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Retrospective Simplex High Viscosity (HV) Bone Cement Study

A Retrospective Multicenter Study to Review the Use of Simplex High Viscosity Bone Cement in Primary Total Knee Arthroplasty

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05659329
Enrollment
200
Registered
2022-12-21
Start date
2016-04-25
Completion date
2022-09-27
Last updated
2026-01-12

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

Conditions

Arthritis Knee, Aseptic Loosening

Keywords

Bone Cement, Knee Arthroplasty

Brief summary

This study is a retrospective multicenter study to review the use of Simplex High Viscosity Bone Cement in Primary Total Knee Arthroplasty

Detailed description

This study is a retrospective investigation of subjects who have received primary Triathlon Total Knee Arthroplasty inserted with Simplex High Viscosity (HV) Cement to evaluate the success rate defined as absence of revision for aseptic loosening of components at two years postoperative.

Interventions

DEVICESimplex HV/Gentamicin Simplex HV bone cement

Simplex HV bone cement is a fast-setting acrylic resin for use in bone surgery. Simplex HV bone cement with Gentamicin is a fast setting acrylic resin with addition of gentamicin sulfate for use in bone surgery. Mixing two separate sterile components produces a ductile bone cement which, after hardening, fixes the implant and transfers stresses produced during movement evenly to the bone.

Sponsors

Stryker Orthopaedics
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* The Patient is age 18 or over at time of study device implantation * Patients who have undergone primary Triathlon Total Knee Arthroplasty in which Simplex HV/Simplex HV Gentamicin was indicated for fixation and used on label * Patients who have been followed for at least 24 months postoperatively

Exclusion criteria

* Patients who have undergone revision surgery * Patients who have undergone bilateral Knee Arthroplasty * Patients contraindicated for either the devices implanted, or the cement used, according to medical history review and instructions for use * Patient has a cementless tibial baseplate. * Patient has an active or suspected latent infection in or about the affected knee joint * Patient has muscle loss or neuromuscular impairment in the affected limb that would create an unjustifiable risk * Patient is immunologically suppressed or receiving steroids in excess of normal physiological requirements (e.g. \> 30 days) * Patient has a known hypersensitivity to any of the cements constituents or in patients with severe renal failure * Patient is a prisoner

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Successful Application of Bone Cement24 monthsA successful application is defined as absence of revision of Triathlon Total Knee components cemented with Simplex high viscosity bone cement (Simplex HV) within outcome measure timeframe.

Secondary

MeasureTime frameDescription
KSS Pain Motion Score: PainPre-operative, 2 years, 5 years (optional)This section shows a five-level pain measurement from no pain to severe pain reported by the subjects.
KSS Function Score: Walking AidsPre-operative, 2 years, 5 years (optional)Pre- and postoperative use of walking aids
KSS Function Score: Walkingpre-operative, 2 years, 5 years (optional)Pre- and post-operative walking ability
Knee Society Score (KSS) Pain Motion Score: Range of Motionpre-op, 2 years, 5 years (optional)The Knee range of motion (ROM) is a parameter which is calculating the range of knee extension (the ability to straighten the leg) and knee flexion (ability to bend the leg). A normal range is from 0º extension (completely straight leg) to 130º flexion (fully flexed leg).
Oxford Knee Score (OKS) Resultspre-op, 2 years, 5 years (optional)The OKS is a patient reported outcome measure that consists of 12 questions about an individual's level of function, activities of daily living and how they have been affected by pain over the preceding four weeks. On a scale between 0 and 48, low values indicate severe knee problems and high values indicate satisfactory joint function.
KSS Pain Motion Score: Stabilitypre-operative, 2 years, 5 years (optional)This section shows number of patients with a minor knee ligament laxity. Antero-posterior (a/p) stability \< 5 mm and medio-lateral (m/l) stability \< 5° means mild increase in laxity compared to the contralateral knee.
KSS Function Score: StairsPre-operative, 2 years, 5 years (optional)Pre-and postoperative ability of climbing stairs

Participant flow

Recruitment details

This was a retrospective study with planned 100 subjects per group. Recruitment was stopped in the Non-medicated Simplex HV group with 97 subjects because there were no additional eligible subjects.

Pre-assignment details

In the non-medicated Simplex HV group further three of the 97 subjects were excluded after enrollment as two subjects did not receive the study device and one subject met an exclusion criterion (Patient is immunologically suppressed or receiving steroids in excess of normal physiological requirements (e.g. \> 30 days))

Participants by arm

ArmCount
Non-medicated Simplex HV
Retrospective observation of patients who have received a Triathlon Total Knee Replacement implanted with nonmedicated Simplex HV Bone Cement. Simplex HV Bone Cement is a fast-setting acrylic resin for use in bone surgery. Mixing the two separate sterile components produces a ductile bone cement which, after hardening, fixes the implant and transfers stresses produced during movement evenly to the bone.
95
Gentamicin Simplex HV
Retrospective observation of patients who have received a Triathlon Total Knee Replacement implanted with Gentamycin Simplex HV Bone Cement. Simplex HV Bone Cement with Gentamicin is a fast-setting acrylic resin with addition of gentamicin sulfate for use in bone surgery. Mixing the two separate sterile components produces a ductile bone cement which, after hardening, fixes the implant and transfers stresses produced during movement evenly to the bone.
101
Total196

Baseline characteristics

CharacteristicGentamicin Simplex HVTotalNon-medicated Simplex HV
Age, Customized71.8 years
STANDARD_DEVIATION 7.83
68.97 years
STANDARD_DEVIATION 8.83
66 years
STANDARD_DEVIATION 8.84
BMI30.5 kg/m^2
STANDARD_DEVIATION 4.73
31.87 kg/m^2
STANDARD_DEVIATION 5.53
33.3 kg/m^2
STANDARD_DEVIATION 5.94
Height cm166 centimeter
STANDARD_DEVIATION 9.24
165.4 centimeter
STANDARD_DEVIATION 9.7
165 centimeter
STANDARD_DEVIATION 10.17
Operative side
Left side
44 Participants91 Participants47 Participants
Operative side
Right side
57 Participants105 Participants48 Participants
Race and Ethnicity Not Collected0 Participants
Region of Enrollment
United Kingdom
101 Participants101 Participants0 Participants
Region of Enrollment
United States
0 Participants95 Participants95 Participants
Sex: Female, Male
Female
58 Participants123 Participants65 Participants
Sex: Female, Male
Male
43 Participants73 Participants30 Participants
Weight kg83.4 kilogram
STANDARD_DEVIATION 14.82
87.1 kilogram
STANDARD_DEVIATION 17.71
91.0 kilogram
STANDARD_DEVIATION 19.65

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 950 / 101
other
Total, other adverse events
18 / 959 / 101
serious
Total, serious adverse events
10 / 9521 / 101

Outcome results

Primary

Number of Participants With Successful Application of Bone Cement

A successful application is defined as absence of revision of Triathlon Total Knee components cemented with Simplex high viscosity bone cement (Simplex HV) within outcome measure timeframe.

Time frame: 24 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Non-medicated Simplex HVNumber of Participants With Successful Application of Bone Cement95 Participants
Gentamicin Simplex HVNumber of Participants With Successful Application of Bone Cement101 Participants
Secondary

Knee Society Score (KSS) Pain Motion Score: Range of Motion

The Knee range of motion (ROM) is a parameter which is calculating the range of knee extension (the ability to straighten the leg) and knee flexion (ability to bend the leg). A normal range is from 0º extension (completely straight leg) to 130º flexion (fully flexed leg).

Time frame: pre-op, 2 years, 5 years (optional)

Population: The retrospective study approach did not allow for full KSS data collection. Range of motion data available were collected for analysis.

ArmMeasureGroupValue (MEAN)Dispersion
Non-medicated Simplex HVKnee Society Score (KSS) Pain Motion Score: Range of MotionPre-op Range of motion (ROM)108.59 degreesStandard Deviation 12.74
Non-medicated Simplex HVKnee Society Score (KSS) Pain Motion Score: Range of Motion2 years ROM110.48 degreesStandard Deviation 12.48
Non-medicated Simplex HVKnee Society Score (KSS) Pain Motion Score: Range of Motion5 years ROM113.37 degreesStandard Deviation 13.35
Gentamicin Simplex HVKnee Society Score (KSS) Pain Motion Score: Range of MotionPre-op Range of motion (ROM)101.16 degreesStandard Deviation 14.19
Gentamicin Simplex HVKnee Society Score (KSS) Pain Motion Score: Range of Motion2 years ROM110.32 degreesStandard Deviation 11.4
Gentamicin Simplex HVKnee Society Score (KSS) Pain Motion Score: Range of Motion5 years ROM114.81 degreesStandard Deviation 8.74
Secondary

KSS Function Score: Stairs

Pre-and postoperative ability of climbing stairs

Time frame: Pre-operative, 2 years, 5 years (optional)

Population: The retrospective study approach did not allow for full KSS data collection. Stair climbing ability data available were collected for analysis of non-medicated Simplex HV only.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Non-medicated Simplex HVKSS Function Score: StairsPre-operative ability to climb stairsUnable22 Participants
Non-medicated Simplex HVKSS Function Score: StairsPre-operative ability to climb stairsUp with rail/unable down0 Participants
Non-medicated Simplex HVKSS Function Score: StairsPre-operative ability to climb stairsUp and down with rail12 Participants
Non-medicated Simplex HVKSS Function Score: StairsPre-operative ability to climb stairsNormal up/down with rail2 Participants
Non-medicated Simplex HVKSS Function Score: StairsPre-operative ability to climb stairsNormal up and down0 Participants
Non-medicated Simplex HVKSS Function Score: StairsAbility to climb stairs at 2 yearsUnable0 Participants
Non-medicated Simplex HVKSS Function Score: StairsAbility to climb stairs at 2 yearsUp with rail/unable down0 Participants
Non-medicated Simplex HVKSS Function Score: StairsAbility to climb stairs at 2 yearsUp and down with rail2 Participants
Non-medicated Simplex HVKSS Function Score: StairsAbility to climb stairs at 2 yearsNormal up/down with rail1 Participants
Non-medicated Simplex HVKSS Function Score: StairsAbility to climb stairs at 2 yearsNormal up and down15 Participants
Non-medicated Simplex HVKSS Function Score: StairsAbility to climb stairs at 5 yearsUnable1 Participants
Non-medicated Simplex HVKSS Function Score: StairsAbility to climb stairs at 5 yearsUp with rail/unable down0 Participants
Non-medicated Simplex HVKSS Function Score: StairsAbility to climb stairs at 5 yearsUp and down with rail2 Participants
Non-medicated Simplex HVKSS Function Score: StairsAbility to climb stairs at 5 yearsNormal up/down with rail1 Participants
Non-medicated Simplex HVKSS Function Score: StairsAbility to climb stairs at 5 yearsNormal up and down13 Participants
Secondary

KSS Function Score: Walking

Pre- and post-operative walking ability

Time frame: pre-operative, 2 years, 5 years (optional)

Population: The retrospective study approach did not allow for full KSS data collection. Walking ability data available were collected for analysis.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Non-medicated Simplex HVKSS Function Score: WalkingWalking ability at 2 yearsBelow 5 blocks (<500m/<1640 feet)2 Participants
Non-medicated Simplex HVKSS Function Score: WalkingPre-operative walking ability5-10 blocks (500m - 1000m/1640-3280 feet)0 Participants
Non-medicated Simplex HVKSS Function Score: WalkingWalking ability at 2 years5-10 blocks (500m - 1000m/1640-3280 feet)0 Participants
Non-medicated Simplex HVKSS Function Score: WalkingPre-operative walking abilityHousebound1 Participants
Non-medicated Simplex HVKSS Function Score: WalkingWalking ability at 2 yearsOver 10 blocks (>1000m/>3280 feet)3 Participants
Non-medicated Simplex HVKSS Function Score: WalkingPre-operative walking abilityOver 10 blocks (>1000m/>3280 feet)2 Participants
Non-medicated Simplex HVKSS Function Score: WalkingWalking ability at 2 yearsUnlimited17 Participants
Non-medicated Simplex HVKSS Function Score: WalkingWalking ability at 5 yearsBelow 5 blocks (<500m/<1640 feet)1 Participants
Non-medicated Simplex HVKSS Function Score: WalkingWalking ability at 5 yearsHousebound0 Participants
Non-medicated Simplex HVKSS Function Score: WalkingPre-operative walking abilityUnlimited1 Participants
Non-medicated Simplex HVKSS Function Score: WalkingWalking ability at 5 years5-10 blocks (500m - 1000m/1640-3280 feet)2 Participants
Non-medicated Simplex HVKSS Function Score: WalkingPre-operative walking abilityBelow 5 blocks (<500m/<1640 feet)48 Participants
Non-medicated Simplex HVKSS Function Score: WalkingWalking ability at 5 yearsOver 10 blocks (>1000m/>3280 feet)0 Participants
Non-medicated Simplex HVKSS Function Score: WalkingWalking ability at 2 yearsHousebound2 Participants
Non-medicated Simplex HVKSS Function Score: WalkingWalking ability at 5 yearsUnlimited13 Participants
Gentamicin Simplex HVKSS Function Score: WalkingWalking ability at 5 yearsUnlimited2 Participants
Gentamicin Simplex HVKSS Function Score: WalkingPre-operative walking abilityHousebound0 Participants
Gentamicin Simplex HVKSS Function Score: WalkingPre-operative walking abilityBelow 5 blocks (<500m/<1640 feet)13 Participants
Gentamicin Simplex HVKSS Function Score: WalkingPre-operative walking ability5-10 blocks (500m - 1000m/1640-3280 feet)7 Participants
Gentamicin Simplex HVKSS Function Score: WalkingPre-operative walking abilityOver 10 blocks (>1000m/>3280 feet)2 Participants
Gentamicin Simplex HVKSS Function Score: WalkingPre-operative walking abilityUnlimited2 Participants
Gentamicin Simplex HVKSS Function Score: WalkingWalking ability at 2 yearsHousebound0 Participants
Gentamicin Simplex HVKSS Function Score: WalkingWalking ability at 2 yearsBelow 5 blocks (<500m/<1640 feet)0 Participants
Gentamicin Simplex HVKSS Function Score: WalkingWalking ability at 2 years5-10 blocks (500m - 1000m/1640-3280 feet)0 Participants
Gentamicin Simplex HVKSS Function Score: WalkingWalking ability at 2 yearsOver 10 blocks (>1000m/>3280 feet)1 Participants
Gentamicin Simplex HVKSS Function Score: WalkingWalking ability at 2 yearsUnlimited2 Participants
Gentamicin Simplex HVKSS Function Score: WalkingWalking ability at 5 yearsBelow 5 blocks (<500m/<1640 feet)0 Participants
Gentamicin Simplex HVKSS Function Score: WalkingWalking ability at 5 years5-10 blocks (500m - 1000m/1640-3280 feet)1 Participants
Gentamicin Simplex HVKSS Function Score: WalkingWalking ability at 5 yearsOver 10 blocks (>1000m/>3280 feet)0 Participants
Gentamicin Simplex HVKSS Function Score: WalkingWalking ability at 5 yearsHousebound0 Participants
Secondary

KSS Function Score: Walking Aids

Pre- and postoperative use of walking aids

Time frame: Pre-operative, 2 years, 5 years (optional)

Population: The retrospective study approach did not allow for full KSS data collection. Use of walking aids data available were collected for analysis.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Non-medicated Simplex HVKSS Function Score: Walking AidsWalking aids use at 5 yearsNone30 Participants
Non-medicated Simplex HVKSS Function Score: Walking AidsPre-operative walking aids useNone43 Participants
Non-medicated Simplex HVKSS Function Score: Walking AidsWalking aids use at 2 yearsCane13 Participants
Non-medicated Simplex HVKSS Function Score: Walking AidsWalking aids use at 2 yearsCrutches, Walker, cannot walk/ wheelchair Crutches, Walker, cannot walk, wheelchair2 Participants
Non-medicated Simplex HVKSS Function Score: Walking AidsWalking aids use at 2 yearsTwo canes, one crutch0 Participants
Non-medicated Simplex HVKSS Function Score: Walking AidsWalking aids use at 5 yearsCane8 Participants
Non-medicated Simplex HVKSS Function Score: Walking AidsWalking aids use at 5 yearsCrutches, Walker, cannot walk/ wheelchair Crutches, Walker, cannot walk, wheelchair2 Participants
Non-medicated Simplex HVKSS Function Score: Walking AidsWalking aids use at 5 yearsTwo canes, one crutch0 Participants
Non-medicated Simplex HVKSS Function Score: Walking AidsWalking aids use at 2 yearsNone52 Participants
Non-medicated Simplex HVKSS Function Score: Walking AidsPre-operative walking aids useCane23 Participants
Non-medicated Simplex HVKSS Function Score: Walking AidsPre-operative walking aids useCrutches, Walker, cannot walk/ wheelchair Crutches, Walker, cannot walk, wheelchair3 Participants
Non-medicated Simplex HVKSS Function Score: Walking AidsPre-operative walking aids useTwo canes, one crutch0 Participants
Gentamicin Simplex HVKSS Function Score: Walking AidsWalking aids use at 2 yearsNone2 Participants
Gentamicin Simplex HVKSS Function Score: Walking AidsPre-operative walking aids useNone9 Participants
Gentamicin Simplex HVKSS Function Score: Walking AidsPre-operative walking aids useCane12 Participants
Gentamicin Simplex HVKSS Function Score: Walking AidsWalking aids use at 2 yearsCrutches, Walker, cannot walk/ wheelchair Crutches, Walker, cannot walk, wheelchair0 Participants
Gentamicin Simplex HVKSS Function Score: Walking AidsPre-operative walking aids useCrutches, Walker, cannot walk/ wheelchair Crutches, Walker, cannot walk, wheelchair1 Participants
Gentamicin Simplex HVKSS Function Score: Walking AidsWalking aids use at 2 yearsCane0 Participants
Gentamicin Simplex HVKSS Function Score: Walking AidsPre-operative walking aids useTwo canes, one crutch1 Participants
Gentamicin Simplex HVKSS Function Score: Walking AidsWalking aids use at 2 yearsTwo canes, one crutch0 Participants
Secondary

KSS Pain Motion Score: Pain

This section shows a five-level pain measurement from no pain to severe pain reported by the subjects.

Time frame: Pre-operative, 2 years, 5 years (optional)

Population: The retrospective study approach did not allow for full KSS data collection. Pain data available were collected for analysis.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Non-medicated Simplex HVKSS Pain Motion Score: PainPain at 2 yearsSevere pain0 Participants
Non-medicated Simplex HVKSS Pain Motion Score: PainPain at 2 yearsModerate continual pain3 Participants
Non-medicated Simplex HVKSS Pain Motion Score: PainPre-operative PainModerate occasional pain24 Participants
Non-medicated Simplex HVKSS Pain Motion Score: PainPain at 2 yearsModerate occasional pain4 Participants
Non-medicated Simplex HVKSS Pain Motion Score: PainPre-operative PainMild or occasional pain11 Participants
Non-medicated Simplex HVKSS Pain Motion Score: PainPain at 5 yearsNo pain29 Participants
Non-medicated Simplex HVKSS Pain Motion Score: PainPre-operative PainSevere pain21 Participants
Non-medicated Simplex HVKSS Pain Motion Score: PainPain at 5 yearsMild or occasional pain17 Participants
Non-medicated Simplex HVKSS Pain Motion Score: PainPre-operative PainNo pain0 Participants
Non-medicated Simplex HVKSS Pain Motion Score: PainPain at 5 yearsModerate continual pain1 Participants
Non-medicated Simplex HVKSS Pain Motion Score: PainPain at 2 yearsNo pain49 Participants
Non-medicated Simplex HVKSS Pain Motion Score: PainPain at 5 yearsModerate occasional pain2 Participants
Non-medicated Simplex HVKSS Pain Motion Score: PainPre-operative PainModerate continual pain34 Participants
Non-medicated Simplex HVKSS Pain Motion Score: PainPain at 5 yearsSevere pain0 Participants
Non-medicated Simplex HVKSS Pain Motion Score: PainPain at 2 yearsMild or occasional pain26 Participants
Gentamicin Simplex HVKSS Pain Motion Score: PainPain at 5 yearsSevere pain0 Participants
Gentamicin Simplex HVKSS Pain Motion Score: PainPre-operative PainNo pain1 Participants
Gentamicin Simplex HVKSS Pain Motion Score: PainPre-operative PainMild or occasional pain0 Participants
Gentamicin Simplex HVKSS Pain Motion Score: PainPre-operative PainModerate continual pain6 Participants
Gentamicin Simplex HVKSS Pain Motion Score: PainPre-operative PainModerate occasional pain1 Participants
Gentamicin Simplex HVKSS Pain Motion Score: PainPre-operative PainSevere pain18 Participants
Gentamicin Simplex HVKSS Pain Motion Score: PainPain at 2 yearsNo pain2 Participants
Gentamicin Simplex HVKSS Pain Motion Score: PainPain at 2 yearsMild or occasional pain5 Participants
Gentamicin Simplex HVKSS Pain Motion Score: PainPain at 2 yearsModerate continual pain0 Participants
Gentamicin Simplex HVKSS Pain Motion Score: PainPain at 2 yearsSevere pain1 Participants
Gentamicin Simplex HVKSS Pain Motion Score: PainPain at 5 yearsNo pain6 Participants
Gentamicin Simplex HVKSS Pain Motion Score: PainPain at 5 yearsMild or occasional pain2 Participants
Gentamicin Simplex HVKSS Pain Motion Score: PainPain at 5 yearsModerate continual pain0 Participants
Gentamicin Simplex HVKSS Pain Motion Score: PainPain at 5 yearsModerate occasional pain0 Participants
Gentamicin Simplex HVKSS Pain Motion Score: PainPain at 2 yearsModerate occasional pain0 Participants
Secondary

KSS Pain Motion Score: Stability

This section shows number of patients with a minor knee ligament laxity. Antero-posterior (a/p) stability \< 5 mm and medio-lateral (m/l) stability \< 5° means mild increase in laxity compared to the contralateral knee.

Time frame: pre-operative, 2 years, 5 years (optional)

Population: The retrospective study approach in the Non-medicated Simplex HV study arm did not allow for full KSS Stability data collection as not all data were collected at 2 and 5 years.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Non-medicated Simplex HVKSS Pain Motion Score: Stabilitypreoperative a/p <5mm and m/l <5° stability87 Participants
Non-medicated Simplex HVKSS Pain Motion Score: Stability2 years a/p <5mm and m/l <5° stability81 Participants
Non-medicated Simplex HVKSS Pain Motion Score: Stability5 years a/p <5mm and m/l <5° stability52 Participants
Gentamicin Simplex HVKSS Pain Motion Score: Stability2 years a/p <5mm and m/l <5° stability0 Participants
Gentamicin Simplex HVKSS Pain Motion Score: Stabilitypreoperative a/p <5mm and m/l <5° stability1 Participants
Gentamicin Simplex HVKSS Pain Motion Score: Stability5 years a/p <5mm and m/l <5° stability0 Participants
Secondary

Oxford Knee Score (OKS) Results

The OKS is a patient reported outcome measure that consists of 12 questions about an individual's level of function, activities of daily living and how they have been affected by pain over the preceding four weeks. On a scale between 0 and 48, low values indicate severe knee problems and high values indicate satisfactory joint function.

Time frame: pre-op, 2 years, 5 years (optional)

Population: Due to the retrospective study approach, the site of the Non-medicated Simplex HV arm did not collect OKS data and therefore OKS data cannot be presented for this site, whereas the site for the Gentamicin Simplex HV arm did collect OKS data which are presented.

ArmMeasureGroupValue (MEAN)Dispersion
Gentamicin Simplex HVOxford Knee Score (OKS) Resultspre-operative OKS18.96 score on a scaleStandard Deviation 7.79
Gentamicin Simplex HVOxford Knee Score (OKS) Results2 years OKS39.27 score on a scaleStandard Deviation 7.92
Gentamicin Simplex HVOxford Knee Score (OKS) Results5 years OKS39.38 score on a scaleStandard Deviation 7.73

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026