Comparison of Three Knee Replacements

NCT ID: NCT03339557

Last Updated: 2019-02-04

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-01

Study Completion Date

2021-05-31

Brief Summary

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The present randomized controlled trial is designed to compare one novel total knee replacement (TKR) design and two conventional TKR designs in terms of functional outcome. 80 patients will be randomized in each of the three arms (240 altogether).

Detailed Description

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The study will compare the short-term functional outcome (at 2 years) of TKR performed with a novel TKR design (Persona , Zimmer, Warsaw, IN, USA) against TKRs performed with two conventional designs (PFC, DePuy, Warsaw, IN, USA and Nexgen, Zimmer, Warsaw, IN, USA).

Conditions

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Osteoarthritis, Knee Arthroplasty Total Knee Replacement

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients will be recruited from Coxa outpatient clinic according to inclusion and exclusion criteria. The participating orthopedic surgeons will recruit patients along their out-patient work. The indications for the surgical treatment in the study will follow the routine clinical guidelines of the hospital. When TKR surgery is decided, the eligible patients will be informed and those willing to participate will be randomized into one of the three implant groups.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors
Patients will be operated upon using the implant allocated in randomization. Participants are blinded to the implant design used for their operation. Staff at the ward is also blinded. And the physiotherapists conducting the follow-up visits (at 2-3 months, 1 year and 2 years, i.e. the outcome assessors) are also blinded to the allocation.

Study Groups

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PFC Total Knee Replacement

PFC, Conventional design Perioperative treatment will be carried out according to routine protocol of the hospital.

Group Type ACTIVE_COMPARATOR

NexGen

Intervention Type DEVICE

Comparing two conventional designs and one novel design

Persona

Intervention Type DEVICE

Comparing two conventional designs and one novel design

NexGen Total Knee Replacement

NexGen, Conventional design Perioperative treatment will be carried out according to routine protocol of the hospital.

Group Type ACTIVE_COMPARATOR

Persona

Intervention Type DEVICE

Comparing two conventional designs and one novel design

PFC

Intervention Type DEVICE

Comparing two conventional designs and one novel design

Persona Total Knee Replacement

Persona, Novel design Perioperative treatment will be carried out according to routine protocol of the hospital.

Group Type ACTIVE_COMPARATOR

NexGen

Intervention Type DEVICE

Comparing two conventional designs and one novel design

PFC

Intervention Type DEVICE

Comparing two conventional designs and one novel design

Interventions

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NexGen

Comparing two conventional designs and one novel design

Intervention Type DEVICE

Persona

Comparing two conventional designs and one novel design

Intervention Type DEVICE

PFC

Comparing two conventional designs and one novel design

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* patients undergoing total knee replacement surgery for primary osteoarthritis
* no previous open major surgery in the joint ( e.g. osteotomy)
* unilateral operative treatment, with no plans for surgical treatment of the contralateral knee in the near future
* patients living in the local hospital district (Pirkanmaa Hospital District)
* Kellgren-Lawrence grade 3-4 knee osteoarthritis in plain radiographs

Exclusion Criteria

* Unwilling to provide informed consent
* \> 15 degrees varus or valgus, or \>15 degree fixed flexion deformity
* predominantly patellofemoral osteoarthritis
* Physical, emotional or neurological conditions that would compromise the patient´s compliance with postoperative rehabilitation and follow-up (e.g. drug or alcohol abuse, serious mental illness, general neurological conditions such as Parkinson, MS, etc.)
Minimum Eligible Age

50 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Coxa, Hospital for Joint Replacement

OTHER

Sponsor Role lead

Responsible Party

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Tero Irmola

orthopaedic surgeon

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tero Irmola, MD

Role: PRINCIPAL_INVESTIGATOR

Coxa, Hospital for Joint Replacement

Locations

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Coxa, Hospital for Joint Replacement

Tampere, Pirkanmaa, Finland

Site Status

Countries

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Finland

References

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Grosu I, Lavand'homme P, Thienpont E. Pain after knee arthroplasty: an unresolved issue. Knee Surg Sports Traumatol Arthrosc. 2014 Aug;22(8):1744-58. doi: 10.1007/s00167-013-2750-2. Epub 2013 Nov 8.

Reference Type BACKGROUND
PMID: 24201900 (View on PubMed)

Singh JA, Gabriel S, Lewallen D. The impact of gender, age, and preoperative pain severity on pain after TKA. Clin Orthop Relat Res. 2008 Nov;466(11):2717-23. doi: 10.1007/s11999-008-0399-9. Epub 2008 Aug 5.

Reference Type BACKGROUND
PMID: 18679762 (View on PubMed)

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Reference Type BACKGROUND
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Hanusch BC, O'Connor DB, Ions P, Scott A, Gregg PJ. Effects of psychological distress and perceptions of illness on recovery from total knee replacement. Bone Joint J. 2014 Feb;96-B(2):210-6. doi: 10.1302/0301-620X.96B2.31136.

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van der Voort P, Pijls BG, Nouta KA, Valstar ER, Jacobs WC, Nelissen RG. A systematic review and meta-regression of mobile-bearing versus fixed-bearing total knee replacement in 41 studies. Bone Joint J. 2013 Sep;95-B(9):1209-16. doi: 10.1302/0301-620X.95B9.30386.

Reference Type BACKGROUND
PMID: 23997134 (View on PubMed)

Becker R, Hirschmann MT, Karlsson J. Does implant design and surgical technique improve the clinical outcome in total knee arthroplasty? Knee Surg Sports Traumatol Arthrosc. 2014 Aug;22(8):1716-8. doi: 10.1007/s00167-014-3145-8. No abstract available.

Reference Type BACKGROUND
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Nunley RM, Nam D, Berend KR, Lombardi AV, Dennis DA, Della Valle CJ, Barrack RL. New total knee arthroplasty designs: do young patients notice? Clin Orthop Relat Res. 2015 Jan;473(1):101-8. doi: 10.1007/s11999-014-3713-8.

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Baker PN, Deehan DJ, Lees D, Jameson S, Avery PJ, Gregg PJ, Reed MR. The effect of surgical factors on early patient-reported outcome measures (PROMS) following total knee replacement. J Bone Joint Surg Br. 2012 Aug;94(8):1058-66. doi: 10.1302/0301-620X.94B8.28786.

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Piepers MJ, van Hove RP, van den Bekerom MP, Nolte PA. Do refinements to original designs improve outcome of total knee replacement? A retrospective cohort study. J Orthop Surg Res. 2014 Feb 6;9:7. doi: 10.1186/1749-799X-9-7.

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Pritchett JW. Patients prefer a bicruciate-retaining or the medial pivot total knee prosthesis. J Arthroplasty. 2011 Feb;26(2):224-8. doi: 10.1016/j.arth.2010.02.012. Epub 2010 Oct 6.

Reference Type BACKGROUND
PMID: 20932707 (View on PubMed)

Irmola T, Kangas J, Eskelinen A, Niemelainen M, Huhtala H, Mattila VM, Moilanen T. Functional outcome of total knee replacement: a study protocol for a prospective, double-blinded, parallel-group randomized, clinical controlled trial of novel, personalized and conventional implants. BMC Musculoskelet Disord. 2019 Oct 12;20(1):443. doi: 10.1186/s12891-019-2830-7.

Reference Type DERIVED
PMID: 31604440 (View on PubMed)

Other Identifiers

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R15053

Identifier Type: -

Identifier Source: org_study_id

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