N/A
Completed N=205
Stryker Triathlon Total Knee System for Total Knee Arthroplasty Implanted Using ShapeMatch® Cutting Guides: Sub-Study B
Arthroplasties, Replacement, Knee
Source: ClinicalTrials.gov NCT02527161 ↗
Enrolled (actual)
205
Serious AEs
50.0%
Results posted
Oct 2015
Primary outcomePrimary: Implant Location/Assessment of Alignment — 1.70; 1.91 degrees — p=<0.001
Summary
This is a prospective, non-randomized, longitudinal study of the clinical outcomes of participants that receive the Stryker Triathlon® Total Knee System for Total Knee Arthroplasty implanted using ShapeMatch® Cutting Guides.
Health status and functional outcome measures will be recorded to quantify functional status of subjects before surgery and at each follow-up interval. This sub-study involved the assessment of the placement of the ShapeMatch® Cutting Guides intraoperatively and post-operatively. An assessment of post-operative patient outcomes compared to pre-operative status was also analysed.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Implant Location/Assessment of Alignment |
1.70; 1.91 | <0.001 sig |
| SECONDARY Knee Injury and Osteoarthritis Outcome Score (KOOS)_Pain |
36.18; 66.23; 74.96; 80.03; 85.11; 87.00 | <0.0001 sig |
| SECONDARY Knee Injury and Osteoarthritis Outcome Score (KOOS)_Symptoms |
40.94; 64.78; 71.12; 75.16; 83.12; 84.49 | <0.0001 sig |
| SECONDARY Knee Injury and Osteoarthritis Outcome Score (KOOS)_ADL |
38.08; 71.98; 78.75; 82.37; 88.14; 89.60 | <0.0001 sig |
| SECONDARY Knee Injury and Osteoarthritis Outcome Score (KOOS)_S&R |
14.45; 65.05; 65.92; 64.78; 39.06; 48.58 | <0.0001 sig |
| SECONDARY Knee Injury and Osteoarthritis Outcome Score (KOOS)_QOL |
19.92; 51.87; 61.51; 69.44; 77.09; 79.82 | <0.0001 sig |
| SECONDARY Short Form Health Survey 12 v2 (SF-12)_Physical Component Summary (PCS) |
34.36; 40.27; 45.99; 47.35; 48.27; 49.90 | <0.0001 sig |
| SECONDARY VAS Pain at Rest |
5.78; 3.09; 2.02; 1.45; 1.22; 1.09 | <0.0001 sig |
| SECONDARY VAS Pain Mobilised |
7.28; 3.47; 2.39; 1.83; 1.43; 1.41 | <0.0001 sig |
| SECONDARY Short Form Health Survey 12 (SF-12)_Mental Component Summary (MCS) |
47.02; 49.91; 52.18; 52.58; 52.93; 52.78 | 0.3493 |
| SECONDARY Knee Society Clinical Rating System (KSS) Pain Scores |
32.95; 69.05; 71.36; 76.75; 78.04; 75.60 | <0.0001 sig |
| SECONDARY Knee Society Clinical Rating System (KSS) Functional Scores |
43.45; 66.82; 75.45; 76.99; 74.82; 71.44 | <0.0001 sig |
| SECONDARY Knee Society Clinical Rating System (KSS) Range of Motion Scores |
108.59; 110.40; 112.71; 115.30; 115.09; 119.11 | 0.8581 |
| SECONDARY Forgotten Joint Score (FJS) |
54.48; 40.28; 68.82 | 0.0161 sig |
Eligibility Criteria
Inclusion Criteria
- The patient is a male or non-pregnant female between the ages of 50-90.
- The patient requires a primary total knee replacement and is indicated for computer-assisted surgery.
- The patient has a primary diagnosis of osteoarthritis (OA).
- The patient has intact collateral ligaments.
- The patient is able to undergo MRI scanning of the affected limb.
- The patient has signed the study specific, HREC-approved, Informed Consent document.
- The patient is willing and able to comply with the specified pre-operative and post-operative clinical and radiographic evaluations.
Exclusion Criteria
- The patient has a history of total, unicompartmental reconstruction or fusion of the affected joint.
- The patient has had a high tibial osteotomy or femoral osteotomy.
- The patient is morbidly obese (BMI ≥ 40).
- The patient has a deformity which will require the use of stems, wedges or augments in conjunction with the Triathlon Total Knee System.
- The patient has a varus/valgus malalignment ≥ 15° (relative to mechanical axis).
- The patient has a fixed flexion deformity ≥ 15°.
- The patient has a neuromuscular or neurosensory deficiency, which would limit the ability to assess the performance of the device.
- The patient has a systemic or metabolic disorder leading to progressive bone deterioration.
- The patient is immunologically suppressed or receiving steroids in excess of normal physiological requirements.
- The patient has a cognitive impairment, an intellectual disability or a mental illness.
- The patient is pregnant.
- The patient has metal hardware present in the region of the hip, knee or ankle (as this is known to create geometrical distortion in the region of the implant).
- The patient has any known contraindications for undergoing assessment by MRI (e.g. ferrous implants, metallic clips, magnetically activated implanted devices such as cardiac pacemakers, etc).
Data sourced from ClinicalTrials.gov (NCT02527161). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.