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A Retrospective Study of the Navio Robotic-assisted Surgical System (NAVIO)

2. mai 2022 oppdatert av: Smith & Nephew, Inc.

A Retrospective Study of the Navio™ Robotic-assisted Surgical System

A retrospective, multi-center, cohort study with prospective follow-up and comparison to historical control

Studieoversikt

Status

Fullført

Detaljert beskrivelse

Subjects who had previously received the Navio robotic-assisted surgical system for unilateral knee replacement (UKR) were assessed to determine the 2-year safety and effectiveness of the Navio system.

Studietype

Observasjonsmessig

Registrering (Faktiske)

128

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

    • Arizona
      • Phoenix, Arizona, Forente stater, 85016
        • Hedley Orthopedics
    • California
      • Santa Barbara, California, Forente stater, 93105
        • Santa Barbara Cottage Hospital
    • Michigan
      • Battle Creek, Michigan, Forente stater, 49015
        • Bronson Orthopedic Specialists
    • Ohio
      • New Albany, Ohio, Forente stater, 43054
        • OrthoNeuro New Albany
    • Pennsylvania
      • Philadelphia, Pennsylvania, Forente stater, 19107
        • Rothman Institute

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Prøvetakingsmetode

Ikke-sannsynlighetsprøve

Studiepopulasjon

One hundred twenty-eight (128) subjects, including 10% inflation to allow for attrition

Beskrivelse

Inclusion Criteria:

  1. Male or female subjects ≥ 18 years old (at the time of surgery) who have undergone Navio System-assisted UKR at least 2 years prior to enrollment. This includes UKR procedures with all Unicondylar Knee cemented implant designs.
  2. Subject had a primary diagnosis of unicompartmental, non-inflammatory degenerative joint disease including osteoarthritis, traumatic arthritis, or avascular necrosis, required correction of functional deformity, or required treatment of fractures that were unmanageable using other techniques.

Exclusion Criteria:

  1. Subject received the Navio System-assisted UKR on the index joint as a revision for a previously failed UKR.
  2. Subject, in the opinion of the Investigator, had advanced osteoarthritis or joint disease at the time of surgery and was better suited for Total Knee Arthroplasty (TKA).
  3. Subject, in the opinion of the Investigator, had a neuromuscular disorder that prohibited control of the index joint.
  4. Subject, in the opinion of the Investigator, was morbidly obese.
  5. Subject, in the opinion of the Investigator, was contraindicated for UKR.
  6. Subject (prospective subjects only), in the opinion of the Investigator, has an emotional or neurological condition including mental illness, mental retardation, drug or alcohol abuse.
  7. Subject (prospective subjects only) is a prisoner.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Evaluate the Navio™ System for Revisions at 2+ Years Post-surgical Implantation Survivorship
Tidsramme: Preoperative (Baseline) and 24, 48, 72, 96, and 120 weeks postoperatively
Analysis of the absence of device revision (overall survivorship) outcomes assessed from Baseline through 120 weeks post-surgical implantation.
Preoperative (Baseline) and 24, 48, 72, 96, and 120 weeks postoperatively

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Evaluation of Efficacy Based on Knee Society Score (KSS) Assessments
Tidsramme: Preoperative (Baseline) and 6, 12, 18, 24, 30, and 36 months postoperatively

Analysis of KSS from preoperatively (Baseline) up to 36 months postoperatively in 6-months increments to evaluate objective observation, patient satisfaction, and function.

Objective knee indicators: Range 0-100 points; Patient Satisfaction: Range 0-40 points; and Functional Activities: Range 0-100 points.

Higher scores indicated a better outcome.

Preoperative (Baseline) and 6, 12, 18, 24, 30, and 36 months postoperatively
Evaluation of Efficacy Based on Veterans RAND 12 (VR-12) Assessments
Tidsramme: Preoperative (Baseline) and 6, 12, 18, 24, 30, and 36 months postoperatively

Analysis of VR-12 scores preoperatively (Baseline) through 36 months postoperatively in 6 months increments. These scores encompass the individual domains of physical component score (PCS), mental component score (MCS) as well as the sub-domain scores within the PCS (physical functioning, role physical, bodily pain, and general health) and those within the MCS (vitality, social functioning, role emotional, and mental health).

Domain Scores:

Physical Component Score (PCS): Range 1 to 20 Mental Component Score (MCS): Range 1 to 25

Sub-domain Scores:

Physical Functioning: Range 1 to 6 Role Physical: Range 1 to 4 Bodily Pain: Range 1 to 6 General Health: Range 1 to 6 Vitality: Range 1 to 6 Social Functioning: Range 1 to 6 Role Emotional: Range 1 to 4 Mental Health: Range 1 to 10

Transformation of raw scale scores (range 0-100) = {(actual raw score - lowest possible raw score)/possible raw score range} x100

A higher score indicates a better outcome.

Preoperative (Baseline) and 6, 12, 18, 24, 30, and 36 months postoperatively
Preoperative Evaluation of Efficacy Based on Radiographic Findings
Tidsramme: Preoperative (Baseline)
Changes in radiographic findings (anterior-posterior [AP] and lateral x-rays) from Baseline to 3 years postoperatively were collected for the SAF population.
Preoperative (Baseline)
Postoperative 6-Month Evaluation of Efficacy Based on Radiographic Findings
Tidsramme: 6 months postoperatively
Changes in radiographic findings (AP and lateral x-rays) from Baseline to 3 years postoperatively were collected for the SAF population.
6 months postoperatively
Postoperative 12-Month Evaluation of Efficacy Based on Radiographic Findings
Tidsramme: 12 months postoperatively
Changes in radiographic findings (AP and lateral x-rays) from Baseline to 3 years postoperatively were collected for the SAF population.
12 months postoperatively
Postoperative 18-Month Evaluation of Efficacy Based on Radiographic Findings
Tidsramme: 18 months postoperatively
Changes in radiographic findings (AP and lateral x-rays) from Baseline to 3 years postoperatively were collected for the SAF population.
18 months postoperatively
Postoperative 24-Month Evaluation of Efficacy Based on Radiographic Findings
Tidsramme: 24 months postoperatively
Changes in radiographic findings (AP and lateral x-rays) from Baseline to 3 years postoperatively were collected for the SAF population.
24 months postoperatively
Postoperative 30-Month Evaluation of Efficacy Based on Radiographic Findings
Tidsramme: 30 months postoperatively
Changes in radiographic findings (AP and lateral x-rays) from Baseline to 3 years postoperatively were collected for the SAF population.
30 months postoperatively
Postoperative 36-Month Evaluation of Efficacy Based on Radiographic Findings
Tidsramme: 36 months postoperatively
Changes in radiographic findings (AP and lateral x-rays) from Baseline to 3 years postoperatively were collected for the SAF population.
36 months postoperatively

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Etterforskere

  • Studieleder: Beate Hanson, MD, PhD, Smith & Nephew, Inc.

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

10. juli 2017

Primær fullføring (Faktiske)

29. november 2017

Studiet fullført (Faktiske)

29. november 2017

Datoer for studieregistrering

Først innsendt

2. mars 2017

Først innsendt som oppfylte QC-kriteriene

2. mars 2017

Først lagt ut (Faktiske)

7. mars 2017

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

25. mai 2022

Siste oppdatering sendt inn som oppfylte QC-kriteriene

2. mai 2022

Sist bekreftet

1. desember 2021

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • 16-NPFS-11

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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