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Completed

NCT Number: NCT03227692

Persona TKA With iASSIST Knee System and iASSIST Knee System

The purpose of this study is to compare the accuracy of knee component alignment between patients operated with iASSIST Knee (Investigational group) versus patients operated without iASSIST Knee (Control group) using the same implant system.

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Key information

Age range

20 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Sumitomo Hopital, Osaka, Japan

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About this study

Objective: To compare the accuracy of knee component alignment between patients operated with iASSIST Knee (Investigational group) versus patients operated without iASSIST Knee (Control group) using the same implant system.

Endpoint: Primary: The alignment accuracy of the knee femoral and tibial components at 6 months for the investigational group compared to the control group.

Secondary:Health Status after TKA, Operating Room efficiency and Complication rate after TKA for the investigational group compared to the control group.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

In order to be eligible to participate in this study, a patient must meet all of the following criteria.

  • Knee (either unilateral or bilateral) osteoarthritis (varus deformity only)
  • Male or female
  • At least 20 years of age
  • Patients willing to return for follow-up evaluations.

Study Specific Requirements for Principal Investigator/Site

  • Principal Investigator (PI) must have experience of at least 5 TKAs of iASSIST Knee with Persona and Persona conventional instrument system before any study specific activities.
  • Site has sufficient resources to take limb CT scanning at 6 months follow-up visit.

Exclusion criteria

Absolute contraindications include:

  • Knee degenerative diseases other than knee osteoarthritis (such as necrosis/rheumatoid arthritis)
  • Too severe OA deformation (FTA: > 190 degrees/< 175 degrees)
  • Active infection (or within 6 weeks after infection)
  • Sepsis
  • Osteomyelitis
  • Any type of implant is inserted in the affected side of lower extremity
  • Hip and/or foot disease on the affected side

Additional contraindications include:

  • Uncooperative patient or patient with neurologic disorders who are incapable of following directions
  • Diagnosed osteoporosis or osteomalacia
  • Metabolic disorders which may impair bone formation
  • Distant foci of infections which may spread to the implant site
  • Rapid joint destruction, marked bone loss or bone resorption apparent on roentgenogram
  • Vascular insufficiency, muscular atrophy or neuromuscular disease.

Treatment and study plan

Persona Knee System

Device

Osteoarthritis will be enrolled and randomly assigned into one of two treatment groups. Patients in investigational group will be treated with total knee arthroplasty and the accelerometer-based navigational device. Patients in control group will be treated with total knee arthroplasty with conventional instrumentation.

Other names: Persona Knee

Total knee arthroplasty

Procedure

Damaged cartilage due to degerative arthritis is replaced by knee joint prosthesis.

Other names: TKA

iAssist Knee

Device

Osteotomy of TKA is navigated by iAssist system, iAssist requires pin inserted in bone.

Primary outcomes

  1. Number of Participants With Alignment Accuracy of the Knee Femoral Components in Coronal Plain

    Time frame: Postoperative 6 months

    Ratio of subject, whose knee implant is positioned within 3 degrees from perpendicular to mechanical axis of lower extremity, is compared between groups by CT data taken at 6 month after surgery.

  2. Number of Participants With Alignment Accuracy of the Knee Femoral Components in Sagittal Plain

    Time frame: Postoperative 6 months

    Ratio of subject, whose knee implant is positioned within 3 degrees from perpendicular to mechanical axis of lower extremity, is compared between groups by CT data taken at 6 month after surgery.

  3. Number of Participants With Alignment Accuracy of the Knee Tibial Components in Coronal Plain

    Time frame: Postoperative 6 months

    Ratio of subject, whose knee implant is positioned within 3 degrees from perpendicular to mechanical axis of lower extremity, is compared between groups by CT data taken at 6 month after surgery.

  4. Number of Participants With Alignment Accuracy of the Knee Tibial Components in Sagittal Plain

    Time frame: Postoperative 6 months

    Ratio of subject, whose knee implant is positioned within 3 degrees from preoperatively determined target angle, is compared between groups by CT data taken at 6 month after surgery.

Secondary outcomes

  1. Surgery Time

    Time frame: Intraoperative, an average of 2 hours

    Surgery time from skin incision to closure

  2. Number of Instrument Trays Used

    Time frame: Intraoperative

    Number of instrument trays used instraoperatively. This number includes number of Total Knee Arthroplasty specific instrument tray, does not include other general surgical instruments/kits.

  3. KSS - Objective Score at 6 Month Postoperatively

    Time frame: 6 month postoperative

    KSS-Objective score is physician-derived component and allows for more than 100 points in patients with greater than 125° of flexion and a stable painless knee as outlined below. Lowest possible score is 0.

    Higher score means better outcomes.

  4. KSS-Patient Satisfaction at 6 Month Postoperatively

    Time frame: 6 month postoperative

    KSS-Patient Satisfaction is patient-derived score and is a five-question 40-point scale that is collected preoperatively and at each follow-up visit. Lowest possible score is 0.

  5. KSS-function Score at 6 Month Postoperatively

    Time frame: 6 month postoperative

    KSS-function score is patient-derived score and composed of four subgroups and has a maximum score of 100.

    "Walking and Standing" has a maximum value of 30 points, "Standard Activities" has a maximum of 30 points, "Advanced Activities" has a maximum of 25 points and "Discretionary Activities" has a maximum of 15 points.

    Lowest possible score is 0. Higher score means better outcomes.

  6. KSS-Patient Expectations at 6 Month Postoperatively

    Time frame: 6 month postoperative

    KSS-Patient Expectations is patient-derived score and is a three-question fifteen-point scale that is collected pre-operatively and post-operatively. The pre-operative questions reflect the patient's opinion on the extent to which the patient expects that operation will improve knee pain, and ability to perform activities of daily living and recreational activities. The post-operative questions reflect the extent to which postoperative outcome has met the patient's pre-operative expectations with respect to pain and function.

    The score ranges from 3 to 15. Higher score means better outcomes.

  7. Oxford Knee Score at 6 Month Postoperatively

    Time frame: 6 month postoperative

    Patient Reported Outcome specific for knee disease. Score range from 0 to 48. Higher score means better outcome.

  8. EQ-5D-3L at 6 Month Postoperatively

    Time frame: 6 month postoperative

    EQ-5D is patient reported outcome measure to score patient's health related quality of life with minimum score of -0.111 and maximum score of 1.000.

    Higher score means better outcomes.

Sponsors and collaborators

Lead sponsor

Zimmer Biomet

Industry

Registry information

Official study title

Randomized Controlled Study Comparing iASSIST Knee System Versus Conventional Instrumentation

Important dates

Study start
2017
Primary completion
2019
Study completion
2019
First posted
Jul 24, 2017
Registry last updated
Jul 2, 2020

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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