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Prospective clinical study using X-ray to evaluate fixation of cementless total knee replacement components

In patients with osteoarthritis of the knee, do cementless total knee replacement components, comparing radiographic micromotion at 6 months and 2 years, provide adequate long-term fixation at the implant-bone interface.

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12609000514202
Enrollment
20
Registered
2009-06-29
Start date
2009-07-06
Completion date
Unknown
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This study assesses the clinical performance of implants used to treat osteoarthritis using total knee replacement. Highly-accurate X-rays will be used to measure any small motions of the implant components at regular intervals after the knee replacement operation. The health status of patients and ability for them to perform activities of daily living will also be measured. This information will be used to confirm that new methods of securing the knee replacement components to the bone are clinically effective.

Interventions

Total knee arthroplasty will be performed using a traditional medial parapatellar approach. Distal femur and proximal tibia resections will be completed using intramedullary alignments jigs. Implantation of the femoral and tibial tray components will be performed without the use of bone cement. The approximate duration of the procedure is 90-120 minutes. Micromotion of the implanted components will be assessed by X-ray, using the pre-weight-bearing position as the base for subsequent measurement

Total knee arthroplasty will be performed using a traditional medial parapatellar approach. Distal femur and proximal tibia resections will be completed using intramedullary alignments jigs. Implantation of the femoral and tibial tray components will be performed without the use of bone cement. The approximate duration of the procedure is 90-120 minutes. Micromotion of the implanted components will be assessed by X-ray, using the pre-weight-bearing position as the base for subsequent measurements.

Sponsors

Stryker Australia
Lead SponsorCommercial sector/Industry

Study design

Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
21 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

1. Symptomatic osteoarthritis of the knee requiring intervention. 2. Between the ages of 21 and 80 years inclusive. 3. Ability to give informed consent.

Exclusion criteria

1. Significant co-morbidity affecting ability to ambulate 2. Flexion contracture greater than 15 degrees 3. Extension lag greater than 10 degrees 4. Tibial subluxation greater than 10mm on standing radiograph 5. Prior arthroplasty, patellectomy or osteotomy with the affected knee 6. Lateral or medial collateral ligament instability (>10 degrees varus/valgus) 7. Leg length discrepancy greater than 10mm 8. Active or prior infection 9. Morbid obesity (Body Mass Index, BMI > 40) 10. Medical condition precluding major surgery 11. Severe osteoporosis or osteopenia 12 Neuromuscular impairment

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026