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NCT Number: NCT06628050

ORIGIN® PS Modular & Associated Instruments

The study objective is to evaluate safety and performance of the ORIGIN® PS (postero-stabilized) Modular devices and associated instruments, more precisely to evaluate safety by the proportion of patients requiring a revision (i.e. revision rate) at 2-6 months, 1y and 2y post-procedure and to evaluate performance by means of a Knee Society Score (KSS) Score at 2-6 months, 1y and 2y post procedure.

The hypothesis raised for this study, regarding the scoring, is that patients will experience a marked improvement in the natural feel of the prosthesis during the first year after the surgery, and slightly significant improvement at the following interval of 2 years. The overall patient satisfaction is expected to be improved after 2 years follow-up with ORIGIN® PS Modular.

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This study is active but is not currently recruiting participants.

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Key information

Age range

18 year–99 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Polyclinique Medipole Saint Roch, Cabestany, France

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About this study

The study is ambispective, post market, non-comparative, non-randomized, multicentric and observational in which 200 patients will be enrolled to evaluate the safety and performance of the ORIGIN® PS Modular devices and associated instruments.

Patients will be included in the study during 18 months (inclusion window) and followed-up for 24 months.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female over 18 years of age.
  • Patient, or if applicable, his or her guardian or legal representative, willing to give informed consent.
  • Clinically indicated for first intention total knee replacement.
  • Geographically stable and willing to return for all follow-up visits or, at a minimum, to complete the patient self-report score.

Exclusion criteria

  • Vulnerable subject (as defined in ISO-14155)
  • Acute or chronic, local or systemic infection,
  • Muscular, ligamental, neurological, psychological or vascular deficits,
  • Bone destruction or poor bone quality likely to affect implant stability.
  • Any concomitant condition likely to affect implant integration or function,
  • Allergy or hypersensitivity to any of the materials used,
  • For devices in CoCr Mo (ISO 5832/4): renal and hepatic impairment,
  • Hip Knee Ankle (HKA) angle < 165° or > 195°,
  • Severe collateral ligament deficiency (requiring a more constrained prosthesis),
  • Major anatomical deformities,
  • Severe flexion contracture or severe recurvatum,
  • Revision of a partial or total knee prosthesis,
  • Non-extractible material (e.g., screw, plate, intramedullary nail, osteosynthesis material) which can create a conflict with any component of the prosthesis,
  • Distal and/or posterior and/or anterior femoral bone loss which exceeds the femoral component thickness,
  • Proximal tibial bone loss which exceeds the tibial component thickness (tibial tray + tibial insert),
  • Bone degradation requiring an anchoring stem for femoral component

Treatment and study plan

ORIGIN® PS Modular devices

Device

Consecutive eligible subjects have been included which have been treated with the ORIGIN® PS Modular devices.

Primary outcomes

  1. Evaluate safety by the proportion of required revisions

    Time frame: 2 years post-op procedure

    Proportion of patients requiring a revision at each follow-up visit (surgery, 2-6 months, 1- and 2 years). The revision rate is consistent with the state of the art - Orthopaedic Data Evaluation Panel (ODEP) benchmark system (revision rate not higher than 2.5% to 3.5% at 1 year, 4% to 6% at 5 years and 5% to 7% at 10 years).

  2. Evaluate performance

    Time frame: 2 years post-op procedure

    Evaluate performance by means of a Knee Society Score (KSS) and a KSS Function score.

    It aims to reach a KSS Knee score of at least 85,5 / 100 points and a KSS Function score of at least 72,5 / 100 points.

Secondary outcomes

  1. Evaluate the success of the surgical procedure by means of a surgeon satisfaction questionnaire.

    Time frame: Perioperative

    Surgeon satisfaction: during surgery, the surgeon will assess safety and performance of the associated Instrumentation and implants. The criteria of evaluation of the satisfaction are: Very satisfied - satisfied - unsatisfied - very unsatisfied. Each surgical step is evaluated for each instrument and implant component used by the surgeon. These data will be collected in the case report form based on surgeon satisfaction questionnaire and will be used in clinical evaluation of ORIGIN® PS Modular.

  2. Evaluate safety by analyzing the occurencies of adverse events.

    Time frame: Perioperative and 2 years post-op procedure

    • Evaluate the intraoperative difficulties and complications (the rate should not be higher than 1,8% according to the state of the art).
    • Evaluate post-operative complications during the entire study period.
    • Evaluate the safety of the modular tibial stem by analysing the revision rate for aseptic tibial loosening at each follow-up visit (surgery, 2-6 months, 1 year and 2 years) with a maximum revision rate for aseptic loosening of 5.3% for first intention total knee replacements as cited in the knee joint registries.
  3. Patient Quality of Life by means of the FJS score

    Time frame: 2 years post-op procedure

    Assess patients' ability to forget their knee in the short term after surgery, as measured by the "Forgotten Knee Score" (FJS-12: from 0 to 100 points, meaning that "0" is worst case and "100" the best).

Sponsors and collaborators

Lead sponsor

Symbios Orthopedie SA

Industry

Registry information

Official study title

Post-market Observational Study of the ORIGIN® PS Modular Total Knee Prosthesis and Associated Instruments

Important dates

Study start
2023
Primary completion
2025
Study completion
2025
First posted
Oct 4, 2024
Registry last updated
Oct 4, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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