Comparison of Pivotal Medial Polyethylene Versus Ultra-congruent in Total Knee Arthroplasty

NCT ID: NCT06676189

Last Updated: 2025-01-17

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

RECRUITING

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-04

Study Completion Date

2027-03-31

Brief Summary

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The aim of this study is to compare the forgotten joint score for the medial pivot polyethylene and ultra-congruent polyethylene which are used in total prosthetic replacement of the knee

Detailed Description

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Total knee arthroplasty is usually effective at improving the quality of life of patients suffering from arthritis.

Over the years, patient expectations about the quality of life post-implantation continue to rise.

It is therefore essential to improve continuously surgical techniques and implants to fulfill patient expectations in terms of pain and movements.

The prosthetic device is composed of a metallic femoral unit, which imitates the articular surface of the femur, and a metallic tibial baseplate covered with a polyethylene (a highly resistant polymer) insert which articulates between the femur and the tibia. This insert can take several forms such as medial pivot or ultra-congruent.

This polymer provides an interface between the two metallic units forming the prothetic device. It has two roles: it provides a lasting contact surface and it offers stability to the knee in substitution of the ligaments.

In order to achieve this double function, a polyethylene system, called " medial pivot " was conceived.

This system mimics as close as possible the anatomical knee kinematics with a rotational movement that the " ball in socket " tries to reproduce by the mediatisation of the pivot point during knee flexion.

Currently, there are no randomized study which were conducted comparing these two types of polyethylene.

Total knee arthroplasty is usually effective at improving the quality of life of patients suffering from arthritis.

Over the years, patient expectations about the quality of life post-implantation continue to rise.

It is therefore essential to improve continuously surgical techniques and implants to fulfill patient expectations in terms of pain and movements.

The prosthetic device is composed of a metallic femoral unit, which imitates the articular surface of the femur, and a metallic tibial baseplate covered with a polyethylene (a highly resistant polymer) insert which articulates between the femur and the tibia. This insert can take several forms such as medial pivot or ultra-congruent.

This polymer provides an interface between the two metallic units forming the prothetic device. It has two roles: it provides a lasting contact surface and it offers stability to the knee in substitution of the ligaments.

In order to achieve this double function, a polyethylene system, called " medial pivot " was conceived.

This system mimics as close as possible the anatomical knee kinematics with a rotational movement that the " ball in socket " tries to reproduce by the mediatisation of the pivot point during knee flexion.

Currently, there are no randomized study which were conducted comparing these two types of polyethylene.

Conditions

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Total Knee Replacement Primary Knee Replacement Gonarthrosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
Arm 1: Total knee replacement with medial pivot polyethylene

Arm 2: Total knee replacement with ultra-congruent polyethylene

Study Groups

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medial pivot polyethylene

Total knee replacement with medial pivot polyethylene

Group Type ACTIVE_COMPARATOR

total knee arthroplasty with medial pivot polyethylene

Intervention Type DEVICE

total knee arthroplasty with medial pivot polyethylene

ultra-congruent polyethylene

Total knee replacement with ultra-congruent polyethylene

Group Type ACTIVE_COMPARATOR

total knee arthroplasty with ultra-congruent polyethylene

Intervention Type DEVICE

total knee arthroplasty with ultra-congruent polyethylene

Interventions

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total knee arthroplasty with medial pivot polyethylene

total knee arthroplasty with medial pivot polyethylene

Intervention Type DEVICE

total knee arthroplasty with ultra-congruent polyethylene

total knee arthroplasty with ultra-congruent polyethylene

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Subjects 18 to 90 years of age, eligible for a primary total knee replacement for gonarthrosis
* Competent subjects able to give informed consent to participate in the research
* Affiliation to the social security system

Exclusion Criteria

* Infection history of the knee to be replaced
* Deformity greater than 15 degrees
* Any surgical and/or anesthetic contraindication, or any condition deemed by the investigator to be incompatible with the research.
* Any contraindication mentioned in the instructions for use of the medical device
* Pregnant or breastfeeding women
* Recent infection history of the surgical site
* Adults who are subject to a legal protection measure or who are unable to express their constent (Article L1121-8 of the French Public Health Code) and subjects under judicial protection (article L. 1122-2 FPHC)
* Subjects who refuse to participate
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Clermont-Ferrand

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stéphane DESCAMPS

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Clermont-Ferrand

Locations

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CHU de Clermont-Ferrand

Clermont-Ferrand, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Lise Laclautre

Role: CONTACT

334.73.754.963

Facility Contacts

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Lise Laclautre

Role: primary

Other Identifiers

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2023-A01565-40

Identifier Type: OTHER

Identifier Source: secondary_id

RBHP 2023 DESCAMPS (MEPCAT)

Identifier Type: -

Identifier Source: org_study_id

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