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ArthritisNCT02905097

Post-marketing Surveillance Study of the Triathlon Tritanium Baseplate

An observational study of Arthritis, run by Golden Jubilee National Hospital at 1 site in United Kingdom.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The aim of the study is to assess the performance of the cementless Triathlon Tritanium tibial baseplate for total knee replacement, with a minimum follow up of 5 years. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Arthritis
What is being tested?
Knee Replacement
Type of treatment
Surgery or procedure
How many people
100 participants
Where
1 siteUnited Kingdom
Study dates
5 Jan 2018to Aug 2024
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients who have been referred to the Golden Jubilee National Hospital for total knee replacement.

Who may be able to join

  • Unilateral TKA
  • Age 18-75 years
  • BMI <40
  • From one of the following health boards: Ayrshire \& Arran, Forth Valley, Greater Glasgow \& Clyde, Highland, Lanarkshire or Lothian
  • Suitable to receive the study implant

Who cannot join

  • Revision of existing knee replacement
  • Previous hip or knee replacement surgery if within the last 12 months
  • Previous ankle surgery
  • Diagnosed osteopenia or osteoporosis
  • Proximal tibial bone defects
  • Unable to give informed consent
  • Unwilling to take part
  • Unable to return to the Golden Jubilee National Hospital for followup appointments

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Golden Jubilee National Hospital

    Clydebank, West Dunbartonshire, G81 4dy

Other trials in United Kingdom

About this study

Official title: Five Year Survival and Functional Assessment of the Triathlon Cementless Total Knee System Using the Tritanium Tibial Baseplate

The aim of the study is to assess the performance of the cementless Triathlon Tritanium tibial baseplate for total knee replacement, with a minimum follow up of 5 years.

Read the detailed description

All potential total knee arthroplasty patients from two consultant orthopaedic surgeons at the Golden Jubilee National Hospital (GJNH) will be screened in relation to the inclusion/exclusion criteria. Invitation letters and participant information sheets (PIS) will be sent out to suitable patients who have been referred to the GJNH for total knee replacement (allocated patients) prior to their pre-operative consultation with their surgeon. They will be approached at their consultation visit to seek consent to take part in the study. Patients who have been referred to the GJNH for assessment for a knee replacement (see and treat patients) will be approached only if they are deemed eligible for knee replacement by their consultant, and will be given a copy of the participant information sheet along with the invitation letter. They will be approached for consent to take part in the study at their pre-operative assessment. All patients will be given the opportunity to ask questions about the study before signing the consent form. Consent will be taken by the chief investigator or their delegate, using a signed form.

One hundred patients will be recruited to the study. They will have their surgery performed by one of the participating consultants using the study implant, the Triathlon Tritanium cementless tibial baseplate manufactured by Stryker Corporation.

Participants will receive their standard in-patient care and rehabilitation. Standard hospital care for knee arthroplasty patients is for them to return to the hospital for a post-operative review at 6 weeks and then 1 year and 7 years after operation. Study participants will also be asked to attend the GJNH for two additional research specific appointments at six months and five years. They will be also contacted by post or via telephone to complete a study questionnaire (patient satisfaction) at 3 years post operation.

During the standard care appointments, patients will be reviewed by a member of the arthroplasty team who will collect routine data on the clinical and functional outcomes and implant stability. These data include the Oxford Knee Score (OKS), EURO Quality of life questionnaire (EQ-5D 5L), patient satisfaction and standard radiographic assessment of the implant.

Detailed radiographic analysis will be carried out on radiographs collected as standard and specifically for the study. These will be post-operation at day one (standard), 6 weeks (standard), 6 months (study), 1 year (standard) and the 5 years (study) time points. Study specific radiographic assessment will consist of assessment for radiolucency and osteolysis at specific regions around the tibial and femoral components. Pre-operatively, a standard weight bearing long- leg anterior-posterior (AP) view, lateral view and a skyline view is obtained as per standard care. Post-operatively, standard care consists of a standard weight bearing long-leg AP radiograph at 6 weeks and a short AP and Lateral view at all other reviews.

Study participants will also have two sessions of specialised functional assessment (biomechanical movement analysis and 6-minute walk test) before operation and 1 year after operation during their standard pre and postoperative visits. Biomechanical movement analysis will be carried out in an on-site movement analysis laboratory. Study participants will be required to wear suitable clothing (e.g. tee shirt and shorts) and be barefoot. A number of reflective markers will be attached to specific locations on the body using suitable double sided tape which can be tracked by a number of infrared cameras. participants will be asked to perform the following tasks; walking, stepping up, stepping down, sit-to-stand, stand-to-sit and single leg balance. Each task will be performed at least three times to enable the collection of three good sets of data. In addition, the two stepping tasks will be repeated for each limb. The single leg balance will be performed once for each leg and data will be collected for 30 seconds per limb. A motion capture system will collect limb and torso movements during the task performances while force plates will collect ground reaction forces. The 6-minute walk test requires the participant to walk around a course during a six minute period. They are allowed to have rest breaks for as long and as often as they require. They will be asked to stop walking six minutes after the start of the test and the distance covered during the period will be noted.

Conditions
Arthritis
Being tested
Knee Replacement
Keywords
Knee arthroplasty, Total, Knee replacement, Total, Survival rate, Osseointegration, Gait
Medical subject headings
Arthritis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Knee ReplacementProcedure or surgery

    Also called Knee Arthroplasty

    Surgical replacement of arthritic knee with an implant

Study groups in NCT02905097
Study groupRoleWhat they receive
Arthroplasty cohortA cohort of patients who will undergo knee replacement surgery and will receive Triathlon Tritanium (cementless) tibial implant.
Receives: Procedure: Knee Replacement

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Implant survival at five years

    Kaplan-Meier implant survival at 5 years

    Measured: 5 years

Secondary outcomes (18)
  1. Component loosening rate

    Number of loose components reported

    Measured: 5 years

  2. Fracture rate

    Number of peri-prosthetic fractures reported

    Measured: 5 years

  3. Infection rate

    Number of infections reported

    Measured: 5 years

  4. Radiolucency

    Degree of radiolucent lines around the components

    Measured: review at 6 weeks, 6 months, 1 and 5 years

  5. Bone quality

    Evidence of bony ingrowth or osteolysis

    Measured: review at 6 weeks, 6 months, 1 and 5 years

  6. Component migration

    Component movement in mm or degrees from the one day post-operative position

    Measured: review at 6 weeks, 6 months, 1 and 5 years

  7. Oxford Knee Score

    Patient-reported knee pain and function

    Measured: 6 weeks, 6 months, 1, 3 and 5 years

  8. EQ5D-5L

    Patient-reported quality of life

    Measured: 6 weeks, 6 months, 1, 3 and 5 years

  9. Patient satisfaction

    Patient-reported satisfaction of the knee using a five point Likert scale

    Measured: 6 weeks, 6 months, 1, 3, and 5 years

  10. Knee function during walking

    Knee angles of movement and loads collected using clinical movement analysis

    Measured: 1 year

  11. Knee function during stepping up

    Knee angles of movement and loads collected using clinical movement analysis

    Measured: 1 year

  12. Knee function during stepping down

    Knee angles of movement and loads collected using clinical movement analysis

    Measured: 1 year

  13. Knee function during sit-to-stand

    Knee angles of movement and loads collected using clinical movement analysis

    Measured: 1 year

  14. Knee function during stand-sit-to

    Knee angles of movement and loads collected using clinical movement analysis

    Measured: 1 year

  15. Knee stability during single leg balance

    Body sway collected using clinical movement analysis in mm

    Measured: 1 year

  16. 6 minute walk test

    Aerobic endurance assessed by the distance walked (m) in a six minutes

    Measured: 1 year

  17. Revision rate

    Number of cases revised for any reason or for infection

    Measured: 5 years

  18. Surgeon feedback

    Surgeon assessment of the implant ease of implantation using a questionnaire

    Measured: 1 day post-operatively

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Sep 2016 (estimated)
  2. Study start5 Jan 2018
  3. Primary completionAug 2024 (estimated)
  4. Study completionAug 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02905097
Sponsor's protocol ID
Ortho 16-04
Status last verified
Jul 2019
First submitted
14 Sep 2016
Last updated
18 Jul 2019
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Kim YH, Park JW, Lim HM, Park ES. Cementless and cemented total knee arthroplasty in patients younger than fifty five years. Which is better? Int Orthop. 2014 Feb;38(2):297-303. doi: 10.1007/s00264-013-2243-4. Epub 2014 Jan 14.

    PubMed 24420155
  • Aprato A, Risitano S, Sabatini L, Giachino M, Agati G, Masse A. Cementless total knee arthroplasty. Ann Transl Med. 2016 Apr;4(7):129. doi: 10.21037/atm.2016.01.34.

    PubMed 27162779
  • Lombardi AV Jr, Berasi CC, Berend KR. Evolution of tibial fixation in total knee arthroplasty. J Arthroplasty. 2007 Jun;22(4 Suppl 1):25-9. doi: 10.1016/j.arth.2007.02.006.

    PubMed 17570273
  • Naudie DD, Ammeen DJ, Engh GA, Rorabeck CH. Wear and osteolysis around total knee arthroplasty. J Am Acad Orthop Surg. 2007 Jan;15(1):53-64. doi: 10.5435/00124635-200701000-00006.

    PubMed 17213382
  • Bassett RW. Results of 1,000 Performance knees: cementless versus cemented fixation. J Arthroplasty. 1998 Jun;13(4):409-13. doi: 10.1016/s0883-5403(98)90006-7.

    PubMed 9645521
  • Albrektsson BE, Carlsson LV, Freeman MA, Herberts P, Ryd L. Proximally cemented versus uncemented Freeman-Samuelson knee arthroplasty. A prospective randomised study. J Bone Joint Surg Br. 1992 Mar;74(2):233-8. doi: 10.1302/0301-620X.74B2.1544959.

    PubMed 1544959
  • Berry DJ, Wold LE, Rand JA. Extensive osteolysis around an aseptic, stable, uncemented total knee replacement. Clin Orthop Relat Res. 1993 Aug;(293):204-7.

    PubMed 8339482
  • De Martino I, D'Apolito R, Sculco PK, Poultsides LA, Gasparini G. Total Knee Arthroplasty Using Cementless Porous Tantalum Monoblock Tibial Component: A Minimum 10-Year Follow-Up. J Arthroplasty. 2016 Oct;31(10):2193-8. doi: 10.1016/j.arth.2016.03.057. Epub 2016 Apr 12.

    PubMed 27172865
  • Harwin SF, Kester MA, Malkani AL, Manley MT. Excellent fixation achieved with cementless posteriorly stabilized total knee arthroplasty. J Arthroplasty. 2013 Jan;28(1):7-13. doi: 10.1016/j.arth.2012.06.006. Epub 2012 Jul 31.

    PubMed 22854342
  • Melton JT, Mayahi R, Baxter SE, Facek M, Glezos C. Long-term outcome in an uncemented, hydroxyapatite-coated total knee replacement: a 15- to 18-year survivorship analysis. J Bone Joint Surg Br. 2012 Aug;94(8):1067-70. doi: 10.1302/0301-620X.94B8.28350.

    PubMed 22844047
  • Tai CC, Cross MJ. Five- to 12-year follow-up of a hydroxyapatite-coated, cementless total knee replacement in young, active patients. J Bone Joint Surg Br. 2006 Sep;88(9):1158-63. doi: 10.1302/0301-620X.88B9.17789.

    PubMed 16943464
  • Bagsby DT, Issa K, Smith LS, Elmallah RK, Mast LE, Harwin SF, Mont MA, Bhimani SJ, Malkani AL. Cemented vs Cementless Total Knee Arthroplasty in Morbidly Obese Patients. J Arthroplasty. 2016 Aug;31(8):1727-31. doi: 10.1016/j.arth.2016.01.025. Epub 2016 Jan 29.

    PubMed 26895823
  • Mont MA, Pivec R, Issa K, Kapadia BH, Maheshwari A, Harwin SF. Long-term implant survivorship of cementless total knee arthroplasty: a systematic review of the literature and meta-analysis. J Knee Surg. 2014 Oct;27(5):369-76. doi: 10.1055/s-0033-1361952. Epub 2013 Dec 7.

    PubMed 24318196
  • Fricka KB, Sritulanondha S, McAsey CJ. To Cement or Not? Two-Year Results of a Prospective, Randomized Study Comparing Cemented Vs. Cementless Total Knee Arthroplasty (TKA). J Arthroplasty. 2015 Sep;30(9 Suppl):55-8. doi: 10.1016/j.arth.2015.04.049. Epub 2015 Jun 3.

    PubMed 26118567
  • Khaw FM, Kirk LM, Morris RW, Gregg PJ. A randomised, controlled trial of cemented versus cementless press-fit condylar total knee replacement. Ten-year survival analysis. J Bone Joint Surg Br. 2002 Jul;84(5):658-66. doi: 10.1302/0301-620x.84b5.12692.

    PubMed 12188480

Questions about this trial

What is this clinical trial studying?

An observational study of Arthritis, run by Golden Jubilee National Hospital at 1 site in United Kingdom.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 18 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Implant survival at five years (time frame: 5 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02905097, which also lists 22 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Jul 2019.

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