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Prosthesis and Surgery Guide System for Personalized Total Knee Arthroplasty

Primary Purpose

Knee Osteoarthritis

Status
Unknown status
Phase
Not Applicable
Locations
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 subjects 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 a corresponding medical history.
  11. Suffer from a progressive infection or malignant disease, and be able to provide chest X-ray, computed tomography (CT scan) or MRI evidence within 12 weeks before screening, and be 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 judged 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. At the same time suffering from medical problems, including but not limited to the following:
  16. Uncontrolled hypertension (systolic blood pressure ≥160mmHg and/or diastolic blood pressure ≥95mmHg), congestive heart failure (New York Heart Association status classification III or IV).
  17. Subjects with a serum creatinine level exceeding 2.0 mg/dl (176.8 μmol/L).
  18. Total white blood cell (WBC) count at screening <2500/μL, or platelet <100000/μL or neutrophil <1500/μL or hemoglobin <8.5 g/dL.
  19. In the six months before the baseline, there is a history of alcohol or drug abuse or evidence of ongoing abuse.
  20. The patient is mentally incapable or unable to understand the requirements for participating in the research.

Sites / Locations

    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

    Design:Personalized TKA prosthesis Manufacture:3D

    Prosthesis has been widely used in clinic

    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 during TKA
    The size of the osteotomy
    Operation time
    operation time
    VAS score
    Visual Analogue Scale/Score, the scale is 0-10 and 10 is worse.
    VAS score
    Visual Analogue Scale/Score, the scale is 0-10 and 10 is worse.
    VAS score
    Visual Analogue Scale/Score, the scale is 0-10 and 10 is worse.
    VAS score
    Visual Analogue Scale/Score, the scale is 0-10 and 10 is worse.
    KSS score
    knee society score, the scale is 0-200 and 0 is worse.
    KSS score
    knee society score, the scale is 0-200 and 0 is worse.
    KSS score
    knee society score, the scale is 0-200 and 0 is worse.
    KSS score
    knee society score, the scale is 0-200 and 0 is worse.
    WOMAC score
    The Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index, the scale is 0-100 and 100 is worse.
    WOMAC score
    The Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index, the scale is 0-100 and 100 is worse.
    WOMAC score
    The Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index, the scale is 0-100 and 100 is worse.
    WOMAC score
    The Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index, the scale is 0-100 and 100 is worse.
    SF-36 score
    short form 36 questionnaire, scale is 0-100 and 0 is worse.
    SF-36 score
    short form 36 questionnaire, scale is 0-100 and 0 is worse.
    SF-36 score
    short form 36 questionnaire, scale is 0-100 and 0 is worse.
    SF-36 score
    short form 36 questionnaire, scale is 0-100 and 0 is worse.

    Full Information

    First Posted
    June 17, 2021
    Last Updated
    July 14, 2021
    Sponsor
    Peking University Third Hospital
    Collaborators
    Inner Mongolia People's Hospital, Jining Medical University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04963491
    Brief Title
    Prosthesis and Surgery Guide System for Personalized Total Knee Arthroplasty
    Official Title
    A Prospective Cohort Clinical Trial Study 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
    September 1, 2021 (Anticipated)
    Primary Completion Date
    August 31, 2023 (Anticipated)
    Study Completion Date
    August 31, 2023 (Anticipated)

    3. Sponsor/Collaborators

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

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The subject is planned to carry out the clinical trails of femoral condyle prosthesis, tibial tray prosthesis and meniscus prosthesis; At the same time, in order to achieve personalized precision bone resection, the clinical trial verification is carried out on the personalized cutting guides.
    Detailed Description
    The subject continues the research of Professor Jia-kuo Yu's research group on the personalized design, processing and manufacturing of personalized total knee arthroplasty (TKA) prostheses and the verification of animal and human cadavers. It is planned to carry out the clinical trails of femoral condyle prosthesis, tibial tray prosthesis and meniscus prosthesis; At the same time, in order to achieve personalized precision bone resection, the clinical trial verification is carried out on the personalized cutting guides. In the clinical validation study, the research team will summarize the role of personalized TKA prostheses and personalized TKA cutting guides in the precise and minimally invasive treatment of knee osteoarthritis.

    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
    80 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    3D printed personalized TKA prosthesis
    Arm Type
    Experimental
    Arm Description
    Design:Personalized TKA prosthesis Manufacture:3D
    Arm Title
    Zimmer NexGen TKA prostheses
    Arm Type
    Active Comparator
    Arm Description
    Prosthesis has been widely used in clinic
    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 during TKA
    Description
    The size of the osteotomy
    Time Frame
    during surgery
    Title
    Operation time
    Description
    operation time
    Time Frame
    during surgery
    Title
    VAS score
    Description
    Visual Analogue Scale/Score, the scale is 0-10 and 10 is worse.
    Time Frame
    7 days postoperatively
    Title
    VAS score
    Description
    Visual Analogue Scale/Score, the scale is 0-10 and 10 is worse.
    Time Frame
    3months postoperatively
    Title
    VAS score
    Description
    Visual Analogue Scale/Score, the scale is 0-10 and 10 is worse.
    Time Frame
    6 months postoperatively
    Title
    VAS score
    Description
    Visual Analogue Scale/Score, the scale is 0-10 and 10 is worse.
    Time Frame
    12 months postoperatively
    Title
    KSS score
    Description
    knee society score, the scale is 0-200 and 0 is worse.
    Time Frame
    7 days postoperatively
    Title
    KSS score
    Description
    knee society score, the scale is 0-200 and 0 is worse.
    Time Frame
    3months postoperatively
    Title
    KSS score
    Description
    knee society score, the scale is 0-200 and 0 is worse.
    Time Frame
    6 months postoperatively
    Title
    KSS score
    Description
    knee society score, the scale is 0-200 and 0 is worse.
    Time Frame
    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 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
    3months 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
    6 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
    12 months postoperatively
    Title
    SF-36 score
    Description
    short form 36 questionnaire, scale is 0-100 and 0 is worse.
    Time Frame
    7 days postoperatively
    Title
    SF-36 score
    Description
    short form 36 questionnaire, scale is 0-100 and 0 is worse.
    Time Frame
    3months postoperatively
    Title
    SF-36 score
    Description
    short form 36 questionnaire, scale is 0-100 and 0 is worse.
    Time Frame
    6 months postoperatively
    Title
    SF-36 score
    Description
    short form 36 questionnaire, scale is 0-100 and 0 is worse.
    Time Frame
    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 subjects 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 a corresponding medical history. Suffer from a progressive infection or malignant disease, and be able to provide chest X-ray, computed tomography (CT scan) or MRI evidence within 12 weeks before screening, and be 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 judged 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). At the same time suffering from medical problems, including but not limited to the following: Uncontrolled hypertension (systolic blood pressure ≥160mmHg and/or diastolic blood pressure ≥95mmHg), congestive heart failure (New York Heart Association status classification III or IV). Subjects with a serum creatinine level exceeding 2.0 mg/dl (176.8 μmol/L). Total white blood cell (WBC) count at screening <2500/μL, or platelet <100000/μL or neutrophil <1500/μL or hemoglobin <8.5 g/dL. In the six months before the baseline, there is a history of alcohol or drug abuse or evidence of ongoing abuse. 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
    Organizational Affiliation
    Peking University Third Hospital
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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