NexGen TM Tibia Clinical Outcomes Study

NCT ID: NCT03272373

Last Updated: 2024-12-30

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-03

Study Completion Date

2023-03-31

Brief Summary

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The objective of this study is to evaluate clinical performance for the commercially available NexGen TM Monoblock Tibia and NexGen TM Modular Tibia used in primary cementless tibia total knee arthroplasty.

Detailed Description

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This is a prospective, multicenter, non-randomized clinical study designed to facilitate the collection and evaluation of radiographic parameters, pain and function, survival of the device, and adverse event data. This clinical study will include the NexGen TM Monoblock Tibia and NexGen TM Modular Tibia as 2 single-arms being analyzed separately.

The study will require each site to obtain IRB approval prior to study enrollment. All potential study subjects will be required to participate in the Informed Consent Process.

All study subjects will undergo preoperative clinical evaluations prior to their cementless tibia total knee arthroplasty. An immediate postoperative radiograph will be required. Postoperative clinical follow-up and radiographic evaluations will be conducted at 6 weeks, 6 months, 1 year, and 2 years.

The primary endpoint of this study is to evaluate the clinical performance of the implant at 2 years postoperatively using radiographic parameters. Radiographs will be assessed for the absence of progressive tibial radiolucencies, as defined in the radiographic protocol.

The secondary endpoints of this study will evaluate the clinical performance of the implant at 2 years postoperatively, based upon:

* No revisions for any reason
* Oxford Knee Score \>38

Conditions

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Osteoarthritis Rheumatoid Arthritis Traumatic Arthritis Polyarthritis Collagen Disorders and/or Avascular Necrosis of the Femoral Condyle Post-traumatic Loss of Joint Configuration Moderate Valgus, Varus, or Flexion Deformities

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

2 single arms being analyzed separately
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Monoblock

Subjects that receive the NexGen TM Monoblock Tibia

Group Type OTHER

NexGen TM Monoblock Tibia

Intervention Type DEVICE

Primary cementless tibia total knee arthroplasty

Modular

Subjects that receive the NexGen TM Modular Tibia

Group Type OTHER

NexGen TM Modular Tibia

Intervention Type DEVICE

Primary cementless tibia total knee arthroplasty

Interventions

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NexGen TM Monoblock Tibia

Primary cementless tibia total knee arthroplasty

Intervention Type DEVICE

NexGen TM Modular Tibia

Primary cementless tibia total knee arthroplasty

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Patient is at least 18 years of age.
2. Patient qualifies for a primary cementless tibia total knee arthroplasty based on physical exam and medical history, including diagnosis of severe knee pain and disability due to at least one of the following:

1. Rheumatoid arthritis, osteoarthritis, traumatic arthritis, polyarthritis.
2. Collagen disorders and/or avascular necrosis of the femoral condyle.
3. Post-traumatic loss of joint configuration, particularly when there is patellofemoral erosion, dysfunction or prior patellectomy.
4. Moderate valgus, varus, or flexion deformities.
5. The salvage of previously failed surgical attempts that did not include partial or total knee arthroplasty of the ipsilateral knee.
3. Patient has participated in the study-related Informed Consent process.
4. Patient is willing and able to provide written Informed Consent by signing and dating the IRB approved Informed Consent Form.
5. Patient is willing and able to complete scheduled study procedures and follow-up evaluations as described in the Informed Consent Form.
6. Independent of study participation, patient is a candidate for commercially available cementless NexGen TM tibial knee component, implanted in accordance with product labeling.

Exclusion Criteria

1. Previous history of infection in the affected joint.
2. Active local or systemic infection that may affect the prosthetic joint.
3. Insufficient bone stock on femoral or tibial surfaces.
4. Skeletal immaturity.
5. Neuropathic arthropathy.
6. Osteoporosis or any loss of musculature or neuromuscular disease that compromises the affected limb.
7. A stable, painless arthrodesis in a satisfactory functional position.
8. Severe instability secondary to the absence of collateral ligament integrity.
9. Rheumatoid arthritis accompanied by an ulcer of the skin or a history of recurrent breakdown of the skin.
10. Patient has previously received partial or total knee arthroplasty for the ipsilateral knee.
11. Patient is currently participating in any other surgical intervention studies or pain management studies.
12. Patient is known to be pregnant or considered a member of a protected population (e.g., prisoner, mentally incompetent, etc.).
13. Patient has a known or suspected sensitivity or allergy to one or more of the implant materials.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zimmer Biomet

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kacy Arnold, RN, MBA

Role: STUDY_DIRECTOR

Zimmer Biomet

Locations

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LA BioMed at Harbor-UCLA Medical Center

Torrance, California, United States

Site Status

Cornerstone Orthopaedics & Sports Medicine, P.C.

Wheat Ridge, Colorado, United States

Site Status

Franciscan Health

Mooresville, Indiana, United States

Site Status

Henry County Orthopedics and Sports Medicine

New Castle, Indiana, United States

Site Status

Woods Mill Orthopedics, Ltd

Chesterfield, Missouri, United States

Site Status

Pinehurst Surgical Clinic

Pinehurst, North Carolina, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, 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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K.CR.I.G.16.34

Identifier Type: -

Identifier Source: org_study_id