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临床试验/NCT06699160
NCT06699160撤回不适用

Post Market Clinical Follow-up Study on the Refobacin Revision-3 Bone Cement and Its Instrumentation

Zimmer Biomet1 个研究点 分布在 1 个国家目标入组 108 人开始时间: 2025年8月1日最近更新:
适应症

试验速览

阶段
不适用
状态
撤回
发起方
Zimmer Biomet
入组人数
108
试验地点
1
主要终点
Survivorship

研究概览

简要总结

The goal of this post-market study is to confirm the safety, performance and clinical benefits of the Refobacin Revision-3 Bone Cement when used in knee or hip revision surgeries. This will be done by collecting information on:

  • removal of any metal components of the hip or knee implants used in combination with the cement
  • frequency and incidence of adverse events
  • overall pain and functional performance, subject quality of life, and radiographic parameters

详细描述

Multicenter, retrospective and prospective, non-controlled Post-Market Clinical Follow-Up (PMCF) study involving orthopedic surgeons skilled in knee or hip arthroplasty procedures.

Patients will be enrolled prospectively or retrospectively (minimum 3 years after their surgery, depending on the availability of the data.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Other

入排标准

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

入选标准

  • Patient is 18 years or older and skeletally mature.
  • Patient is capable of understanding the surgeon's explanations and following his/her instructions, able and willing to participate in the follow-up program.
  • Patient gave consent to take part in the study by signing the Ethics Committee approved Informed Consent Form (ICF).
  • Patient who underwent or will undergo a hip or knee revision surgery with a Zimmer Biomet implant and the Refobacin® Revision-3 Bone Cement.
  • Patient meets at least one of the following indications, as stated in the Instructions for Use (IFU):
  • Patients requires a revision operation resulting from aseptic loosening of the prosthesis and/or infection of the prosthesis by gentamicin and/or clindamycin sensitive strains.
  • Patients undergoing a two-stage revision that requires the fabrication and fixation of short-term total or hemi joint StageOne™ spacers. The device is intended for use in conjunction with systemic antimicrobial therapy (standard approach to an infection).
  • Additional inclusion criteria for patients receiving a StageOne™ spacer, as stated in the IFU:
  • Implantation period of a maximum of 180 days.
  • The molded temporary prosthesis is only indicated for patients who will consistently use traditional mobility assist devices (e.g. crutches, walkers) throughout the implant period.

排除标准

  • Patient is unwilling or unable to give consent or to comply with the follow-up program.
  • Patient is known to be pregnant or breastfeeding.
  • Patient has any condition that would, in the judgment of the Investigator, place the patient at undue risk or interfere with the study.
  • Patient is a vulnerable subject (prisoner, mentally incompetent or unable to understand what participation to the study entails, a known alcohol or drug abuser, anticipated to be non-compliant).
  • Patient has plans to relocate during the study follow-up period.
  • As stated in the IFU, patient with known hypersensitivity to gentamicin and/or clindamycin and/or to other constituents of the bone cement.
  • Additional exclusion criteria for patients receiving a StageOne™ spacer, as stated in the IFU:
  • The infected Total Hip/Knee Replacement (THR/TKR) devices cannot be removed.
  • A systemic or secondary remote infection is expected or confirmed.
  • Lack of adequate bone structure precludes adequate support of the prosthesis in the proximal femur or acetabular region, or
  • Lack of adequate competence (anatomical and functional) of peripheral ligamentous apparatus and extensor mechanism.
  • The patient is sensitive (allergic) to aminoglycosides.

结局指标

主要结局

Survivorship

时间窗: 3, 5 and 10 years post-operatively

* removal of any metal components of the hip or knee implants used in combination with the cement * frequency and incidence of adverse events

次要结局

  • EuroQuol 5D (EQ-5D) Score(1, 3, 5 and 10 years post-operatively (retrospective, if available, or prospective))
  • Harris Hip Score / Knee Society Score(1, 3, 5 and 10 years post-operatively (retrospective, if available, or prospective))
  • Radiographic evaluation(1, 3, 5 and 10 years post-operatively (retrospective, if available, or prospective))

研究者

发起方
Zimmer Biomet
申办方类型
Industry
责任方
Sponsor

研究点 (1)

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