Knee ReconstructionXTENDOBUTTONNCT04211857
Retro-prospective Study of Safety & Performance of Round XTENDOBUTTON™ Fixation Device Post Knee Repair
An observational study of Knee Reconstruction, run by Smith & Nephew, Inc. at 1 site in Australia.
Trial summary
The 12 month post-operative study is designed to provide safety and performance data on the Round XTENDOBUTTON™ fixation device after knee repair. Read more about this study
- Who is it for?
- Ages 18 to 60 years
- Conditions the study is for
- Knee Reconstruction
- What is being tested?
- Round XTENDOBUTTON Fixation Device used in suture fixation of ligaments and tendons in conjunction with an ULTRABUTTON™ product or ENDOBUTTON™ device.
- Type of treatment
- Medical device
- How many people
- 40 participants
- Where
- 1 siteAustralia
- Study dates
- 21 Nov 2019to 31 Oct 2021
- 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 60 years
- All sexes
- No healthy volunteers
- Adult
Study population: Primary care clinic
Who may be able to join
- Subject received the Round XTENDOBUTTON™ for knee repair, 6 months (-14 Days/+31 Days) prior to enrollment
- Subject agrees to follow the prospective study visit schedule (as defined in the study protocol and informed consent form) by signing the IRB/IEC approved informed consent form
- Subject is ≥ 18 years of age or ≤ 60 years of age at the time of surgery.
Who cannot join
- Subject is entered in another investigational drug, biologic, or device study
- Subjects with a medical or physical condition that, in the opinion of the Investigator, would preclude safe subject participation in the study
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Retro-prospective Follow-up Study of the Safety and Performance of the Round XTENDOBUTTON™ Fixation Device Post Knee Repair in Australian Centres
The 12 month post-operative study is designed to provide safety and performance data on the Round XTENDOBUTTON™ fixation device after knee repair.
Read the detailed description
This is a retro-prospective 12 month follow-up study of the safety and performance of the Round XTENDOBUTTON™ fixation device post knee repair in Australian centres.
The Primary Objective is to assess successful fixation with the Round XTENDOBUTTON™ and the Secondary Objective is to generate safety and performance evidence for the Round XTENDOBUTTON™ Device via the collection of functional outcomes, patient reported outcomes and safety data.
Forty subjects will be enrolled; who have had the round XTENDOBUTTON™ Device implanted. To eliminate the potential for selection bias, Investigators will consecutively screen all subjects who have undergone knee/ligament repair/reconstruction using the Round XTENDOBUTTON™ Fixation Device. Subjects meeting the eligibility criteria will be contacted regarding interest in study participation. Screening will be conducted in sequential order based on the date of subjects' knee repair procedure; earliest to latest. Screening efforts must be documented on a screening and enrollment log, on which reasons for exclusion from or denial to participate should be noted A medical chart review will be conducted to identify potential study subjects who have been implanted with the ROUND XTENDOBUTTON™ device at the study site.
- If a patient is eligible and would like to participate in the study, obtain written informed consent from the subject.----- Do not proceed until consent has been obtained -----
- Assign the subject a Subject ID number and instruct the subject on treatment procedures
- Complete Screening and Enrollment Log
- Obtain demographic information and medical history, including information on all relevant concomitant medications
- Collect operative information and implant disposition (including review of evidence of implant failure). If a failure has occurred, record details of the cause of failure. Collect x-rays if available.
- Complete Patient Questionnaires:
- Lysholm Score
- Tegner Activity Scale
- KOOS(Knee Injury and Osteoarthritis Outcome Score) Knee Score
- If any adverse events, adverse device effects or device deficiencies are observed or reported, they must be recorded
- Instruct the subject on follow-up procedures, including returning for Visit 2 in 6 months (-14 Days/+31 Days)
Visit 2 - 12 months post -op.
- Query subject regarding any changes in general health and the use of concomitant medications since the last visit
- If any adverse events, adverse device effects or device deficiencies are observed or reported, they must be recorded
- Complete Lysholm Score, Tegner Activity Scale and KOOS Knee Score
- Collect implant disposition information (including review of evidence of implant failure). If a failure has occurred, record details of the cause of failure. Collect x-rays if available
- Complete End of Study CRF.
Safety will be evaluated by assessing the frequency and nature of adverse events, serious adverse events and revisions.
- Conditions
- Knee Reconstruction
- Being tested
- Round XTENDOBUTTON Fixation Device used in suture fixation of ligaments and tendons in conjunction with an ULTRABUTTON™ product or ENDOBUTTON™ device.
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Round XTENDOBUTTON Fixation Device used in suture fixation of ligaments and tendons in conjunction with an ULTRABUTTON™ product or ENDOBUTTON™ device.Device
Round XTENDOBUTTON Fixation Device used in suture fixation of ligaments and tendons in conjunction with an ULTRABUTTON™ product or ENDOBUTTON™ device.
What is being measured
The primary outcome is the main question the study is designed to answer.
Success of the Round XTENDOBUTTON™ Fixation
The fixation success at 6 months post knee operation with the XTENDOBUTTON™ device. The Kaplan-Meier product limit survival estimates will be presented up to 6 months post-op along with the associated 95% confidence intervals. The event of interest will be fixation failure, defined as a revision due to a device failure, by 6 months.
Measured: 6 months
Secondary outcomes (7)
Fixation success of the Round XTENDOBUTTON™ at 12 months post operation
Fixation success of the Round XTENDOBUTTON™ at 12 months post operation. The Kaplan-Meier product limit survival estimates will be presented up to 12 months post-op along with the associated 95% confidence intervals. The event of interest will be fixation failure, defined as a revision due to a device failure, by 12 months.
Measured: 12 months
Lysholm Score
The Lysholm Scale evaluates the outcomes of knee ligament surgery. The Lysholm Scale currently consists of eight items that measure: pain (25 points), instability (25 points), locking (15 points), swelling (10 points), limp (5 points), stair climbing (10 points), squatting (5 points), and need for support (5 points). The total score is the sum of each response to the eight questions, and may range from 0-100. Higher scores indicate a better outcome with fewer symptoms or disability
Measured: 6 and 12 months
Tegner Activity Scale
The Tegner activity scale was designed as a score of activity level to complement other functional scores for patients with ligamentous injuries. The Tegner activity scale is a numerical scale ranging from 0 to 10. Each value indicates the ability to perform specific activities. An activity level of 10 corresponds to participation in competitive sports, including soccer, football, and rugby at the elite level; an activity level of 6 points corresponds to participation in recreational sports; and an activity level of 0 is assigned if a person is on sick leave or receiving a disability pension because of knee problems. An activity level of 5 to 10 is recorded only if the patient participates in recreational or competitive sports.
Measured: 6 & 12 months
KOOS Score (Knee Injury and Osteoarthritis Outcome Score)
The Knee Injury and Osteoarthritis Outcome Score (KOOS) is self administered and assesses five outcomes: pain, symptoms, activities of daily living, sport and recreation function, and knee related quality of life.
Measured: 6 & 12 months
Adverse events for the study duration
Measured: 12 months
Radiographic evaluation at 6 months
Radiographic evaluation will be completed if an implant failure has occurred. Radiographic evaluations (if needed to investigate root cause of a device failure) will be summarized at 6 months.
Measured: 6 months
Radiographic evaluation at 12 months
Radiographic evaluation will be completed if an implant failure has occurred. Radiographic evaluations (if needed to investigate root cause of a device failure) will be summarized at 12 months.
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Dec 2019
- Study start21 Nov 2019
- Primary completion17 Feb 2021
- Study completion31 Oct 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Knee ReconstructionStudies of the same condition, open and under way.
- More trials run by Smith & Nephew, Inc.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Other
- Enrolment
- 40 participants (actual)
Sponsor and investigators
- Lead sponsor
- Smith & Nephew, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Sam Chia, MBBS, FRACS (Ortho), FAOrthA, Principal investigator, PORI- Peninsula Orthopedic Research Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04211857
- Sponsor's protocol ID
- XTENDO.PMCF.2018.12
- Acronym
- XTENDOBUTTON
- Status last verified
- May 2022
- First submitted
- 23 Dec 2019
- Last updated
- 10 May 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 10 May 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Retro-prospective Follow-up Study of the Safety and Performance of the Round XTENDOBUTTON™ Fixation Device Post Knee Repair in Australian Centres
- ClinicalTrials.gov ID
- NCT04211857
- Acronym / sponsor ID
- XTENDOBUTTON / XTENDO.PMCF.2018.12
- Conditions
- Knee Reconstruction
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 40 participants (actual)
- Lead sponsor
- Smith & Nephew, Inc.Industry (pharma, biotech, devices)
- Study start
- 21 Nov 2019 (actual)
- Primary completion
- 17 Feb 2021 (actual)
- Study completion
- 31 Oct 2021 (actual)
- First posted
- 26 Dec 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The 12 month post-operative study is designed to provide safety and performance data on the Round XTENDOBUTTON™ fixation device after knee repair.
Detailed description
This is a retro-prospective 12 month follow-up study of the safety and performance of the Round XTENDOBUTTON™ fixation device post knee repair in Australian centres.
The Primary Objective is to assess successful fixation with the Round XTENDOBUTTON™ and the Secondary Objective is to generate safety and performance evidence for the Round XTENDOBUTTON™ Device via the collection of functional outcomes, patient reported outcomes and safety data.
Forty subjects will be enrolled; who have had the round XTENDOBUTTON™ Device implanted. To eliminate the potential for selection bias, Investigators will consecutively screen all subjects who have undergone knee/ligament repair/reconstruction using the Round XTENDOBUTTON™ Fixation Device. Subjects meeting the eligibility criteria will be contacted regarding interest in study participation. Screening will be conducted in sequential order based on the date of subjects' knee repair procedure; earliest to latest. Screening efforts must be documented on a screening and enrollment log, on which reasons for exclusion from or denial to participate should be noted A medical chart review will be conducted to identify potential study subjects who have been implanted with the ROUND XTENDOBUTTON™ device at the study site.
- If a patient is eligible and would like to participate in the study, obtain written informed consent from the subject.----- Do not proceed until consent has been obtained -----
- Assign the subject a Subject ID number and instruct the subject on treatment procedures
- Complete Screening and Enrollment Log
- Obtain demographic information and medical history, including information on all relevant concomitant medications
- Collect operative information and implant disposition (including review of evidence of implant failure). If a failure has occurred, record details of the cause of failure. Collect x-rays if available.
- Complete Patient Questionnaires:
- Lysholm Score
- Tegner Activity Scale
- KOOS(Knee Injury and Osteoarthritis Outcome Score) Knee Score
- If any adverse events, adverse device effects or device deficiencies are observed or reported, they must be recorded
- Instruct the subject on follow-up procedures, including returning for Visit 2 in 6 months (-14 Days/+31 Days)
Visit 2 - 12 months post -op.
- Query subject regarding any changes in general health and the use of concomitant medications since the last visit
- If any adverse events, adverse device effects or device deficiencies are observed or reported, they must be recorded
- Complete Lysholm Score, Tegner Activity Scale and KOOS Knee Score
- Collect implant disposition information (including review of evidence of implant failure). If a failure has occurred, record details of the cause of failure. Collect x-rays if available
- Complete End of Study CRF.
Safety will be evaluated by assessing the frequency and nature of adverse events, serious adverse events and revisions.
Study design
- Observational model
- Cohort
- Time perspective
- Other
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
- Study population
- Primary care clinic
Key inclusion criteria (3 listed)
- Subject received the Round XTENDOBUTTON™ for knee repair, 6 months (-14 Days/+31 Days) prior to enrollment
- Subject agrees to follow the prospective study visit schedule (as defined in the study protocol and informed consent form) by signing the IRB/IEC approved informed consent form
- Subject is ≥ 18 years of age or ≤ 60 years of age at the time of surgery.
Key exclusion criteria (2 listed)
- Subject is entered in another investigational drug, biologic, or device study
- Subjects with a medical or physical condition that, in the opinion of the Investigator, would preclude safe subject participation in the study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Round XTENDOBUTTON Fixation Device used in suture fixation of ligaments and tendons in conjunction with an ULTRABUTTON™ product or ENDOBUTTON™ device.Round XTENDOBUTTON Fixation Device used in suture fixation of ligaments and tendons in conjunction with an ULTRABUTTON™ product or ENDOBUTTON™ device. | Device | – |
Primary outcome
Success of the Round XTENDOBUTTON™ Fixation
Time frame: 6 months
The fixation success at 6 months post knee operation with the XTENDOBUTTON™ device. The Kaplan-Meier product limit survival estimates will be presented up to 6 months post-op along with the associated 95% confidence intervals. The event of interest will be fixation failure, defined as a revision due to a device failure, by 6 months.
7 secondary outcomes
Fixation success of the Round XTENDOBUTTON™ at 12 months post operation
Time frame: 12 months
Lysholm Score
Time frame: 6 and 12 months
Tegner Activity Scale
Time frame: 6 & 12 months
KOOS Score (Knee Injury and Osteoarthritis Outcome Score)
Time frame: 6 & 12 months
Adverse events for the study duration
Time frame: 12 months
Radiographic evaluation at 6 months
Time frame: 6 months
Radiographic evaluation at 12 months
Time frame: 12 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 May 2022.
- Individual participant dataSharing planned: Yes
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Sam Chia, MBBS, FRACS (Ortho), FAOrthA principal investigator
PORI- Peninsula Orthopedic Research Institute
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Knee Reconstruction, run by Smith & Nephew, Inc. at 1 site in Australia.
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 3 inclusion and 2 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: finished, as of the sponsor's last update on 10 May 2022. 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 Australia. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Success of the Round XTENDOBUTTON™ Fixation (time frame: 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 10 May 2022; AzTrials last refreshed its copy on 8 Nov 2026.