A Multicenter Study to Evaluate Functional Outcome After Knee Replacement

NCT ID: NCT02494544

Last Updated: 2025-11-21

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

215 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-07-01

Study Completion Date

2022-11-16

Brief Summary

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Patients will be consecutively enrolled by implant. Implant groups will be those who have undergone surgery with either a ConforMIS iTotal® CR TKA or an Off-the- Shelf (OTS) system.

The patient will conduct functional testing and answer questionnaires.

The results will compare the ConforMIS iTotal with an Off the Shelf Knee replacement.

Detailed Description

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To compare functional and patient reported outcome data for a consecutively enrolled group of subjects who have undergone surgery with either a ConforMIS iTotal® CR TKA or an Off-the- Shelf (OTS) system.The person conducting the functional testing will be blinded to the device implanted. Sites will perform the off-the-shelf total knees conventional instrumentation.

Conditions

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Osteoarthritis

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

SINGLE

Outcome Assessors
Site staff that is performing functional testing on subject is blinded to what implant the patient has.

Study Groups

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ConforMIS iTotal Knee replacement

iTotal patient-specific knee replacement system

Group Type ACTIVE_COMPARATOR

ConforMIS iTotal Knee Replacement

Intervention Type DEVICE

A knee replacement performed with patient specific implant and surgical jigs.

DePuy total knee replacement

Off the shelf knee replacement system

Group Type ACTIVE_COMPARATOR

Off the Shelf Total Knee Replacement

Intervention Type DEVICE

A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker

Zimmer total knee replacement

Off the shelf knee replacement system

Group Type ACTIVE_COMPARATOR

Off the Shelf Total Knee Replacement

Intervention Type DEVICE

A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker

Biomet total knee replacement

Off the shelf knee replacement system

Group Type ACTIVE_COMPARATOR

Off the Shelf Total Knee Replacement

Intervention Type DEVICE

A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker

Smith & Nephew total knee replacement

Off the shelf knee replacement system

Group Type ACTIVE_COMPARATOR

Off the Shelf Total Knee Replacement

Intervention Type DEVICE

A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker

Stryker total knee replacement

Off the shelf knee replacement system

Group Type ACTIVE_COMPARATOR

Off the Shelf Total Knee Replacement

Intervention Type DEVICE

A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker

Interventions

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Off the Shelf Total Knee Replacement

A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker

Intervention Type DEVICE

ConforMIS iTotal Knee Replacement

A knee replacement performed with patient specific implant and surgical jigs.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Clinical condition included in the approved Indications For Use for the iTotal CR
* Osteoarthritis, as confirmed by the investigator's assessment of disease status at screening visit that warrants a TKR procedure. Disease status is assessed by Clinical and Radiographic assessment
* Willingness to participate in the clinical study, to give informed consent and to attend all follow-up visits
* \> 18 years of age

Exclusion:

* Subject will require a simultaneous bilateral procedure
* Other lower extremity surgery within 1 year
* Severe (\> 15º) fixed valgus or varus deformity
* Severe (\> 15º) extension deficit
* Severe instability due to advanced loss of osteochondral structure
* Loss of bone or musculature, osteoporosis, neuromuscular or vascular compromise in the area of the joint to be operated on to an extent that the procedure is unjustified
* Insufficient bone stock on the femoral or tibial surfaces
* Contralateral knee replacement surgery within the past 6 months
* BMI \> 40
* Active malignancy (defined as a history of any invasive malignancy - except non-melanoma skin cancer), unless patient has been treated with curative intent and there have been no clinical signs or symptoms of the malignancy for at least 5 years
* Poorly controlled diabetes (defined as HbA1c \>7 or surgeon discretion)
* Immunocompromised
* Other physical disability affecting the hips, spine, or contralateral knee that limits function
* Disabling chronic pain with narcotic dependence
* Compromised PCL or collateral ligament
* Prior history of failed implant surgery of the joint to be treated, including Unicompartmental Knee Arthroplasty (UKA), or Bicompartmental Knee Arthroplasty (BKA)
* Prior history of failed high tibial osteotomy (HTO)
* Participation in another clinical study which would confound results
* Inability to complete the protocol in the opinion of the clinical staff due to safety or other reasons
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Restor3D

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mary O'Connor, MD

Role: PRINCIPAL_INVESTIGATOR

Yale University

Locations

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University of California in San Diego

La Jolla, California, United States

Site Status

Sharp Healthcare

San Diego, California, United States

Site Status

Denver-Vail Orthopedics

Parker, Colorado, United States

Site Status

Yale School of Medicine

New Haven, Connecticut, United States

Site Status

Tufts University

Boston, Massachusetts, United States

Site Status

University of Missouri

Columbia, Missouri, United States

Site Status

OrthoNY

Albany, New York, United States

Site Status

The Lindner Center for Research and Education

Cincinnati, Ohio, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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12-005

Identifier Type: -

Identifier Source: org_study_id

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