ATTUNE® Revision- Complex Primary in Total Knee Arthroplasty Population

NCT ID: NCT03153449

Last Updated: 2025-11-10

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-19

Study Completion Date

2028-06-30

Brief Summary

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Five-year, Prospective, multi-center, non-randomized, non-controlled study of the ATTUNE® Revision total knee prostheses, utilizing the fixed bearing (FB) and rotating platform (RP) tibial component with the posterior stabilizing (PS) femoral component in complex primary total knee arthroplasty.

Detailed Description

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Within primary TKA, there are factors that lead to more complex procedures that include patients with high BMIs, advanced preoperative deformities and ligamentous laxity. Such cases may require the surgeon to treat using ancillary components, such as stems and/or augments and/or additional constraint.

This post-market study will evaluate the short/medium term clinical performance and medium term survivorship of the ATTUNE Revision system system, which includes instrumentation, in complex primary TKA. The study is designed as a worldwide non-comparative, multi-center study with each site initially having a cohort of approximately 20 Subjects to recruit. The study will enroll approximately 200 fixed bearing and approximately 200 rotating platform configurations.

The 2-year KOOS-ADL (activities of daily living) was selected as the primary endpoint because it will evaluate the post-operative period during which outcomes typically plateau and will therefore provide a good indication of longer term outcomes

Male and female Subjects, age 22-80 years, inclusive, who require a primary knee arthroplasty in a joint that, due to deformity, instability, bone loss etc., necessitates the use of implants found within the ATTUNE Revision knee system and are suitable candidates for TKA using the ATTUNE® Revision system are eligible for enrollment in this study.

Conditions

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Primary Knee Arthroplasty

Keywords

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complex primary, deformity, ligamentous laxity

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ATTUNE Revision knee system

The ATTUNE Revision knees system is complementary to the ATTUNE primary knee portfolio and includes both rotating platform (RP) and fixed bearing (FB) configurations. The system includes a full compliment of implants designed to address the challenges faced in complex primary knee surgeries. These implants include Stemmable tibial and femoral components, augments, sleeves and offsets

Group Type OTHER

ATTUNE Revision Knee System in Total Knee Arthroplasty

Intervention Type DEVICE

Implants from the ATTUNE Revision Knee System will be used to treat subjects whose surgeons have determined their anatomy is such that the use of revision components are required to perform primary total knee arthroplasty

Interventions

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ATTUNE Revision Knee System in Total Knee Arthroplasty

Implants from the ATTUNE Revision Knee System will be used to treat subjects whose surgeons have determined their anatomy is such that the use of revision components are required to perform primary total knee arthroplasty

Intervention Type DEVICE

Other Intervention Names

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complex primary knee arthroplasty

Eligibility Criteria

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Inclusion Criteria

1. Subject is male or female and between the ages of 22 and 80 years at the time of consent, inclusive.
2. The decision to have knee replacement with the study device is regardless of the research.
3. The devices are to be used according to the approved indications.
4. Subject that is willing to give voluntary, written informed consent to participate in this clinical investigation and authorize the transfer of his/her information to the Sponsor
5. Subject is currently not bedridden.
6. Subject, in the opinion of the Investigator, is able to understand this clinical investigation and is willing and able to perform all study procedures and follow-up visits and co-operate with investigational procedures.
7. Subject is able to read, and comprehend the Informed Consent Document as well as complete the required PROMs in either English or one of the available translations.
8. Subject has not been diagnosed with an inflammatory arthritis (including gout, rheumatoid, psoriatic etc.)

Exclusion Criteria

1. The Subject is a woman who is pregnant or lactating.
2. Contralateral knee has already been enrolled in this study. If the Investigator plans to treat a potential study subject with either simultaneous (two (2) knees in one (1) surgical setting) or staged bilateral TKA, then this subject may be enrolled; however, only the first knee may be enrolled into this study.
3. Subject had a contralateral amputation.
4. Previous partial knee replacement (unicompartmental, bicompartmental or patellofemoral joint replacement) or primary TKA in affected knee.
5. Subject is currently diagnosed with radicular pain from the spine that radiates into the limb to receive TKA.
6. Subject has participated in a clinical investigation with an investigational product (drug or device) in the last three (3) months.
7. Subject is currently involved in any personal injury litigation, medical-legal or worker's compensation claims.
8. Subject, in the opinion of the Investigator, is a drug or alcohol abuser (in the last 5 years) or has a psychological disorder that could affect his/her ability to complete patient reported questionnaires or be compliant with follow-up requirements.
9. Subject was diagnosed and is taking prescription medications to treat a muscular disorder that limits mobility due to severe stiffness and pain such as fibromyalgia or polymyalgia.
10. Subject has a significant neurological or musculoskeletal disorder(s) or disease that may adversely affect gait or weight bearing activities (e.g., muscular dystrophy, multiple sclerosis, Charcot disease).
11. Subject has a medical condition with less than five (5) years life expectancy as determined by the Investigator.
12. Subject has been diagnosed with an inflammatory arthritis (including uncontrolled gout, rheumatoid, psoriatic etc.).

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Minimum Eligible Age

22 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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DePuy Orthopaedics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Grant Jamgochian

Role: STUDY_DIRECTOR

Sponsor GmbH

Locations

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Scripps Clinic Torrey Pines

San Diego, California, United States

Site Status

Colorado Joint Replacement

Denver, Colorado, United States

Site Status

Orthopaedic Center of the Rockies

Fort Collins, Colorado, United States

Site Status

Orthopedic Partners

Niantic, Connecticut, United States

Site Status

Florida Orthopedic Associates

DeLand, Florida, United States

Site Status

Arthroplasty Foundation

Louisville, Kentucky, United States

Site Status

University of Mississippi Medical Center

Jackson, Mississippi, United States

Site Status

Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, United States

Site Status

Rothman Institute

Egg Harbor, New Jersey, United States

Site Status

UNC Orthopaedics

Chapel Hill, North Carolina, United States

Site Status

OrthoCarolina Hip and Knee Center

Charlotte, North Carolina, United States

Site Status

The Ohio State University Wexner Medical Center

Columbus, Ohio, United States

Site Status

Southern Joint Replacement Institute

Nashville, Tennessee, United States

Site Status

Texas Institute for Hip & Knee Surgery

Austin, Texas, United States

Site Status

Fondren Orthopedic Group

Houston, Texas, United States

Site Status

Fremantle Hospital

Fremantle, , Australia

Site Status

St. John of God Murdoch Hospital

Perth, , Australia

Site Status

Krankenhaus der Barmherzigen Schwestern Linz Betriebsgesellschaft m.b.H.

Linz, , Austria

Site Status

London Health Sciences Centre University Hospital

London, Ontario, Canada

Site Status

Concordia Joint Replacement

Winnipeg, , Canada

Site Status

CHRU La Cavale Blanche

Brest, , France

Site Status

Centre Hospitalier Universitaire de Rennes

Rennes, , France

Site Status

Klinik und Poliklinik für Orthopädie und Sportorthopädie am Klinikum rechts der Isar der Technischen Universität Münche

Munich, , Germany

Site Status

Asklepios Orthopädische Klinik Lindenlohe

Schwandorf in Bayern, , Germany

Site Status

South Infirmary Public Hospital

Cork, , Ireland

Site Status

University Hospital Maastricht

Maastricht, , Netherlands

Site Status

Wellington Hospital

Wellington, , New Zealand

Site Status

Hampshire Hospitals NHS Foundation Trust

Basingstoke, , United Kingdom

Site Status

Victoria Hospital NHS Fife

Kirkcaldy, , United Kingdom

Site Status

Chapel Allerton Orthopaedic Centre

Leeds, , United Kingdom

Site Status

James Cook University Hospital

Middlesbrough, , United Kingdom

Site Status

The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

Oswestry, , United Kingdom

Site Status

Nuffield Orthopaedic Centre

Oxford, , United Kingdom

Site Status

Wrightington Hospital

Wigan, , United Kingdom

Site Status

Countries

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Belgium Italy Switzerland United States Australia Austria Canada France Germany Ireland Netherlands New Zealand United Kingdom

Other Identifiers

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DSJ-2016-03

Identifier Type: -

Identifier Source: org_study_id