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Knee SurgeryNCT06207968

FH ORTHO SAS Knee Observatory

An observational study of Knee Surgery, run by FH ORTHO at 10 sites in France.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The objective of this observatory is to generate additional real life clinical data in accordance with local regulation (i.e. Post-Market Clinical Follow-up (PMCF) study, a study carried out following the European Conformity (CE) marking of a device and intended to answer specific questions relating to clinical safety… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Knee Surgery
What is being tested?
Knee surgery with FH Ortho devices
Type of treatment
Medical device
How many people
487 participants
Where
10 sitesFrance
Study dates
May 2024to Jun 2044
Phase
Observational
Are there results?
Not yet: the study is under way

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: The patient population will be representative of the target population of the medical devices. The aim is to recruit in the first 3 years in 15-20 sites in France, 487 patients who have benefited from knee arthroplasty or ligament reconstruction of the knee. Arthroplasty arm: Knee prostheses are intended for patients suffering from functionally serious diseases of the knee causing daily disability that is insufficiently improved by medical treatment (Knee osteoarthrosis, Osteonecrosis of the knee, Inflammatory disease, or Patellofemoral arthritis). Ligament reconstruction arm: Ligament reconstruction surgery should be considered for patient who have undergone a rupture of the anterior and/or posterior cruciate ligaments requiring partial or total reconstruction.

Who may be able to join

  • Any patient undergoing or having undergone implantation of medical devices distributed by FH ORTHO SAS for knee arthroplasty and ligament reconstruction, used in accordance with their approved IFU, in one of the centers participating in the Observatory.
  • Patient is at least 18 years old at the time of surgery
  • Patient agreeing to participate after having been informed orally and in writing (with written consent if required locally)
  • In some countries, such as France, the patient will have to be socially insured to be included in the study.

Who cannot join

  • For Arthroplasty:
  • Infection, or latent infection
  • A mental or neuromuscular disorder that might create an unacceptable risk of instability, prosthetic fixation failure, or complications after surgery
  • Insufficient bone stock for proper implant fixation
  • It is the surgeon's responsibility to make sure that the patient does not have any known allergies to one of the compounds of the material listed on the product label.
  • Metabolic diseases that might compromise bone regrowth
Show all 16Show fewer
  • Drug addiction
  • Incomplete bone growth
  • For Ligament reconstruction:
  • Infection, or latent infection
  • A mental or neuromuscular disorder that might create an unacceptable risk of instability, prosthetic fixation failure, or complications after surgery
  • Insufficient bone stock
  • Known allergies to one of the compounds of the material listed on the product label.
  • Metabolic diseases that might compromise bone regrowth
  • Uncooperative patient unable to follow recommendations
  • As the medical devices are used in real life according to their indications, pregnant or breastfeeding women are not excluded from the study, but for safety reasons it is not advisable to include them in the study.

Trial locations and contacts

10 sites in 1 country. Contact the study team or a site near you to ask about taking part.

10 sites in 1 country

France10 sites
  • Clinique De La Chataigneraie

    Beaumont, 63541

    Charles CASIN, MD, charles.casin@yahoo.fr

    Charles CASIN, MD

  • Clinique De La Miotte

    Belfort, 90002

    Pierre Bastien REY, MD, docteur.rey@docteur-rey.fr

    Pierre Bastien REY, MD

  • Polyclinique St Privat

    Boujan-sur-Libron, 34760

    Guillaume MIROUSE, MD, gmirouse@gmail.com

    Guillaume MIROUSE, MD

  • Clinique Du Val D'Ouest

    Écully, 69130

    Benoit GIRAUD, MD, dr.jgiraud@wanadoo.fr

    Benoit GIRAUD, MD

  • C.H. Raymond Poincare

    Garches, 92380

  • Hôpital Saint Vincent de Paul

    Lille, 59000

    Jean-Claude BOU, MD, bou.jean-claude@ghicl.net

    Jean-Claude BOU, MD

  • Hôpital Prive St Grégoire

    Saint-Grégoire, 35768

    Charles Kajetanek, MD, charles.kajetanek@gmail.com

    Charles Kajetanek, MD

  • Polyclinique De L'Europe

    Saint-Nazaire, 44615

    Xavier CLÉMENT, MD, xavclement@hotmail.fr

    Xavier CLÉMENT, MD

  • Medipole Garonne

    Toulouse, 31036

    Rodolphe LIMOZIN, MD, rodolphe@limozin.net

    Rodolphe LIMOZIN, MD

  • Hôpital Privé Océane

    Vannes, 56000

Other trials in France

About this study

Official title: Post Market Clinical Follow-up of Knee Surgery Using FH ORTHO SAS Medical Devices (FH ORTHO SAS Knee Observatory)

The objective of this observatory is to generate additional real life clinical data in accordance with local regulation (i.e. Post-Market Clinical Follow-up (PMCF) study, a study carried out following the European Conformity (CE) marking of a device and intended to answer specific questions relating to clinical safety or performance (i.e. residual risks) of a device when used in accordance with its approved instructions for use (IFU).

The difficulty of such an observatory is to be able to collect data on the different versions of the devices, on the different possible combinations of implants of an knee arthroplasty. The observatory must also be able to cover devices used in ligament reconstruction surgery.

Read more

The observatory will be based on the principle of a "dynamic" cohort during the inclusion period, i.e. with possible inclusions to replace the premature exits.

Technical solutions will be implemented to facilitate data collection from surgeons (electronic Case Report Form (eCRF) and from patients (Electronic Patient Reported Outcome (ePRO) on smartphone/tablet/computer) when feasible.

The data to be collected and the different follow-up times are based on our state-of-the-art, clinical evaluation plans and clinical evaluation reports.

Read the detailed description

PMCF as part of CE mark renewal, to answer questions related to the safety and clinical performance of the devices, when used according to their approved instructions for use.

This is an European, prospective and retrospective, multicenter, non-comparative study.

Randomization is considered impossible due to surgeon preference, anatomical conditions and other patient factors, and the use of different techniques.

This observatory is non-comparative, due to the absence of a gold standard and the technical, logistical and contractual constraints involved.

This PMCF study (CE-marked MD, any class, used as intended) provide additional non-burdensome and non-invasive procedures.

The Observatory will therefore be based on the principle of a "dynamic" cohort, i.e. with possible exits and inclusions throughout the Observatory period.

The aim of this methodology is to have a sufficient number of patients to be able to carry out descriptive statistical analyses each year, and to be able to calculate the evaluation criteria with the longest possible follow-up of results. Data will be collected before surgery, during surgery and at follow-up visits. Data collection will focus on obtaining short- and long-term data for performance and safety evaluation (up to 20 years for knee arthroplasty prostheses; up to 5 years for knee ligament reconstruction devices). In the case of knee arthroplasty, it is recommended to have performance and safety data at 1, 2, 5 and 10 years of follow-up, as well as safety data at 15 and 20 years if possible. In the case of ligament reconstruction, it is recommended to have performance and safety data at 1 and 2 years, as well as safety data at 5 years. The platform will be able to send automatic notifications to surgeons to remind them of scheduled patient follow-ups, missing data, and encourage them to include new patients if necessary. Self-questionnaires will be completed by patients via a web-based platform, available on computer or smartphone/tablet. Alternatively, patients will complete paper self-questionnaires, which will then be entered into the database by the investigating team.

It will also be possible to arrange for direct telephone contact with patients by an independent structure guaranteeing non-dissemination of nominative data (e.g. CRO). Telephone contact can also be made if the patient is geographically remote or has difficulty travelling. Patient recruitment: Continuous, consecutive, prospective and retrospective (for some implants because few implants have been used for this condition) recruitment to guarantee a minimum number of patients per type of device. Individual written information for each patient will be mandatory. A signed patient consent form will be required in Europe, after sufficient time for reflection.

Conditions
Knee Surgery
Being tested
Knee surgery with FH Ortho devices

What participants receive

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

  • Knee surgery with FH Ortho devicesDevice

    This clinical investigation is a real-life observatory designed to collect long-term clinical data on patients who have undergone knee joint replacement or knee ligament reconstruction.

    In this type of intervention, one or more medical devices distributed by FH ORTHO SAS may be used by surgeons.

Study groups in NCT06207968
Study groupRoleWhat they receive
ArthroplastyKnee prostheses are intended for patients suffering from functionally serious diseases of the knee causing daily disability that is insufficiently improved by medical treatment. The functional diseases are among: * Knee osteoarthrosis * Osteonecrosis of the knee * Inflammatory disease * Patellofemoral arthritis The patients having benefited from an arthroplasty will be followed for at least 15 years (until 20 years).
Receives: Device: Knee surgery with FH Ortho devices
Ligament reconstructionLigament reconstruction surgery should be considered for patient who have undergone a rupture of the anterior and/or posterior cruciate ligaments requiring partial or total reconstruction. The patients having benefited from a ligament reconstruction will be followed for at least 5 years.
Receives: Device: Knee surgery with FH Ortho devices

What is being measured

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

  1. Revision rate

    Evaluate the revision rate at the longest follow-up possible for arthroplasty arm

    Measured: 2 months, 3-6 months, 1 year, 2 years, 5 years, 10 years, 15 years, 20 years

  2. Revision rate

    Evaluate the revision rate at the longest follow-up possible for ligament reconstruction arm

    Measured: 2 months, 3-6 months, 1 year, 2 years, 5 years

Secondary outcomes (10)
  1. International Knee Society (IKS 2011) score

    Mobility, Pain and Function for Arthroplasty arm.

    It includes a 100-point objective score and a subjective score made up of 3 domains evaluating satisfaction on 40 points, patient expectations on 15 points using different items between the pre- and post-operative phases, as well as functional activities on 100 points. The total score was 255 points. There are no levels and the results are expressed as raw scores. Higher scores mean a better outcome.

    Measured: Pre-operative, 3-6months, 1 year, 2 years, 5 years, 10 years

  2. Complications/Adverse events

    any adverse events leading or not to re-intervention (with or without change of the implant), including device malfunctions

    Measured: During surgery, Immediate (0-2months), 3-6months, 1 year, 2 years, 5 years, 10 years

  3. International Knee Documentation Committee (IKDC 2000) score

    Mobility, Pain and Function for Ligament Reconstruction arm

    This self-questionnaire is divided into three parts (symptoms, sporting activities, function) and gives a score between 0 (worst) and 100 (best). This score is interpreted as a measure of functional capacity, with the highest scores representing the best levels of function and the lowest levels representing symptoms. A score of 100 means that there are no limits to daily activities and sports and that symptoms are non-existent.

    Measured: Pre-operative, 1 year, 2 years

  4. Lysholm Knee Scoring Scale

    Mobility, Pain and Function for Ligament Reconstruction arm The Lysholm Knee Score is a questionnaire that the patient completes with the therapist. The questionnaire is designed to assess the degree of knee instability, in terms of both impairment and limitation.

    The Lysholm Knee Score calculates and rates an overall score from 0 to 100 based on 8 domains: squatting, locking, pain, stair climbing, weight bearing, instability and oedema. Doctors use this condition-specific subjective outcome score to assess a patient's progress after knee surgery or injury. Scores between 95 and 100 are considered exceptional, those between 84 and 94 acceptable, those between 65 and 83 fair and those below 65 poor.

    Measured: Pre-operative, 1 year, 2 years

  5. Tegner activity level scale

    Mobility, Pain and Function for Ligament Reconstruction arm

    The Tegner activity scale is a numerical scale with values ranging from 0 to 10, each representing a different activity. A person is considered to have an activity level of 10 if they play highly competitive sports such as rugby, football and soccer. A person who plays the above sports recreationally is considered to have an activity level of 6. A person with knee problems who is on sick leave or receiving a disability pension is considered to have an activity level of 0.

    Measured: Pre-operative, 1 year, 2 years

  6. Knee laxity (clinical section)

    Mobility, Pain and Function for Ligament Reconstruction arm.

    This questionnaire is completed by the physician. He will assessed laxity of operated knee, as:

    Pivot Shift test: absent (0), grade 1 (+), grade 2 (++), grade 3 (+++).

    Measured: Pre-operative, 3-6 months

  7. Complications/Adverse events

    Any adverse events leading or not to re-intervention (with or without change of the implant), including device malfunctions

    Measured: During surgery, Immediate (0-2months), 3-6months, 1 year, 2 years, 5 years

  8. Visual Analogue Scale (VAS)

    for arthroplasty arm Pain rating scale. A straight horizontal line of fixed length, usually 100 mm. The ends are defined as the extreme limits of the pain to be measured orientated from the left (worst) to the right (best).

    The scale is given to the patient during the consultation, the patient indicates his/her level of pain and the surgeon then transcribes the score.

    Measured: 1 year, 2 years, 5 years, 10 years, 15 years, 20 years

  9. Visual Analogue Scale (VAS)

    for ligament reconstruction arm Pain rating scale. A straight horizontal line of fixed length, usually 100 mm. The ends are defined as the extreme limits of the pain to be measured orientated from the left (worst) to the right (best).

    The scale is given to the patient during the consultation, the patient indicates his/her level of pain and the surgeon then transcribes the score.

    Measured: 1 year, 2 years, 5 years

  10. ASA (American Society of Anesthesiologists)-score

    The American Society of Anesthesiologists proposes five classes of patients requiring anaesthesia.

    Class 1: patient in good health. Class 2: patient with moderate general illness. Class 3: patient with a serious but not incapacitating general illness. Class 4: patient with a life-threatening general illness. Class 5: a moribund patient who would not survive 24 hours without the procedure, the outcome of which is uncertain.

    Measured: Pre-operative

Timeline

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

  1. First posted17 Jan 2024
  2. Study startMay 2024 (estimated)
  3. Primary completionJun 2044 (estimated)
  4. Study completionJun 2044 (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
Other
Enrolment
487 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06207968
Sponsor's protocol ID
2021-02
Status last verified
Feb 2024
First submitted
19 Dec 2023
Last updated
22 Feb 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Knee Surgery, run by FH ORTHO at 10 sites in France.

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 4 inclusion and 16 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: opening soon, as of the sponsor's last update on 22 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in France. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Cindy Lai (631315494 ext. +33, c.lai@fhortho.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Revision rate (time frame: 2 months, 3-6 months, 1 year, 2 years, 5 years, 10 years, 15 years, 20 years). The study lists 2 primary outcomes in all. 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 22 Feb 2024.

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