Osteoarthritis Clinical Trial
Official title:
Medico-economic Study of Patient Matched Cutting Blocks (Ancillary) MyKnee ® LBS During Knee Arthroplasty GMK ®. Multicentric, Prospective, Controlled, Opened, Randomised Study About Medical Device.
Total knee arthroplasty represents over 70 000 surgical procedures per year in France,
increasing about 10% each year since the early 1990s. Clinical experience shows a strong
rate of success on pain relieve and improvement of knee articular function for these
patients.
Longevity of the implants had been proved to depend on the biomechanical design and
implantation techniques, particularly the bone cuts during the surgery. To improve the
precision of these cuts, the patient matched cutting blocks developed by Medacta company
allows to adapt bone cuts to the patient anatomy improving the reliability of these
procedure. A reduction of surgical time and bleeding would be another benefit expected with
this type of ancillary. The objective of this study is to demonstrate the advantage of
patient matched cutting blocks for total knee arthroplasty on realiability for both clinical
and radiological criteria, morbidity reduction during and after the procedure and also a
benefit on an economic point of view.
| Status | Active, not recruiting |
| Enrollment | 100 |
| Est. completion date | September 2016 |
| Est. primary completion date | September 2016 |
| Accepts healthy volunteers | No |
| Gender | Both |
| Age group | 18 Years and older |
| Eligibility |
Inclusion Criteria: all patients requiring a total knee arthroplasty line: primary or secondary osteoarthritis advanced beyond medical treatment. Exclusion Criteria: distorded axes or laxity requiring the establishment of constrained prosthesis |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
| Country | Name | City | State |
|---|---|---|---|
| France | University Hospital of Nantes | Nantes |
| Lead Sponsor | Collaborator |
|---|---|
| Nantes University Hospital |
France,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | compare the functionality of the knee after installation of a total knee replacement between the 2 groups | The evaluation will use a specific score for total knee arthroplasty: Part of the Knee Society function score (KSS) measured at 1 year after surgery. | 2 years after | No |
| Secondary | to assess knee function by autoquestionnaire KOOS, the KSS knee score, operative time, procedure bleeding, reliability of the ancillary | 2 years after | No | |
| Secondary | medico-economic evaluation type "Cost minimization" | Compare the costs of implementing the two strategies (A and B) taking into account the resources consumed (operative time, anesthetic drugs, blood bags ...). Determine the least costly therapeutic intervention and medico-economic impact in the current system of financing of hospital expenditure. |
2 years after | No |
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