Trial Outcomes & Findings for Establish Implant Accuracy With X-PSI Knee System (NCT NCT03275246)

NCT ID: NCT03275246

Last Updated: 2021-10-06

Results Overview

Achievement of mechanical leg alignment in HKA frontal plane (± 3 degrees) with X-PSI Knee System is as accurate as with standard instrumentation at 4-6 weeks post operation. The X-PSI Knee System cohort will be compared with current literature (70% of cases within ± 3 degrees). No control group will be studied.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

8 participants

Primary outcome timeframe

4-6 weeks post-surgery

Results posted on

2021-10-06

Participant Flow

Participant milestones

Participant milestones
Measure
Total Knee Arthroplasty
Patients undergoing total knee arthroplasty X-PSI Knee System: Patients are operated with X-PSI Knee System guides
Overall Study
STARTED
8
Overall Study
COMPLETED
2
Overall Study
NOT COMPLETED
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Total Knee Arthroplasty
Patients undergoing total knee arthroplasty X-PSI Knee System: Patients are operated with X-PSI Knee System guides
Overall Study
Protocol Violation
5
Overall Study
The study was stopped before the patient reached the final 1 year follow-up
1

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Total Knee Arthroplasty
n=3 Participants
Patients undergoing total knee arthroplasty X-PSI Knee System: Patients are operated with X-PSI Knee System guides
Age, Categorical
<=18 years
0 Participants
n=3 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=3 Participants
Age, Categorical
>=65 years
1 Participants
n=3 Participants
Sex: Female, Male
Female
0 Participants
n=3 Participants
Sex: Female, Male
Male
3 Participants
n=3 Participants
Region of Enrollment
Germany
3 Participants
n=3 Participants

PRIMARY outcome

Timeframe: 4-6 weeks post-surgery

Population: Mechanical alignment data were not collected from any participant.

Achievement of mechanical leg alignment in HKA frontal plane (± 3 degrees) with X-PSI Knee System is as accurate as with standard instrumentation at 4-6 weeks post operation. The X-PSI Knee System cohort will be compared with current literature (70% of cases within ± 3 degrees). No control group will be studied.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: During surgery, immediate pre- and post-surgery processing time

Population: No data on cost-effectiveness and efficiency were collected from any participant.

The cost-effectiveness of the X-PSI Knee System will be measured using an efficiency matrix where OR set-up time, surgery time and tray sterilization times will be collected and compared to conventional TKA procedures.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, 4-6 weeks and 1 year post-surgery

Population: Data should be interpreted with caution, as too few participants were followed to assess endpoints (N=3 for baseline and 4-6 weeks; N=2 for 1 year)

Obtain clincal outcome data on patients treated using the X-PSI Knee System in primary TKA procedures. The pain level will be measured using a 10 cm long scale indicating no pain (0) and worst imaginable pain (10).

Outcome measures

Outcome measures
Measure
Total Knee Arthroplasty
n=3 Participants
Patients undergoing total knee arthroplasty X-PSI Knee System: Patients are operated with X-PSI Knee System guides
Patient Clinical Outcome Measure: Visual Analog Score Pain
Baseline
8.2 units on a scale
Standard Deviation 0.9
Patient Clinical Outcome Measure: Visual Analog Score Pain
4-6 weeks post-surgery
3.7 units on a scale
Standard Deviation 2.4
Patient Clinical Outcome Measure: Visual Analog Score Pain
1 year post-surgery
1.1 units on a scale
Standard Deviation 0.4

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, 4-6 weeks and 1 year post-surgery

Population: Data should be interpreted with caution, as too few participants were followed to assess endpoints (N=3 for baseline and 4-6 weeks; N=2 for 1 year)

The Oxford Knee Score (OKS) is a 12-item patient-reported patient reported outcome specifically designed and developed to assess function and pain after total knee replacement (TKR) surgery (arthroplasty). The OKS provides a single summed score which reflects the severity of problems that the respondent has with their knee. Each question (item) is scored from 0 to 4 with 0 being the worst outcome and 4 being the best outcome. The scores are then summed to produce an overall score running from 0 (worst possible) to 48 (best outcome).

Outcome measures

Outcome measures
Measure
Total Knee Arthroplasty
n=3 Participants
Patients undergoing total knee arthroplasty X-PSI Knee System: Patients are operated with X-PSI Knee System guides
Patient Clinical Outcome Measure: Oxford Knee Score
1 year post-surgery
45.0 score on a scale
Standard Deviation 2.0
Patient Clinical Outcome Measure: Oxford Knee Score
Baseline
18.3 score on a scale
Standard Deviation 6.6
Patient Clinical Outcome Measure: Oxford Knee Score
4-6 weeks post-surgery
30.3 score on a scale
Standard Deviation 5.3

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, 4-6 weeks and 1 year post-surgery

Population: Data should be interpreted with caution, as too few participants were followed to assess endpoints (N=3 for baseline and 4-6 weeks; N=2 for 1 year)

Obtain clincal outcome data on patients treated using the X-PSI Knee System in primary TKA procedures. The EQ-5D VAS is a score to measure general quality of life. The general health state will be assessed on a patient self-reported Visual Analog Scale (VAS) where the endpoints are labelled 0 (worst imaginable health state) to 100 (best imaginable health state). The VAS is used as a quantitative measure of health outcome that reflects the patient's own judgement.

Outcome measures

Outcome measures
Measure
Total Knee Arthroplasty
n=3 Participants
Patients undergoing total knee arthroplasty X-PSI Knee System: Patients are operated with X-PSI Knee System guides
Patient Clinical Outcome Measure: EQ-5D Visual Analogue Scale (VAS)
Baseline
73.3 score on a scale
Standard Deviation 24.9
Patient Clinical Outcome Measure: EQ-5D Visual Analogue Scale (VAS)
4-6 weeks post-surgery
63.3 score on a scale
Standard Deviation 12.5
Patient Clinical Outcome Measure: EQ-5D Visual Analogue Scale (VAS)
1 year post-surgery
91.5 score on a scale
Standard Deviation 3.5

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, 4-6 weeks and 1 year post-surgery

Population: Data should be interpreted with caution, as too few participants were followed to assess endpoints (N=3 for baseline and 4-6 weeks; N=2 for 1 year)

The EQ-5D-3L descriptive system comprises the following five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems, some problems, and extreme problems.

Outcome measures

Outcome measures
Measure
Total Knee Arthroplasty
n=3 Participants
Patients undergoing total knee arthroplasty X-PSI Knee System: Patients are operated with X-PSI Knee System guides
Patient Clinical Outcome Measure: EQ-5D-3L Descriptive System
Baseline - patients reprting any problem (i.e some problems/ extreme problems) : Mobility
2 participants
Patient Clinical Outcome Measure: EQ-5D-3L Descriptive System
Baseline - patients reprting any problem (i.e some problems/ extreme problems) : Self-Care
1 participants
Patient Clinical Outcome Measure: EQ-5D-3L Descriptive System
Baseline - patients reprting any problem (i.e some problems/ extreme problems) : Usual Activities
2 participants
Patient Clinical Outcome Measure: EQ-5D-3L Descriptive System
Baseline - patients reprting any problem (i.e some problems/ extreme problems) : Pain/Discomfort
3 participants
Patient Clinical Outcome Measure: EQ-5D-3L Descriptive System
Baseline - patients reprting any problem (i.e some problems/ extreme problems) : Anxiety
1 participants
Patient Clinical Outcome Measure: EQ-5D-3L Descriptive System
4- weeks post-surgery patients reprting any problem (i.e some problems/ extreme problems) : Mobility
2 participants
Patient Clinical Outcome Measure: EQ-5D-3L Descriptive System
4- wks post-OP patients reprting any problem (i.e some problems/ extreme problems) : Self-Care
0 participants
Patient Clinical Outcome Measure: EQ-5D-3L Descriptive System
4- wks post-OP patients reprting any problem (i.e some problems/ extreme problems): Usual Activities
2 participants
Patient Clinical Outcome Measure: EQ-5D-3L Descriptive System
4- wks post-OP patients reprting any problem (i.e some problems/ extreme problems) : Pain/Discomfort
3 participants
Patient Clinical Outcome Measure: EQ-5D-3L Descriptive System
4- wks post-OP patients reprting any problem (i.e some problems/ extreme problems) : Anxiety
2 participants
Patient Clinical Outcome Measure: EQ-5D-3L Descriptive System
1 year post-OP patients reprting any problem (i.e some problems/ extreme problems) : Mobility
0 participants
Patient Clinical Outcome Measure: EQ-5D-3L Descriptive System
1 year post-surgery patients reprting any problem (i.e some problems/ extreme problems) : Self-Care
0 participants
Patient Clinical Outcome Measure: EQ-5D-3L Descriptive System
1 year post-OP patients reprting any problem (i.e some problems/ extreme problems): Usual Activities
0 participants
Patient Clinical Outcome Measure: EQ-5D-3L Descriptive System
1 year post-OP patients reprting any problem (i.e some problems/ extreme problems) : Pain/Discomfort
1 participants
Patient Clinical Outcome Measure: EQ-5D-3L Descriptive System
1 year post-OP patients reprting any problem (i.e some problems/ extreme problems) : Anxiety
0 participants

Adverse Events

Total Knee Arthroplasty

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Oliver Schaetti

Zimmer Biomet

Phone: 0041588548901

Results disclosure agreements

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

Restriction type: LTE60