Trial Outcomes & Findings for A Multicenter Study to Evaluate Functional Outcome After Knee Replacement (NCT NCT02494544)

NCT ID: NCT02494544

Last Updated: 2025-11-21

Results Overview

Comparing the functional testing differences between iTotal and off the shelf. "Total Functional Activities Score" - a subscale within the Knee Society Score (KSS) with its individual subscale score. The Total Functional Activities Score subscale interprets the functional knee health of each patient via a series of tests such as walking/standing (30 points), standard activities (30 points), advanced activities (25 points), and sports/recreational activities (15 points). Deductions to score are made for factors that limit a patient's mobility, such as needing to use an ambulatory device. The subscale scoring system ranges from 0-100, with higher scores indicating better knee function.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

215 participants

Primary outcome timeframe

1 year

Results posted on

2025-11-21

Participant Flow

While "Biomet Total Knee Replacement" and "Smith and Nephew Total Knee Replacement" Arms/Groups were listed as possible study groups, no included patients utilized these implant systems. This included patients who failed to meet screening criteria, failed to reach the protocol's required follow-up duration, etc. These arms/groups were only established before the study to represent the possible study groups based on available implant systems on the market.

Participant milestones

Participant milestones
Measure
ConforMIS iTotal Knee Replacement
iTotal patient-specific knee replacement system ConforMIS iTotal Knee Replacement: A knee replacement performed with patient specific implant and surgical jigs.
DePuy Total Knee Replacement
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Zimmer Total Knee Replacement
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Biomet Total Knee Replacement
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Smith & Nephew Total Knee Replacement
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Stryker Total Knee Replacement
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Overall Study
STARTED
131
38
19
0
0
26
Overall Study
COMPLETED
81
28
19
0
0
19
Overall Study
NOT COMPLETED
50
10
0
0
0
7

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Multicenter Study to Evaluate Functional Outcome After Knee Replacement

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ConforMIS iTotal Knee Replacement
n=81 Participants
iTotal patient-specific knee replacement system ConforMIS iTotal Knee Replacement: A knee replacement performed with patient specific implant and surgical jigs.
DePuy Total Knee Replacement
n=28 Participants
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Zimmer Total Knee Replacement
n=19 Participants
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Biomet Total Knee Replacement
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Smith & Nephew Total Knee Replacement
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Stryker Total Knee Replacement
n=19 Participants
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Total
n=147 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=68 Participants
0 Participants
n=76 Participants
0 Participants
n=48 Participants
0 Participants
n=33 Participants
0 Participants
n=225 Participants
0 Participants
n=192 Participants
0 Participants
n=24 Participants
Age, Categorical
Between 18 and 65 years
42 Participants
n=68 Participants
10 Participants
n=76 Participants
10 Participants
n=48 Participants
0 Participants
n=33 Participants
0 Participants
n=225 Participants
5 Participants
n=192 Participants
67 Participants
n=24 Participants
Age, Categorical
>=65 years
39 Participants
n=68 Participants
18 Participants
n=76 Participants
9 Participants
n=48 Participants
0 Participants
n=33 Participants
0 Participants
n=225 Participants
14 Participants
n=192 Participants
80 Participants
n=24 Participants
Age, Continuous
65.728 years
STANDARD_DEVIATION 7.482 • n=68 Participants
67.321 years
STANDARD_DEVIATION 6.842 • n=76 Participants
63 years
STANDARD_DEVIATION 8.524 • n=48 Participants
68.105 years
STANDARD_DEVIATION 6.590 • n=192 Participants
65.986 years
STANDARD_DEVIATION 7.468 • n=24 Participants
Sex: Female, Male
Female
45 Participants
n=68 Participants
19 Participants
n=76 Participants
13 Participants
n=48 Participants
12 Participants
n=192 Participants
89 Participants
n=24 Participants
Sex: Female, Male
Male
36 Participants
n=68 Participants
9 Participants
n=76 Participants
6 Participants
n=48 Participants
7 Participants
n=192 Participants
58 Participants
n=24 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=68 Participants
0 Participants
n=76 Participants
0 Participants
n=48 Participants
0 Participants
n=192 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
Asian
0 Participants
n=68 Participants
2 Participants
n=76 Participants
0 Participants
n=48 Participants
0 Participants
n=192 Participants
2 Participants
n=24 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=68 Participants
0 Participants
n=76 Participants
0 Participants
n=48 Participants
0 Participants
n=192 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
Black or African American
12 Participants
n=68 Participants
6 Participants
n=76 Participants
0 Participants
n=48 Participants
2 Participants
n=192 Participants
20 Participants
n=24 Participants
Race (NIH/OMB)
White
68 Participants
n=68 Participants
16 Participants
n=76 Participants
19 Participants
n=48 Participants
17 Participants
n=192 Participants
120 Participants
n=24 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=68 Participants
0 Participants
n=76 Participants
0 Participants
n=48 Participants
0 Participants
n=192 Participants
0 Participants
n=24 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=68 Participants
4 Participants
n=76 Participants
0 Participants
n=48 Participants
0 Participants
n=192 Participants
5 Participants
n=24 Participants
Region of Enrollment
United States
73 participants
n=68 Participants
27 participants
n=76 Participants
19 participants
n=48 Participants
10 participants
n=192 Participants
128 participants
n=24 Participants
Region of Enrollment
Germany
8 participants
n=68 Participants
1 participants
n=76 Participants
0 participants
n=48 Participants
9 participants
n=192 Participants
19 participants
n=24 Participants

PRIMARY outcome

Timeframe: 1 year

Population: Patients that met inclusion criteria and had KSS Total Functional Activities Score.

Comparing the functional testing differences between iTotal and off the shelf. "Total Functional Activities Score" - a subscale within the Knee Society Score (KSS) with its individual subscale score. The Total Functional Activities Score subscale interprets the functional knee health of each patient via a series of tests such as walking/standing (30 points), standard activities (30 points), advanced activities (25 points), and sports/recreational activities (15 points). Deductions to score are made for factors that limit a patient's mobility, such as needing to use an ambulatory device. The subscale scoring system ranges from 0-100, with higher scores indicating better knee function.

Outcome measures

Outcome measures
Measure
ConforMIS iTotal Knee Replacement
n=73 Participants
iTotal patient-specific knee replacement system ConforMIS iTotal Knee Replacement: A knee replacement performed with patient specific implant and surgical jigs.
DePuy Total Knee Replacement
n=26 Participants
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Zimmer Total Knee Replacement
n=18 Participants
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Biomet Total Knee Replacement
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Smith & Nephew Total Knee Replacement
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Stryker Total Knee Replacement
n=15 Participants
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Functional Activities Subscale Score Within the Knee Society Score (KSS) Measure
Baseline Score
42.34 Score on a subscale
Standard Deviation 16.31
40.38 Score on a subscale
Standard Deviation 13.07
43.56 Score on a subscale
Standard Deviation 12.38
38.87 Score on a subscale
Standard Deviation 13.53
Functional Activities Subscale Score Within the Knee Society Score (KSS) Measure
1 Year Score
77.16 Score on a subscale
Standard Deviation 16.47
73.65 Score on a subscale
Standard Deviation 16.99
88.94 Score on a subscale
Standard Deviation 6.20
71.20 Score on a subscale
Standard Deviation 23.63
Functional Activities Subscale Score Within the Knee Society Score (KSS) Measure
Change in Score
34.82 Score on a subscale
Standard Deviation 21.73
33.27 Score on a subscale
Standard Deviation 18.28
45.39 Score on a subscale
Standard Deviation 13.18
32.33 Score on a subscale
Standard Deviation 19.21

SECONDARY outcome

Timeframe: 1 year

Population: Patients that met inclusion criteria and had patient satisfaction data were included.

Measuring and comparing the differences between iTotal and off the shelf knees with patient reported outcomes. "Patient Satisfaction", a subscale within the Knee Society Score (KSS), was utilized to capture this metric. The Patient Satisfaction subscale combines scores given for certain responses (very satisfied, satisfied, neutral, somewhat dissatisfied, very dissatisfied) across 5 questions. These questions are designed to determine the level of satisfaction a patient has with their implant across both everyday and active activities. This score ranges from 0-40, with higher scores indicating higher levels of patient satisfaction.

Outcome measures

Outcome measures
Measure
ConforMIS iTotal Knee Replacement
n=73 Participants
iTotal patient-specific knee replacement system ConforMIS iTotal Knee Replacement: A knee replacement performed with patient specific implant and surgical jigs.
DePuy Total Knee Replacement
n=26 Participants
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Zimmer Total Knee Replacement
n=18 Participants
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Biomet Total Knee Replacement
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Smith & Nephew Total Knee Replacement
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Stryker Total Knee Replacement
n=15 Participants
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Patient Satisfaction Subscale Score Within the Knee Society Score (KSS) Measure
1 Year Score
33.78 score on a scale
Standard Deviation 8.28
32.00 score on a scale
Standard Deviation 7.80
37.44 score on a scale
Standard Deviation 3.81
32.93 score on a scale
Standard Deviation 6.84
Patient Satisfaction Subscale Score Within the Knee Society Score (KSS) Measure
Baseline Score
12.49 score on a scale
Standard Deviation 7.09
13.62 score on a scale
Standard Deviation 6.50
15.67 score on a scale
Standard Deviation 7.65
15.50 score on a scale
Standard Deviation 6.67
Patient Satisfaction Subscale Score Within the Knee Society Score (KSS) Measure
Change in Score
21.29 score on a scale
Standard Deviation 10.76
18.38 score on a scale
Standard Deviation 9.63
21.78 score on a scale
Standard Deviation 8.08
17.73 score on a scale
Standard Deviation 8.71

SECONDARY outcome

Timeframe: 1 year

Population: No included patients utilized the Biomet or Smith \& Nephew total knee replacement systems.

All complications were stratified according to clinicaltrials.gov reporting standards and each site labeled each complication as either device-related, non-device-related, procedure-related, and non-procedure-related.

Outcome measures

Outcome measures
Measure
ConforMIS iTotal Knee Replacement
n=81 Participants
iTotal patient-specific knee replacement system ConforMIS iTotal Knee Replacement: A knee replacement performed with patient specific implant and surgical jigs.
DePuy Total Knee Replacement
n=28 Participants
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Zimmer Total Knee Replacement
n=19 Participants
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Biomet Total Knee Replacement
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Smith & Nephew Total Knee Replacement
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Stryker Total Knee Replacement
n=19 Participants
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Incidents of Major Procedure-related and Device Related Complications (Including Revision Rates)
Device Related Complications (including revision)
1 Patients with Events
0 Patients with Events
0 Patients with Events
0 Patients with Events
Incidents of Major Procedure-related and Device Related Complications (Including Revision Rates)
Major Procedure Related Complications
12 Patients with Events
5 Patients with Events
1 Patients with Events
3 Patients with Events

Adverse Events

ConforMIS iTotal Knee Replacement

Serious events: 13 serious events
Other events: 26 other events
Deaths: 0 deaths

DePuy Total Knee Replacement

Serious events: 6 serious events
Other events: 7 other events
Deaths: 0 deaths

Zimmer Total Knee Replacement

Serious events: 2 serious events
Other events: 1 other events
Deaths: 0 deaths

Biomet Total Knee Replacement

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

Smith & Nephew Total Knee Replacement

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

Stryker Total Knee Replacement

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
ConforMIS iTotal Knee Replacement
n=81 participants at risk
iTotal patient-specific knee replacement system ConforMIS iTotal Knee Replacement: A knee replacement performed with patient specific implant and surgical jigs.
DePuy Total Knee Replacement
n=28 participants at risk
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Zimmer Total Knee Replacement
n=19 participants at risk
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Biomet Total Knee Replacement
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Smith & Nephew Total Knee Replacement
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Stryker Total Knee Replacement
n=19 participants at risk
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
General disorders
SAS
16.0%
13/81 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
21.4%
6/28 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
10.5%
2/19 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
0/0 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
0/0 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
0.00%
0/19 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov

Other adverse events

Other adverse events
Measure
ConforMIS iTotal Knee Replacement
n=81 participants at risk
iTotal patient-specific knee replacement system ConforMIS iTotal Knee Replacement: A knee replacement performed with patient specific implant and surgical jigs.
DePuy Total Knee Replacement
n=28 participants at risk
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Zimmer Total Knee Replacement
n=19 participants at risk
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Biomet Total Knee Replacement
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Smith & Nephew Total Knee Replacement
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Stryker Total Knee Replacement
n=19 participants at risk
Off the shelf knee replacement system Off the Shelf Total Knee Replacement: A knee replacement system by DePuy, Zimmer, Biomet, Smith \& Nephew, or Stryker
Infections and infestations
Infection-related Complication
6.2%
5/81 • Number of events 5 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
0.00%
0/28 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
0.00%
0/19 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
0/0 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
0/0 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
5.3%
1/19 • Number of events 1 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
General disorders
Wound Complications
6.2%
5/81 • Number of events 5 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
0.00%
0/28 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
0.00%
0/19 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
0/0 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
0/0 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
5.3%
1/19 • Number of events 1 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
Vascular disorders
Thrombotic Complications
0.00%
0/81 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
0.00%
0/28 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
0.00%
0/19 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
0/0 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
0/0 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
10.5%
2/19 • Number of events 2 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
Musculoskeletal and connective tissue disorders
Pain/Stiffness Complications
4.9%
4/81 • Number of events 4 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
7.1%
2/28 • Number of events 2 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
0.00%
0/19 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
0/0 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
0/0 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
0.00%
0/19 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
Injury, poisoning and procedural complications
Procedure Related Complication
14.8%
12/81 • Number of events 12 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
17.9%
5/28 • Number of events 5 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
5.3%
1/19 • Number of events 1 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
0/0 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
0/0 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov
15.8%
3/19 • Number of events 3 • 1 year post-operation.
Adverse event collection followed the definitions given on clinicaltrials.gov

Additional Information

Tara Mann - Director of Clinical Affairs

restor3d

Phone: (984) 888-0593

Results disclosure agreements

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