Safety and Efficacy of the Oxford Cementless Partial Knee System

A Randomized Clinical Study to Compare the Safety and Efficacy of the Oxford Cementless Partial Knee System

The objective of this clinical investigation is to evaluate the safety and effectiveness of the Oxford® Cementless Partial Knee System. The Oxford® Cementless Partial Knee System is intended to help the patients diagnosed with osteoarthritis or avascular necrosis gain mobility and decrease pain. All of the risks common to a conventional joint replacement are possible with this device as certain risks are associated with any invasive procedures. The study is designed to document and compare the clinical and radiographic results of the Oxford® Cementless Partial Knee System to those of the cemented Oxford® Partial Knee System (control treatment).

Study Overview

• Status: Completed
• Conditions: Osteoarthritis, Knee; Avascular Necrosis of the Medial Femoral Condyle
• Intervention / Treatment: Device: Oxford Cementless Partial Knee; Device: Oxford Cemented Partial Knee

Detailed Description

Prospectively controlled, randomized Investigational study. Patients are asked to come in pre-operatively, surgery, 6 weeks, 6 months, 1 year, 2 years and annually until the last patient reaches their 2 year visit. Product has not been cleared for use.

• Study Type: Interventional
• Enrollment (Actual): 320
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Indiana
    • Elkhart, Indiana, United States, 46514
      • Orthopedic & Sports Medicine Center of Northern Indiana, Inc.
    • Indianapolis, Indiana, United States, 46241
      • Midwest Center for Hip and Knee Surgery
  • Iowa
    • Council Bluffs, Iowa, United States, 51503
      • Miller Orthopaedic Affiliates
  • Minnesota
    • Edina, Minnesota, United States, 55435
      • Twin City Orthopedics
  • North Carolina
    • Huntersville, North Carolina, United States, 28078
      • OrthoCarolina
  • Ohio
    • New Albany, Ohio, United States, 43054
      • Joint Implant Surgeons, Inc
  • Texas
    • Plano, Texas, United States, 75093
      • Texas Center for Joint Replacements
  • Virginia
    • Alexandria, Virginia, United States, 22306
      • Anderson Orthopedic Clinic

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Patients with a preoperative Knee Society Assessment Score of <70
• Patients undergoing primary partial knee arthroplasty as unilateral arthroplasty or bilateral arthroplasty, simultaneously or otherwise
• Patients diagnosed with osteoarthritis or avascular necrosis limited to the medial compartment of the operative knee joint
• Male or female patients who are at least 21 years of age at the time of surgery
• Patients with full thickness cartilage loss, with or without bone loss in the medial compartment
• Patients with functionally intact Anterior Cruciate Ligament (ACL) and Posterior Cruciate Ligament (PCL)
• Patients who needs to obtain relief of pain and/or improved function in their knee
• Patients with fixed flexion deformity <15 degrees
• Patients who are able to follow postoperative care instructions
• Patients who are willing and able to return for scheduled follow-up evaluations
• Patients in which natural alignment can be restored
• Patients who have completed a valid, Institutional Review Board (IRB) approved Informed Consent Form
• Patients with child-bearing potential who voluntarily agree to prevent pregnancy for 2 years following device implantation

Exclusion Criteria:

• Patients with a preoperative Knee Society Assessment Score of greater than or equal to 70
• Patients in which the device would be used to revise a failed prosthesis
• Patients who are less than 21 years of age, at the time of surgery
• Disease or damage to the lateral part of the knee that in the investigator's opinion contraindicates a partial knee replacement
• Patients diagnosed with rheumatoid arthritis or other forms of inflammatory joint disease
• Patients diagnosed with a failed upper tibial osteotomy in the operative knee
• Patients diagnosed with post-traumatic arthritis after tibial plateau fracture
• Patients who have had a patellectomy
• Patients with a flexion deformity > 15 degrees
• Patients with a fixed varus deformity > 15 degrees
• Patients who have rapid joint destruction, marked bone loss or bone resorption apparent on roentgenogram
• Patients with a fused knee on operative side(s)
• Patients who have active or suspected infection, local or systemic that, in the opinion of the investigator, may put patients at undue risk

• Patients with pre-existing condition(s) that may interfere with the survival of the implants or their outcomes, including:

  • Sickle Cell Anemia
  • Lower extremity muscular atrophy
  • Neuromuscular disease
  • Vascular insufficiency
  • Metabolic Disorders which impair bone formation
  • Paget's Disease
  • Charcot's Disease
  • Osteomalacia
  • Severe Osteoporosis

• Patients with clinical conditions that may limit follow-up (in the opinion of the investigator) including:

  • Immunocompromised conditions (i.e. HIV)
  • Hepatitis
  • Tuberculosis
  • Neoplastic disease such as cancer of the prostate, lung, stomach, cervix, etc.
• Chronic renal failure
• Organ transplant (i.e. heart, liver, lung, etc.) recipients
• Known disease process that in the opinion of the investigator may limit long term (4 year) follow-up (i.e. multiple sclerosis, leukemia, lymphoma, etc.)
• Patients diagnosed with Parkinson's or Alzheimer's Disease
• Patients who have had an above-knee amputation in the contralateral leg
• Instability or deformity of the ligaments and/or surrounding soft tissue, which would preclude stability of the prostheses
• Patients with a known metal allergy
• Prisoners or, individuals who are known to be abusing drugs or alcohol or are mentally incompetent
• Patients who have received systemic steroids within the past 6 months or steroid injections into the affected knee within the previous 6 weeks prior to enrollment
• Patients who are pregnant
• Patients with severe valgus or varus knees (valgus or varus angulation of more than 20 degrees) where collateral ligament, iliotibial band, or popliteal release is required
• Patients who refuse to sign the IRB approved Informed Consent Form
• Participation in an interventional clinical research study procedure, other than a bilateral knee arthroplasty in this study, within the past 12 months
• Patients with a history of osteomyelitis or sepsis of the index knee
• Patients who require patellar resurfacing
• Patients who are not skeletally mature
• Patients who have had a total hip replacement procedure < 18 months prior to entering the study
• Patients who have had a contralateral non-study knee replacement procedure < 18 months prior to entering the study
• Patients who are found intraoperatively to have inadequate bone stock or other conditions that contraindicate a partial knee replacement

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Oxford Cementless Partial Knee; Oxford Partial Knee implanted without bone cement.	Device: Oxford Cementless Partial Knee; Oxford Partial Knee applied without bone cement.
Active Comparator: Oxford Cemented Partial Knee; Oxford Partial Knee applied with bone cement.	Device: Oxford Cemented Partial Knee; Oxford Partial Knee applied with bone cement.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Radiographic Success	This is a binary endpoint in which a knee is either a "success" or "failure". To obtain a successful radiographic endpoint, a knee must meet the following criteria at the 22+ month interval.; Absence of osteolysis; No migration/subsidence of any femoral or tibial component; Absence of fractured component Conversely, a radiographic failure is defined as follows: Presence of osteolysis defined as a radiolucency that is both progressive and is greater than 3 mm at its maximum interface in two or more contiguous zones OR a bony destructive lesion that is progressive in nature.; Migration/subsidence of any femoral or tibial component defined as a component migration/subsidence of > 3 mm as compared to 6 week radiographs.; A component fracture	2 years
Absence of Revision/Removal/Unanticipated Adverse Device Effect (UADE)	This is a binary endpoint in which a knee is either a "success" or "failure". To obtain a successful result, a knee must reach the 2 year upper window limit with the device intact and without a component revision/removal or a UADE.	2 Years
The Knee Society Assessment Score	The Knee Society Assessment Score judges the parameters of pain, stability, and range of motion and flexion contracture, extension lag, and misalignment are deductions. The minimum score is 0 and maximum is 100, higher scores meaning a better outcome.	2 Years
The Knee Society Function Score	The Knee Society Function Score considers walking distance and stair climbing, with deductions for walking aids. The minimum score is 0 and maximum is 100, higher scores meaning a better outcome.	2 Year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Knee Society Assessment Score	The Knee Society Assessment Score judges the parameters of pain, stability, and range of motion and flexion contracture, extension lag, and misalignment are deductions. The minimum score is 0 and maximum is 100, higher scores meaning a better outcome.	Pre-operation (baseline), 6 weeks, 6 months, and annually thereafter until study completion
Knee Society Score Assessment for Bilateral Subjects	The Knee Society Assessment Score judges the parameters of pain, stability, and range of motion and flexion contracture, extension lag, and misalignment are deductions. The minimum score is 0 and maximum is 100, higher scores meaning a better outcome.	Pre-operation (baseline), 6 weeks, 6 months, and annually thereafter until study completion
Knee Society Function Score at All Timepoints	The Knee Society Function Score considers walking distance and stair climbing, with deductions for walking aids. The minimum score is 0 and maximum is 100, higher scores meaning a better outcome.	Pre-operation (baseline), 6 weeks, 6 months, and annually thereafter until study completion
Knee Society Function Score for Bilateral Subjects	The Knee Society Function Score considers walking distance and stair climbing, with deductions for walking aids. The minimum score is 0 and maximum is 100, higher scores meaning a better outcome.	Pre-operation (baseline), 6 weeks, 6 months, and annually thereafter until study completion
Oxford Knee Score	12-item self-report measure containing questions regarding the patient's pain and level of function; The scoring system ranges from 0-4 on each question with 4 representing maximum function and 0 representing poorest function.; Using this scale, the lowest, worst score is a 0, and the highest, best score is 48.; The OKS has 2 subscales:PainFunction The pain component score (OKS-PCS) consists of items 2, 3, 7, 11 and 12, and the functional component score consists of items 1, 4, 5, 6, 8, 9, and 10.	Pre-operation (baseline), 6 weeks, 6 months, and annually thereafter until study completion
Number of Knees Which Met the Criteria for Radiographic Success	This is a binary endpoint in which a knee is either a "success" or "failure". To obtain a successful radiographic endpoint, a knee must meet the following criteria at the 22+ month interval.; Absence of osteolysis; No migration/subsidence of any femoral or tibial component; Absence of fractured component Conversely, a radiographic failure is defined as follows: Presence of osteolysis defined as a radiolucency that is both progressive and is greater than 3 mm at its maximum interface in two or more contiguous zones OR a bony destructive lesion that is progressive in nature.; Migration/subsidence of any femoral or tibial component defined as a component migration/subsidence of > 3 mm as compared to 6 week radiographs.; A component fracture	Pre-operation (baseline), 6 weeks, 6 months, 1y, 3y, 4y, 5y, 6y, 7y
Patient Assessment of Satisfaction	At each postoperative assessment using the Analysis Windows, patients were asked to indicate their level of satisfaction with the operated knee. The potential outcomes were Very Satisfied, Satisfied, Uncertain and Unsatisfied.	6 weeks, 6 months, and annually thereafter until study completion

Collaborators and Investigators

• Sponsor: Zimmer Biomet
• Investigators: Study Director: Hillary Overholser, Zimmer Biomet

Study record dates

Study Major Dates

• Study Start (Actual): December 1, 2011
• Primary Completion (Actual): November 30, 2020
• Study Completion (Actual): November 30, 2021

Study Registration Dates

• First Submitted: November 9, 2011
• First Submitted That Met QC Criteria: November 14, 2011
• First Posted (Estimated): November 17, 2011

Study Record Updates

• Last Update Posted (Actual): August 11, 2025
• Last Update Submitted That Met QC Criteria: July 21, 2025
• Last Verified: September 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Pathologic Processes; Arthritis; Joint Diseases; Rheumatic Diseases; Osteoarthritis; Necrosis; Osteoarthritis, Knee
• Other Study ID Numbers: IDE: G100123; ORTHO.CR.US30 (Other Identifier: Biomet)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated device product: Yes