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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT03211663
Other study ID # MUSA-K-MTM-001
Secondary ID
Status Active, not recruiting
Phase
First received
Last updated
Start date October 9, 2017
Est. completion date December 1, 2025

Study information

Verified date February 2024
Source Medacta USA
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

This is a prospective, multi-center study, designed to assess mid-term performance of the MOTO Medial® Unicompartmental Knee Arthroplasty (UKA), with patient report outcomes, clinical findings and radiographic analysis.


Description:

This is a prospective, multi-center study, designed to assess mid-term performance of the MOTO Medial® UKA, with patient report outcomes, clinical findings and radiographic analysis. Additionally, several perioperative factors, medical and surgical history will be evaluated. Implant survival and complications will be detailed throughout the study. Data from pre-operative evaluation, day of surgery, and post-operatively at 4 weeks, 6 months, and years 1, 2 & 5, will be collected.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 269
Est. completion date December 1, 2025
Est. primary completion date August 1, 2025
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Must be able to read, understand and provide written informed consent on the Institutional Review Board (IRB) approved Informed Consent Form (ICF). - Ability to understand and provide written authorization for use and disclosure of personal health information. - Subject who are able and willing to comply with the study protocol and follow-up visits. - Must be 18 years or older to participate. - Subjects must have medial knee disease in the affected knee compliant with the FDA-approved indications for use of MOTO Medial® UKA. - Must have had no prior arthroplasty to the medial compartment of the study knee. - Subjects must be able to return for the follow-up appointments, and have the mental capacity to cooperate and complete Patient Reported Outcome questionnaires, physical exam and radiographs. Exclusion Criteria: - Knee ligament instability (deficiency of cruciate or collateral ligaments) - Inflammatory Arthritis - History of prior knee infection - History of Alcoholism or Drug Abuse - Currently on chemotherapy or radiation therapy for neoplastic disease. Medacta MOTO Medial® Version 1 Confidential Page 9 of 36 June 5, 2017 - Currently on immunosuppressive medications including steroids - History of known sensitivity or allergy to materials used in orthopedic implants, specifically Titanium and Cobalt-Chrome alloys - Habitual use of narcotic pain medications prior to surgery (more than 3 doses or pills per week) - History of metabolic disorder affecting the skeletal system other than osteoarthritis or osteoporosis (e.g., Osteomalacia, Ricketts) - History of chronic pain issues for reasons other than knee pain. - Women who are pregnant. - Psychiatric illness - Any patient, in the opinion of the investigator, is unable to fully comply with the surgical, rehabilitation, or follow-up aspects of this procedure. - Prior joint arthroplasty on the target knee, including prior medial UKA (revision), lateral UKA, or Patellofemoral Joint - Prior high tibial osteotomy (HTO).

Study Design


Intervention

Device:
MOTO Medial® UKA
Knee replacement surgery with the MOTO Medial® UKA

Locations

Country Name City State
United States Ortho Montana Billings Montana
United States Duke University Durham North Carolina
United States Unova Health Clinic Lady Lake Florida
United States Ellis & Badenhausen Orthopaedics PSC Louisville Kentucky
United States Whole Health Joint Replacement Meadville Pennsylvania

Sponsors (1)

Lead Sponsor Collaborator
Medacta USA

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change from baseline in Knee Society Score Objective Assessment of improvement of clinical outcomes following knee replacement surgery using the Knee Society Score Questionnaire Baseline, post-operative 2-6 weeks, 4-8 months, 9-15 months, 18-30 months and 51-69 months
Primary Change from baseline in Knee Osteoarthritis Outcome Score Assessment of improvement of activity levels following knee replacement surgery using the Knee Osteoarthritis Score Questionnaire Baseline, post-operative 4-8 months, 9-15 months, 18-30 months and 51-69 months
Primary Change from baseline in Forgotten Joint Score Assessment of the improvement of joint specific outcomes following knee replacement surgery using the Forgotten Joint Score Questionnaire. post-operative 4-8 months, 9-15 months, 18-30 months and 51-69 months
Primary Knee Society Score Assessment of pre-op expectations questionnaire Baseline
Primary Change from baseline in Knee Society Score Assessment of the improvement post-op satisfaction following knee replacement surgery using the Knee Society Score questionnaire. post-operative 4-8 months, 9-15 months, 18-30 months and 51-69 months
Primary Change from baseline in Veterans Rand 12 Score Assessment of the improvement of your health using the Veterans Rand 12 score questionnaire. Baseline, post-operative 4-8 months, 9-15 months, 18-30 months and 51-69 months
Primary Change from baseline in Oxford Knee Score Assessment of the improvement of knee function following knee replacement surgery using the Oxford Knee Score questionnaire. Baseline, post-operative 4-8 months, 9-15 months, 18-30 months and 51-69 months
Primary Change from baseline in Medication for Osteoarthritis Documentation of osteoarthritis medications Baseline, post-operative 2-6 weeks, 4-8 months, 9-15 months, 18-30 months and 51-69 months
Primary Change from baseline in Knee Wound Assessment Assessment of wound drainage, swelling and infection in surgical knee post-operative 2-6 weeks, 4-8 months
Primary Change from baseline in Visual Analog Scale score Assessment of the improvement of patient knee pain following knee replacement surgery using the VAS score questionnaire. baseline, post-operative 2-6 weeks, 4-8 months
Primary Severity of osteoarthritis in the knee compartments Determine by radiographic analysis for disease progression Baseline
Primary Change from baseline in Knee Alignment Determine by radiographic analysis Varus or Valgus Baseline, post-operative 2-6 weeks, 4-8 months, 9-15 months, 18-30 months and 51-69 months
Primary Change from baseline of Implant position fixation Determine by radiographic analysis by measuring Radio Lucent lines in millimeters. post-operative 2-6 weeks, 4-8 months, 9-15 months, 18-30 months and 51-69 months
Primary Change from baseline of implant survivorship Determine by radiographic analysis of bone fracture, implant fracture, fixation and wear post-operative 2-6 weeks, 4-8 months, 9-15 months, 18-30 months and 51-69 months
Secondary Number of knee Implant faliures Reoperations, revisions, removals, and device related adverse events post-operative 2-6 weeks, 4-8 months, 9-15 months, 18-30 months and 51-69 months
Secondary K & L Grading Assessment of Osteoarthritis Disease Grade of the knee compartment Baseline
Secondary Age of patient Date of birth (age) Baseline
Secondary Demographics Height in inches, weight in pounds to determine BMI Baseline
Secondary Number of male or female patients Gender description male or female Baseline
Secondary Occurrence of Knee Treatments prior to surgery Prior treatments of knee such as bracing, medication, injections, arthroscopy, ligament and cartilage procedures Baseline
Secondary Occurrence of prior medical and surgical history Medical and surgical history of patient prior to knee surgery Baseline
Secondary Post-operative pain medications Medications after knee surgery post-operative 2-6 weeks, 4-8 months, 9-15 months, 18-30 months and 51-69 months
Secondary Return to Work/Activity questionnaire Assessment of ability to return to work or other activities following surgery post-operative 4-8 months, 9-15 months, 18-30 months
Secondary Implant demographics Implant femoral and tibial size and poly thickness day of surgery
Secondary Anesthetic type of anesthesia used during surgery day of surgery
Secondary Estimated blood loss Volume of blood loss during surgery day of surgery
Secondary Length of surgery Time in minutes of skin to skin day of surgery
Secondary Length of Hospital Stay Length of stay in hours day of surgery
Secondary Frequency of Facility type used for knee surgery Type of facility used for knee surgery day of surgery
Secondary Tourniquet Time Tourniquet time in minutes day of surgery
Secondary Complications Assess adverse events and Serious adverse events day of surgery, post-operative 2-6 weeks, 4-8 months, 9-15 months, 18-30 months and 51-69 months
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