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Trial registered on ANZCTR
Registration number
ACTRN12618000107224
Ethics application status
Approved
Date submitted
11/12/2017
Date registered
24/01/2018
Date last updated
3/12/2019
Date data sharing statement initially provided
3/12/2019
Date results provided
3/12/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
Fixation of polyethylene knee replacement tibial components in patients with osteoarthritis aged 18-60
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Scientific title
Migration characteristics of the Profix all-polyethylene tibial component in patients with osteoarthritis aged 18-60
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Secondary ID [1]
293587
0
none
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Universal Trial Number (UTN)
U1111-1206-5052
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
knee osteoarthritis
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Condition category
Condition code
Musculoskeletal
305045
305045
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0
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Osteoarthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Routine total knee replacement using a Profix (Smith & Nephew, USA) implant. All-polyethylene implant used in all patients.
Standard surgical procedure of 60-90 minutes duration.
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Intervention code [1]
299840
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Treatment: Surgery
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Comparator / control treatment
Historical control.Norgren, B., Dalen, T., and Nilsson, K. G.: All-poly tibial component better than metal-backed: a randomized RSA study. Knee. 11:189-196, 2004. Authors previous study used same implant and study design in patients aged greater than 60 years. Previous study randomised 21 patients to receive an all-polyethylene tibial component or a modular metal-backed component. Surgery performed in Umea 1999-2000
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Control group
Historical
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Outcomes
Primary outcome [1]
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Migration of tibial component measured with radiostereometric analysis (RSA)
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Assessment method [1]
304206
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Timepoint [1]
304206
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Immediate post op, 12 months and 24 months
change made following 2 year results analysed. We do not have the resources for a 10-year review and will re=apply if they become available
happy to leave this open
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Secondary outcome [1]
341252
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Excessive tibial migration:
Components classified as stable or unstable by a composite categorical endpoint determined by;
1. tibial components were classified into being non-migrating (stable) or continuously migrating (unstable) migration greater than 200um by RSA.
2. presence and size of radiolucent lines at the tibial component interface as described by the Knee Society assessment of plain films.
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Assessment method [1]
341252
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Timepoint [1]
341252
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immediate post operative, 1, 2 and 10 years
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Eligibility
Key inclusion criteria
osteoarthritic patients booked to have knee replacement surgery
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
previous surgery
weight > 120kg
inflammatory arthritis
severe anatomical abnormalities
non-metropolitan residence
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
none
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
comparison to authors historical series of older patients
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Phase
Phase 4
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
descriptive measures of migration
secondary analysis with comparison of means to historical controls
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
1/03/2006
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Date of last participant enrolment
Anticipated
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Actual
23/07/2009
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Date of last data collection
Anticipated
23/07/2020
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Actual
6/06/2012
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Sample size
Target
20
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Accrual to date
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Final
21
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
9529
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Calvary Wakefield Hospital - Adelaide
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Recruitment postcode(s) [1]
18279
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5000 - Adelaide
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
298204
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Address [1]
298204
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Country [1]
298204
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Primary sponsor type
Individual
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Name
David Campbell
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Address
Wakefield Orthopaedic Clinic
270 Wakefield Street
Adelaide
5000
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Country
Australia
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Secondary sponsor category [1]
297303
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None
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Name [1]
297303
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Address [1]
297303
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Country [1]
297303
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
299212
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Wakefield Hospital Ethics Committee
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Ethics committee address [1]
299212
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250 Wakefield street Adelaide South Australia 5000
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Ethics committee country [1]
299212
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Australia
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Date submitted for ethics approval [1]
299212
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03/08/2005
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Approval date [1]
299212
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14/11/2005
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Ethics approval number [1]
299212
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05 CHREC-1411
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Summary
Brief summary
All-polyethylene (AP) tibial components in patients aged greater than 60 years have stable tibial migration patterns and favorable survival rates when compared to identical metal-backed (MB) designs. Tibial component fixation in patients aged less than 60 years was measured with radiostereometric analysis (RSA) and compared to a previous cohort of AP and MB tibial components of identical design in patients aged greater than 60 years. Methods A prospective consecutive study examined tibial component migration in 21 patients aged less than 60 years undergoing a cemented total knee arthroplasty with an AP tibial component by RSA to 24 months. Results were compared to the authors previous series of 21 patients aged greater than 60 years that were randomized to either an AP or MB tibial component. The articulating geometry and stem design of the implants were identical as were the operative technique and post-operative regime Results At 2-years both age groups of patients implanted with an all-polyethylene component had stable migration patterns with no patient having greater than 0.2 degree rotation or 0.5mm maximum total point motion. Five of 11 metal-backed tibial components displayed continued migration between 1 and 2 years. Median internal/external rotation was greater with MB components; 0.15, 0.08, 0.28, AP < 60 years, AP > 60 years, and MB cohorts. Subsidence significantly greater for MB implants; median subsidence 0.17, 0.10, 0.25, AP < 60 years, AP > 60 years, and MB cohorts. Median maximum total point motion was greater for the MB cohort 0.34, 0.33, 0.61mm, AP < 60 years, AP > 60 years, and MB cohorts Conclusions Young patients implanted with an all-polyethylene tibial component had stable tibial migration patterns comparable to older patients with the same all-polyethylene implant. Regardless of age, all-polyethylene tibial components were at least as stable as metal-backed tibial components. The study will continue until 10-years.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof David Campbell
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Address
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Wakefield Orthopaedic Clinic
270 Wakefield Street
Adelaide
South Australia, 5000
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Country
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Australia
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Phone
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+61 8 8236 4196
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Fax
79674
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+61 8 8236 4180
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Email
79674
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[email protected]
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Contact person for public queries
Name
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Chris Schultz
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Address
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Wakefield Orthopaedic Clinic
270 Wakefield Street
Adelaide
South Australia 5000
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Country
79675
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Australia
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Phone
79675
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+61 8 8236 4196
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Fax
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+61 8 8236 4180
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Email
79675
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[email protected]
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Contact person for scientific queries
Name
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David Campbell
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Address
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Wakefield Orthopaedic Clinic
270 Wakefield Street
Adelaide
South Australia 000
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Country
79676
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Australia
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Phone
79676
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+61 8 8236 4196
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Fax
79676
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+61 8 8236 4180
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Email
79676
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
confidential patient information
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
All-polyethylene tibial components in young patients have stable fixation; a comparison RSA study.
2019
https://dx.doi.org/10.1016/j.knee.2018.12.003
N.B. These documents automatically identified may not have been verified by the study sponsor.
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