search
Back to results

Clinical Trials of Prosthesis and Surgery Guide System

Primary Purpose

Knee Osteoarthritis

Status
Unknown status
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Personalized TKA prosthesis
Zimmer NexGen prostheses
Sponsored by
Peking University Third Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Knee Osteoarthritis

Eligibility Criteria

51 Years - 79 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Degenerative osteoarthritis, traumatic arthritis or avascular necrosis, inflammatory joint disease and other end-stage knee joint diseases, as well as the correction of deformities, reconstruction after failure of some knee joint prostheses, and other techniques that cannot be handled In the case of fractures, total knee prosthesis replacement is required.
  2. Age ≥50, ≤80 years old.
  3. The subject or guardian is willing and able to sign an informed consent form.

Exclusion Criteria:

  1. History of previous knee surgery.
  2. Severe knee joint deformity (valgus greater than 15° or valgus greater than 20°) or knee joint instability;
  3. Severe flexion contracture deformity (flexion contracture> 25°);
  4. Perform total knee joint revision and replacement surgery;
  5. Rheumatoid arthritis;
  6. Body mass index (BMI)> 35.;
  7. Patients with neuromuscular insufficiency (for example: paralysis, myolysis or muscle weakness) can lead to postoperative knee instability or abnormal gait;
  8. Pregnant or lactating women;
  9. Suffer from the underlying medical condition (including but not limited to metabolism, hematology, kidney, liver, lung, nerve, endocrine, heart, infection or gastrointestinal tract) that the researcher believes that the patient is at an unacceptable risk; Serious progressive or uncontrolled diseases that are not suitable for trials or put them at high risk, including any medical or psychiatric conditions that the investigator believes will prevent the subject from following the protocol or completing the study according to the protocol;
  10. Being infected with human immunodeficiency virus (HIV), infectious hepatitis B or hepatitis C or corresponding medical history;
  11. Suffering from a progressive infection or malignant disease, can provide chest X-ray, computed tomography (CT scan) or MRI evidence within 12 weeks before screening, and it is verified by a qualified physician.
  12. Active systemic infections (except colds) or any other infections that will recur regularly during the previous two weeks;
  13. There is a history of chronic or recurrent infectious diseases, or evidence of tuberculosis infection that was determined to be positive at the time of screening. Subjects who have obtained positive or uncertain results can participate in the study if they have undergone a comprehensive tuberculosis examination (according to local practice/guidelines) within 12 weeks before baseline and finally confirmed that there is no evidence of active tuberculosis. If the presence of latent tuberculosis is confirmed, treatment must be initiated and maintained in accordance with local or national guidelines before the baseline;
  14. History of lymphoproliferative disease, or any known malignant tumor, or history of malignant tumor of any organ system in the past 5 years (Bowen's disease, basal cell carcinoma, or actinic keratosis after treatment and no evidence of recurrence in the past 12 weeks Except for diseases; except for excised cervical carcinoma in situ or non-invasive malignant colon polyps);
  15. Suffer from medical problems at the same time, including but not limited to the following:

(1) Uncontrolled hypertension (systolic blood pressure ≥160mmHg and/or diastolic blood pressure ≥95mmHg), congestive heart failure (New York Heart Association status classification III or IV); (2) Subjects whose serum creatinine level exceeds 2.0 mg/dl (176.8 μmol/L); (3) Total white blood cell (WBC) count at screening <2500/μL, or platelet <100000/μL or neutrophil <1500/μL or hemoglobin <8.5 g/dL; (4) Within six months before the baseline, there is a history of alcohol or drug abuse or evidence of ongoing abuse.

16) The patient is mentally incapable or unable to understand the requirements for participating in the research.

Sites / Locations

  • Institute of Sports Medicine, Peking University Third HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

3D printed personalized TKA prosthesis

Zimmer NexGen TKA prostheses

Arm Description

Patients in the experimental group received 3D printed personalized TKA prosthesis treatment

Patients in the active comparator group received Zimmer NexGen TKA prostheses treatment

Outcomes

Primary Outcome Measures

Mechanical axis of the lower limb and prosthesis position
Axis through the center of the hip joint, the center of the knee joint, and the center, (-3,3) is normal.
Mechanical axis of the lower limb and prosthesis position
Axis through the center of the hip joint, the center of the knee joint, and the center, (-3,3) is normal.
Mechanical axis of the lower limb and prosthesis position
Axis through the center of the hip joint, the center of the knee joint, and the center, (-3,3) is normal.
Mechanical axis of the lower limb and prosthesis position
Axis through the center of the hip joint, the center of the knee joint, and the center, (-3,3) is normal.

Secondary Outcome Measures

Osteotomy
The size of the osteotomy
Operation time
Operation time

Full Information

First Posted
June 25, 2021
Last Updated
July 1, 2021
Sponsor
Peking University Third Hospital
Collaborators
Inner Mongolia People's Hospital
search

1. Study Identification

Unique Protocol Identification Number
NCT04950348
Brief Title
Clinical Trials of Prosthesis and Surgery Guide System
Official Title
Preliminary Exploration of Clinical Trials of Prosthesis and Surgery Guide System for Personalized Total Knee Arthroplasty
Study Type
Interventional

2. Study Status

Record Verification Date
June 2021
Overall Recruitment Status
Unknown status
Study Start Date
May 1, 2021 (Actual)
Primary Completion Date
October 1, 2021 (Anticipated)
Study Completion Date
December 1, 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Peking University Third Hospital
Collaborators
Inner Mongolia People's Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The subject continues the research of Professor JiaKuo Yu's research group on the personalized design, processing and manufacturing of personalized total knee replacement artificial joint prostheses and the verification of animal and human cadavers. It is planned to carry out the femoral condyle prosthesis of personalized total knee replacement prosthesis. Clinical trials are carried out on the body, tibial tray prosthesis and meniscus prosthesis; at the same time, in order to achieve personalized precision surgery, the clinical trial verification is carried out on the placement of personalized surgical guides that match the personalized artificial joints. In the clinical verification study, the research team will summarize the role of personalized artificial joints for total knee replacement and personalized implant surgical guides in the precise and minimally invasive treatment of knee joint diseases.
Detailed Description
This study aims to evaluate the safety and effectiveness of the femoral condyle prosthesis, tibial tray prosthesis and meniscus prosthesis of the personalized total knee replacement system; to verify the clinical feasibility and safety of the personalized surgical guide, as a personalized total knee replacement The clinical application of the prosthesis and its guide lays the foundation, including: 2.1 Evaluate the advantages of personalized total knee replacement surgery in osteotomy methods, evaluate the impact of anatomical osteotomy methods on intraoperative and postoperative effects and early and long-term clinical effects. 2.2 By measuring the amount of osteotomy in personalized total knee replacement surgery, evaluate the impact of a smaller and reasonable amount of osteotomy on the patient's early and long-term clinical results. 2.3 Verify the clinical effect of personalized total knee replacement prosthesis, and provide the basis for its clinical promotion and application.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Knee Osteoarthritis

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
InvestigatorOutcomes Assessor
Allocation
Non-Randomized
Enrollment
10 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
3D printed personalized TKA prosthesis
Arm Type
Experimental
Arm Description
Patients in the experimental group received 3D printed personalized TKA prosthesis treatment
Arm Title
Zimmer NexGen TKA prostheses
Arm Type
Active Comparator
Arm Description
Patients in the active comparator group received Zimmer NexGen TKA prostheses treatment
Intervention Type
Device
Intervention Name(s)
Personalized TKA prosthesis
Intervention Description
TKA prosthesis that is designed and manufactured according to the patient's knee joint anatomy
Intervention Type
Device
Intervention Name(s)
Zimmer NexGen prostheses
Intervention Description
Commercial products used on a large scale
Primary Outcome Measure Information:
Title
Mechanical axis of the lower limb and prosthesis position
Description
Axis through the center of the hip joint, the center of the knee joint, and the center, (-3,3) is normal.
Time Frame
7 days postoperatively
Title
Mechanical axis of the lower limb and prosthesis position
Description
Axis through the center of the hip joint, the center of the knee joint, and the center, (-3,3) is normal.
Time Frame
3months postoperatively
Title
Mechanical axis of the lower limb and prosthesis position
Description
Axis through the center of the hip joint, the center of the knee joint, and the center, (-3,3) is normal.
Time Frame
6 months postoperatively
Title
Mechanical axis of the lower limb and prosthesis position
Description
Axis through the center of the hip joint, the center of the knee joint, and the center, (-3,3) is normal.
Time Frame
12 months postoperatively
Secondary Outcome Measure Information:
Title
Osteotomy
Description
The size of the osteotomy
Time Frame
during surgery
Title
Operation time
Description
Operation time
Time Frame
during surgery
Other Pre-specified Outcome Measures:
Title
KSS score
Description
knee society score, the scale is 0-200 and 0 is worse.
Time Frame
7 days,3months, 6 months and 12 months postoperatively
Title
WOMAC score
Description
The Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index, the scale is 0-100 and 100 is worse.
Time Frame
7 days,3months, 6 months and 12 months postoperatively
Title
SF-36 score
Description
short form 36 questionnaire, scale is 0-100 and 0 is worse.
Time Frame
7 days,3months, 6 months and 12 months postoperatively

10. Eligibility

Sex
All
Minimum Age & Unit of Time
51 Years
Maximum Age & Unit of Time
79 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Degenerative osteoarthritis, traumatic arthritis or avascular necrosis, inflammatory joint disease and other end-stage knee joint diseases, as well as the correction of deformities, reconstruction after failure of some knee joint prostheses, and other techniques that cannot be handled In the case of fractures, total knee prosthesis replacement is required. Age ≥50, ≤80 years old. The subject or guardian is willing and able to sign an informed consent form. Exclusion Criteria: History of previous knee surgery. Severe knee joint deformity (valgus greater than 15° or valgus greater than 20°) or knee joint instability; Severe flexion contracture deformity (flexion contracture> 25°); Perform total knee joint revision and replacement surgery; Rheumatoid arthritis; Body mass index (BMI)> 35.; Patients with neuromuscular insufficiency (for example: paralysis, myolysis or muscle weakness) can lead to postoperative knee instability or abnormal gait; Pregnant or lactating women; Suffer from the underlying medical condition (including but not limited to metabolism, hematology, kidney, liver, lung, nerve, endocrine, heart, infection or gastrointestinal tract) that the researcher believes that the patient is at an unacceptable risk; Serious progressive or uncontrolled diseases that are not suitable for trials or put them at high risk, including any medical or psychiatric conditions that the investigator believes will prevent the subject from following the protocol or completing the study according to the protocol; Being infected with human immunodeficiency virus (HIV), infectious hepatitis B or hepatitis C or corresponding medical history; Suffering from a progressive infection or malignant disease, can provide chest X-ray, computed tomography (CT scan) or MRI evidence within 12 weeks before screening, and it is verified by a qualified physician. Active systemic infections (except colds) or any other infections that will recur regularly during the previous two weeks; There is a history of chronic or recurrent infectious diseases, or evidence of tuberculosis infection that was determined to be positive at the time of screening. Subjects who have obtained positive or uncertain results can participate in the study if they have undergone a comprehensive tuberculosis examination (according to local practice/guidelines) within 12 weeks before baseline and finally confirmed that there is no evidence of active tuberculosis. If the presence of latent tuberculosis is confirmed, treatment must be initiated and maintained in accordance with local or national guidelines before the baseline; History of lymphoproliferative disease, or any known malignant tumor, or history of malignant tumor of any organ system in the past 5 years (Bowen's disease, basal cell carcinoma, or actinic keratosis after treatment and no evidence of recurrence in the past 12 weeks Except for diseases; except for excised cervical carcinoma in situ or non-invasive malignant colon polyps); Suffer from medical problems at the same time, including but not limited to the following: (1) Uncontrolled hypertension (systolic blood pressure ≥160mmHg and/or diastolic blood pressure ≥95mmHg), congestive heart failure (New York Heart Association status classification III or IV); (2) Subjects whose serum creatinine level exceeds 2.0 mg/dl (176.8 μmol/L); (3) Total white blood cell (WBC) count at screening <2500/μL, or platelet <100000/μL or neutrophil <1500/μL or hemoglobin <8.5 g/dL; (4) Within six months before the baseline, there is a history of alcohol or drug abuse or evidence of ongoing abuse. 16) The patient is mentally incapable or unable to understand the requirements for participating in the research.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Fu-zhen Yuan
Phone
18511440808
Email
yuanfuzhen2016@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jia-kuo Yu, Prof.
Organizational Affiliation
Peking University Third Hospital
Official's Role
Study Chair
Facility Information:
Facility Name
Institute of Sports Medicine, Peking University Third Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100191
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jia-kuo Yu, MD
Phone
86-13331031448
Email
yujiakuo@126.com

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Clinical Trials of Prosthesis and Surgery Guide System

We'll reach out to this number within 24 hrs