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Overhaul of Study Design
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This is a prospective, randomized, multi-center, metal hypersensitivity study comparing OXINIUM and cobalt chrome femoral components in subjects with failed total knee arthroplasty (TKA).
A total of 230 subjects will be randomized (1:1) to receive either an OXINIUM or cobalt chrome femoral components as part of their LEGION revision procedure. The objective of this study is to assess a lower serum metal ion concentration level in at least one of the three major mLTTs (Co, Cr or Ni) over 5 years in subjects receiving OXINIUM versus Cobalt Chrome femoral components as part of the LEGION Revision Total Knee System.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LEGION OXINIUM femoral component | Active Comparator |
| |
| LEGION Cobalt Chrome femoral components | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LEGION OXINIUM | Device | Investigational Group |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Major modified Lymphocyte Transformation Tests (Cobalt, Chromium and Nickel) measurements | Metal hypersensitivity will be concluded if at least one of these three measurements is statistically significant | 3,650 Days |
| Measure | Description | Time Frame |
|---|---|---|
| Minor modified Lymphocyte Transformation Tests (Aluminum, Iron, Molybdenum, Vanadium and Zirconium) | changes in mean mLTTs serum concentration values from baseline to each subsequent assessment | 3,650 Days |
| Changes in mean serum bio-markers from baseline to each subsequent assessment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Thomas Turgeon, MD | Orthopaedic Innovation Centre | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rothman Institute | Egg Harbor | New Jersey | 08234 | United States | ||
| Columbia University Medical Center |
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| ID | Term |
|---|---|
| D006967 | Hypersensitivity |
| ID | Term |
|---|---|
| D007154 | Immune System Diseases |
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| LEGION Cobalt Chrome |
| Device |
Control Group |
|
| 3,650 Days |
| Skin lesion evaluation to measure hypersensitivity | 3,650 Days |
| Revision of LEGION Revision Knee System for any reason at each post-surgical assessment | 3,650 Days |
| Improves in mean 2011 Knee Society Score (2011 KSS) from baseline to each subsequent assessment | 3,650 Days |
| Anteroposterior, lateral and skyline knee views are assessed by radiographs | 3,650 Days |
| All adverse event reporting from surgery to 10 year post-surgery | 3,650 Days |
| New York |
| New York |
| 10038 |
| United States |
| Orthopaedic Innovation Centre | Winnipeg | Manitoba | R2K2M9 | Canada |