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临床试验/NCT03247023
NCT03247023终止不适用

Long Term Follow-up of Integra® Cadence™ Total Ankle System in Primary Ankle Joint Replacement

Smith & Nephew, Inc.12 个研究点 分布在 5 个国家目标入组 65 人开始时间: 2017年9月18日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
终止
入组人数
65
试验地点
12
主要终点
Implant survivorship

研究概览

简要总结

This study will evaluate the long term performance and safety data for the Cadence™ Total Ankle System (CTAS) when used for primary arthroplasty in patients with primary arthritis (e.g. degenerative disease), secondary arthritis (e.g. post-traumatic, avascular necrosis, if minimally 2/3 of the talus is preserved), and systemic arthritis of the ankle (e.g. rheumatoid arthritis, hemochromatosis)

研究设计

研究类型
Observational
观察模型
Case Only
时间视角
Prospective

入排标准

年龄范围
19 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Subjects will be included if he/she:
  • Is > 18 years of age.
  • Is skeletally mature.
  • Qualifies for primary TAR per the surgeon and has a diagnosis of one of the following: primary arthritis (e.g. degenerative disease), secondary arthritis (e.g. post-traumatic, avascular necrosis, if minimally 2/3 of the talus is preserved), or systemic arthritis of the ankle (e.g. rheumatoid arthritis, hemochromatosis).
  • Is suitable for TAR with CTAS per the study surgeon based on the product indication and having considered deformity, stability, bone quality, soft- tissue envelope, and neurovascular status.
  • Is willing and able to cooperate in the required post-operative therapy.
  • Is willing and able to complete scheduled follow-up visits, evaluations, and questionnaires as described in the Informed Consent or Information Letter and Data Transfer Authorization Form, as applicable.
  • Reads, understands and signs the Ethical Committee approved Informed Consent or Information Letter and Data Transfer Authorization Form, as applicable

排除标准

  • Subjects will be excluded from the study if he/she:
  • Is Morbidly Obese (defined by BMI > 40 or BMI of 35 - 40 with significant medical problems caused by or made worse by their weight).
  • Is an active nicotine user (smoking, chewing, smokeless tobacco, patch) and unwilling to cease nicotine use within 1 month prior to surgery, and 2 months post-surgery.
  • Has one of the following conditions, which could compromise the affected limb: ankle arthrodesis with malleolar exeresis, severe neurological (Charcot's Arthropathy) or vascular disease, loss of musculature or neuromuscular compromise.
  • Has an active local/systemic infection that may affect the prosthetic joint or has a recent history of infection.
  • Continues on long-term medication, which may compromise bone stock (e.g. undergoing immunosuppressive therapy, long-term steroids) and is unable to cease medication usage from 3 weeks prior to surgery to 3 weeks post-surgery.
  • Has a condition that may impair proper wound healing (e.g., poor soft tissue envelope).
  • Had previous ankle surgery and/or injury that has adversely affected the anklebone stock.
  • Has had or is scheduled to have contralateral TAR surgery.
  • Is pregnant or plans to become pregnant during the follow up period.
  • Has a metabolic disorder or disease that may compromise bone quality (e.g. arthrogryposis etc.), physiological or anatomical anomalies, and/or malignancy/local bone tumors.
  • Has severe avascular necrosis of the talus/tibia.
  • Has inadequate neuromuscular status (e.g., prior paralysis, severe neuropathy).
  • Has a known sensitivity or allergic reaction to one or more of the implanted materials.
  • Is a poor candidate for general anesthesia.
  • Is a prisoner, mentally incompetent or unable to understand what participation in this study entails, a known alcohol or drug abuser, or anticipated to be non- compliant.

研究组 & 干预措施

Integra Cadence Total Ankle System

干预措施: Implantation of Integra Cadence Total Ankle System (Device)

结局指标

主要结局

Implant survivorship

时间窗: 2 years

Implant survival defined as absence of device removal or revision

Implant Survivorship at 2 Years

时间窗: 2 years

Implant survivorship determined by the percentage of participants with survival of the device. Successful device survival was defined as absence of device removal or revision.

次要结局

  • Relative change of Patient Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF) - Mobility compared to baseline(up to 10 years)
  • Relative change of Foot and Ankle Ability Measure (FAAM) Activities of Daily Living (ADL) subscale compared to baseline(up to 10 years)
  • Implant survivorship(5 and 10 years)
  • Radiographic Success(up to 10 years)
  • Relative change of Range of Motion (ROM) compared to baseline(up to 10 years)
  • Relative change of Visual Analogue Scale (VAS) Pain compared to baseline(up to 10 years)
  • Relative change of Quality of Life Measure Short Form - 36v2 (SF-36v2) compared to baseline(up to 10 years)
  • Implant Survivorship at 5 Years and 10 Years(5 years and 10 years)
  • Radiographic Assessment: Tibiotalar Range of Motion(Baseline, 1 year, 2 years)
  • Patient Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF) - Mobility(Baseline, 3 months, 6 months, 1 year, 2 years, 5 years)
  • Foot and Ankle Ability Measure (FAAM) Activities of Daily Living (ADL) Subscale(Baseline, 3 months, 6 months, 1 year, 2 years, 5 years)
  • Visual Analogue Scale (VAS) Pain Score: Resting(Baseline, 6 weeks, 3 months, 6 months, 1 year, 2 years, 5 years)
  • Visual Analogue Scale (VAS) Pain Score: Activity(Baseline, 3 months, 6 months, 1 year, 2 years, 5 years)
  • Short Form-36 Version 2 Health Survey (SF-36v2): Physical Functioning(Baseline, 3 months, 6 months, 1 year, 2 years, 5 years)
  • Short Form-36 Version 2 Health Survey (SF-36v2): Role Limitations Due to Physical Health(Baseline, 3 months, 6 months, 1 year, 2 years, 5 years)
  • Short Form-36 Version 2 Health Survey (SF-36v2): Role Limitations Due to Emotional Problems(Baseline, 3 months, 6 months, 1 year, 2 years, 5 years)
  • Short Form-36 Version 2 Health Survey (SF-36v2): Energy/Fatigue(Baseline, 3 months, 6 months, 1 year, 2 years, 5 years)
  • Short Form-36 Version 2 Health Survey (SF-36v2): Emotional Well-being(Baseline, 3 months, 6 months, 1 year, 2 years, 5 years)
  • Short Form-36 Version 2 Health Survey (SF-36v2): Social Functioning(Baseline, 3 months, 6 months, 1 year, 2 years, 5 years)
  • Short Form-36 Version 2 Health Survey (SF-36v2): Pain(Baseline, 3 months, 6 months, 1 year, 2 years, 5 years)
  • Short Form-36 Version 2 Health Survey (SF-36v2): General Health(Baseline, 3 months, 6 months, 1 year, 2 years, 5 years)
  • Short Form-36 Version 2 Health Survey (SF-36v2): Physical Component Score(Baseline, 3 months, 6 months, 1 year, 2 years, 5 years)
  • Short Form-36 Version 2 Health Survey (SF-36v2): Mental Component Score(Baseline, 3 months, 6 months, 1 year, 2 years, 5 years)
  • Radiographic Success(6 weeks, 3 months, 6 months, 1 year, 2 years, 5 years)
  • Radiographic Assessment: Ankle Dorsiflexion and Plantarflexion Range of Motion(Baseline, 1 year, 2 years)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (12)

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