visual Analog Scale (VAS)
Preoperatively
29.7 score on a scale
Standard Deviation 20.6
Function Visual Analog Scale (VAS)
6 Weeks
52.7 score on a scale
Standard Deviation 25.9
Function Visual Analog Scale (VAS)
12 Weeks
70.9 score on a scale
Standard Deviation 25.2
Function Visual Analog Scale (VAS)
6 Months
75.2 score on a scale
Standard Deviation 25.7
Function Visual Analog Scale (VAS)
12 Months
83.2 score on a scale
Standard Deviation 17.7

SECONDARY outcome

Timeframe: Preoperatively, 6 Weeks, 12 Weeks, 6 Months, 12 Months

Population: Participants with available data necessary for the assessment specified for the given time frame.

VAS Joint Pain based on a scale of 0 to 100 as completed by the participant with 0 indicating no pain and 100 indicating severe pain.

Outcome measures

Outcome measures
Measure
Ascension® MCP Finger Implant
n=97 Participants
Single arm study, patient treated with Ascension® PyroCarbon MCP implant. Ascension® MCP Finger Implant: Patients who meet inclusion/ exclusion criteria are treated with the Ascension® MCP.
Joint Pain Visual Analog Score (VAS)
Preoperatively
65.3 score on a scale
Standard Deviation 28.4
Joint Pain Visual Analog Score (VAS)
6 Weeks
16.0 score on a scale
Standard Deviation 20.0
Joint Pain Visual Analog Score (VAS)
12 Weeks
11.3 score on a scale
Standard Deviation 18.8
Joint Pain Visual Analog Score (VAS)
6 Months
10.5 score on a scale
Standard Deviation 20.5
Joint Pain Visual Analog Score (VAS)
12 Months
11.8 score on a scale
Standard Deviation 19.4

SECONDARY outcome

Timeframe: Preoperatively, 6 Weeks, 12 Weeks, 6 Months, and 12 months

Population: Participants with available data necessary for the assessment specified for the given time frame.

VAS Cosmetic Appearance based on a scale of 0 to 100 as completed by the participant with 0 indicating worst appearance and 100 indicating normal appearance.

Outcome measures

Outcome measures
Measure
Ascension® MCP Finger Implant
n=97 Participants
Single arm study, patient treated with Ascension® PyroCarbon MCP implant. Ascension® MCP Finger Implant: Patients who meet inclusion/ exclusion criteria are treated with the Ascension® MCP.
Cosmetic Appearance Visual Analog Scale (VAS)
Preoperatively
39.8 score on a scale
Standard Deviation 33.8
Cosmetic Appearance Visual Analog Scale (VAS)
6 Weeks
71.1 score on a scale
Standard Deviation 23.8
Cosmetic Appearance Visual Analog Scale (VAS)
12 Weeks
75.4 score on a scale
Standard Deviation 25.4
Cosmetic Appearance Visual Analog Scale (VAS)
6 Months
78.1 score on a scale
Standard Deviation 25.5
Cosmetic Appearance Visual Analog Scale (VAS)
12 Months
83.0 score on a scale
Standard Deviation 25.6

SECONDARY outcome

Timeframe: Preoperatively, 6 weeks, 12 weeks, 6 months, and 12 months

Population: Number analyzed for each specified time frame and category includes participants with available finger data.

Joint position for the affected finger determined by radiographic evaluation. Standard anteroposterior (AP), oblique, and lateral radiographs were made at the pre-operative and all post-operative evaluation visits of the hand(s) in which the Ascension MCP device was implanted. Joint position was classified as reduced, subluxed, dislocated, or (data) missing.

Outcome measures

Outcome measures
Measure
Ascension® MCP Finger Implant
n=161 fingers
Single arm study, patient treated with Ascension® PyroCarbon MCP implant. Ascension® MCP Finger Implant: Patients who meet inclusion/ exclusion criteria are treated with the Ascension® MCP.
Joint Position
12 Weeks · Subluxed
2 fingers
Joint Position
12 Weeks · Dislocated
0 fingers
Joint Position
12 Weeks · Missing
2 fingers
Joint Position
6 Months · Reduced
122 fingers
Joint Position
6 Months · Subluxed
2 fingers
Joint Position
6 Months · Dislocated
1 fingers
Joint Position
6 Months · Missing
6 fingers
Joint Position
12 Months · Reduced
118 fingers
Joint Position
12 Months · Subluxed
3 fingers
Joint Position
12 Months · Dislocated
0 fingers
Joint Position
12 Months · Missing
2 fingers
Joint Position
Preoperatively · Reduced
78 fingers
Joint Position
Preoperatively · Subluxed
62 fingers
Joint Position
Preoperatively · Dislocated
20 fingers
Joint Position
Preoperatively · Missing
1 fingers
Joint Position
6 Weeks · Reduced
152 fingers
Joint Position
6 Weeks · Subluxed
0 fingers
Joint Position
6 Weeks · Dislocated
2 fingers
Joint Position
6 Weeks · Missing
1 fingers
Joint Position
12 Weeks · Reduced
148 fingers

SECONDARY outcome

Timeframe: 6 Weeks, 12 Weeks, 6 Months, 12 Months

Population: Number analyzed for each specified time frame and category includes participants with available implanted device data.

Component migration determined by radiographic assessment. Migration of the device was classified as none, yes, or (data) missing.

Outcome measures

Outcome measures
Measure
Ascension® MCP Finger Implant
n=155 devices
Single arm study, patient treated with Ascension® PyroCarbon MCP implant. Ascension® MCP Finger Implant: Patients who meet inclusion/ exclusion criteria are treated with the Ascension® MCP.
Component Migration
6 Weeks · None
155 devices
Component Migration
6 Weeks · Yes
0 devices
Component Migration
6 Weeks · Missing
0 devices
Component Migration
12 Weeks · None
151 devices
Component Migration
12 Weeks · Yes
0 devices
Component Migration
12 Weeks · Missing
1 devices
Component Migration
6 Months · None
130 devices
Component Migration
6 Months · Yes
1 devices
Component Migration
6 Months · Missing
0 devices
Component Migration
12 Months · None
123 devices
Component Migration
12 Months · Yes
0 devices
Component Migration
12 Months · Missing
0 devices

SECONDARY outcome

Timeframe: 6 Weeks, 12 Weeks, 6 Months, 12 Months

Population: Number analyzed for each specified time frame and category includes participants with available finger data.

X-rays were examined to determine if the implant components demonstrate stable fixation in the bone. Bone changes were classified as no changes (i.e., none), any bone changes, or (data) missing.

Outcome measures

Outcome measures
Measure
Ascension® MCP Finger Implant
n=155 devices
Single arm study, patient treated with Ascension® PyroCarbon MCP implant. Ascension® MCP Finger Implant: Patients who meet inclusion/ exclusion criteria are treated with the Ascension® MCP.
Bone Changes by Device
6 Weeks · None
154 devices
Bone Changes by Device
6 Weeks · Any Bone Changes
1 devices
Bone Changes by Device
6 Weeks · Missing
0 devices
Bone Changes by Device
12 Weeks · None
148 devices
Bone Changes by Device
12 Weeks · Any Bone Changes
3 devices
Bone Changes by Device
12 Weeks · Missing
1 devices
Bone Changes by Device
6 Months · None
103 devices
Bone Changes by Device
6 Months · Any Bone Changes
28 devices
Bone Changes by Device
6 Months · Missing
0 devices
Bone Changes by Device
12 Months · None
68 devices
Bone Changes by Device
12 Months · Any Bone Changes
52 devices
Bone Changes by Device
12 Months · Missing
3 devices

Adverse Events

Ascension® MCP Finger Implant

Serious events: 25 serious events
Other events: 30 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Ascension® MCP Finger Implant
n=97 participants at risk
Single arm study, patient treated with Ascension® PyroCarbon MCP implant. Ascension® MCP Finger Implant: Patients who meet inclusion/ exclusion criteria are treated with the Ascension® MCP.
Musculoskeletal and connective tissue disorders
Ankylosing Spondylitis
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Carpal Tunnel Syndrome
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Deformity
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Deformity - Boutonniere
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Deformity - Swan Neck
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
DIP Mallet
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
DIP pin removal
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Dislocation
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Renal and urinary disorders
Emergent Prostate Surgery
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
General disorders
Excessive Pain
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Flexion Contracture
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Flexion Contracture, tendon adhesion
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Gastrointestinal disorders
Gastrointestinal
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Increased Stiffness
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Loss of Motion
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Nervous system disorders
Numbness/Nerve Symptoms
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
OA Contralateral Hand
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
OA w/ midcarpal instability
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Osteoarthritis w/ midcarpal instability
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
General disorders
Pain
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Pin Protrusion
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Pin Removal
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
PIP Deformities
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Recurrent Radial Deviation
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Recurrent Ulnar Deviation
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Reduction/Loss of Motion
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Removal of Kirschner wires
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Rupture
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Stiffness
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Subluxation
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Surgery on other hand
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Synovitis/Tenosynovitis
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Tendon Adhesion
3.1%
3/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Skin and subcutaneous tissue disorders
Wound Dehiscence
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.

Other adverse events

Other adverse events
Measure
Ascension® MCP Finger Implant
n=97 participants at risk
Single arm study, patient treated with Ascension® PyroCarbon MCP implant. Ascension® MCP Finger Implant: Patients who meet inclusion/ exclusion criteria are treated with the Ascension® MCP.
Musculoskeletal and connective tissue disorders
Bone Fracture
2.1%
2/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Back Surgery
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
General disorders
Blistering at tourniquet site
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Calcification PIP joint
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Cardiac disorders
Cardiovascular
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Carpal Tunnel Syndrome
2.1%
2/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Clicking, popping, pain in right middle finger
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Deformity
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Dislocation
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Excessive Pain
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
General disorders
Excessive Swelling
3.1%
3/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Excessive Swelling
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Extension lag
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Flexion Contracture
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Gastrointestinal disorders
Gastrointestinal-Hospitalized for GI Bleed
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Increased Stiffness
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Infections and infestations
Infection - superficial
2.1%
2/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Lacerated EPB tendon
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Infections and infestations
Legionella infection
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Mild, clicking, popping, left index finger
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Nervous system disorders
Numbness/Nerve Symptoms
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
General disorders
Pain
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
General disorders
Pain Onset
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Pin Protrusion
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Pin removal (L) Hand
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
PIP Revision surgery
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Recureent Radial/Ulnar Deviation
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Recurrent Ulnar Deviation
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Reduction/loss of motion
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Revision to another PyroCarbon MCP
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Ring & Small claw deformity
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Scar Adhesion
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Injury, poisoning and procedural complications
squeaking implant
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Stiffness in Left small finger
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Synovitis
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Tendon Rupture
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Total Knee Replacement
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.
Musculoskeletal and connective tissue disorders
Triggerfinger RR
1.0%
1/97 • Adverse events were collected from enrollment to study completion or termination, up to 1 year.
Adverse events were recorded on the appropriate Case Report Form. The investigator would inform the sponsor within 24 hours in the event of: * A severe, unexpected, device related complication or adverse event; or * A re-operation procedure for device removal or additional soft-tissue reconstruction.

Additional Information

Belinda Larson, Director, Global Clinical Strategy (Trauma)

Smith+Nephew, Inc.

Results disclosure agreements

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