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The aim of this study is to obtain performance and safety data of the new investigational device, dual-part Adaptos®Ortho Wedge, for its intended use in orthopaedic surgery. The study intervention is medial open wedge high tibial osteotomy (OWHTO) with loadbearing plate fixation, where a bone graft substitute material Adaptos®Ortho Wedge is evaluated when used as a bone void filler. Investigational device is expected to support bone formation in osteotomy gap and to resorb in the body.
The comparator arms are treated with medial OWHTO with plate fixation, either without a bone graft (the bone defect is left empty, non-augmented osteotomy) or by using a comparator product (chronOS® Wedge, semi-circular) as a bone void filler.
The study aims to evaluate the clinical performance and safety of Adaptos®Ortho Wedge (Biomendex Oy) bone graft material, when used for filling the medial osteotomy gap of the knee during OWHTO surgery.
This is partially randomized, subject and outcome assessor-blinded, controlled, multi-center study. The total study duration for each patient is planned to be 12 months. In total 6 visits per patient are scheduled in this study.
The study has three arms, and patients of all study arms are treated with medial OWHTO surgery to treat unicompartmental medial misalignment of the knee. Participants in the experimental arm (Arm 1) receive the investigational device, the osteotomy gap is filled with Adaptos®Ortho Wedge bone graft substitute. Participants in the control arm (Arm 2) receive the OWHTO treatment, where the osteotomy gap is left empty (no bone graft). Participants in the comparator device arm (Arm 3) receive the OWHTO treatment, where the osteotomy gap is filled with chronOS® Wedge bone graft substitute. In all three groups the metallic fixation plate (TomoFix®) is used for load bearing and for stabilizing the defect. The study device chronOS® Wedge (DePuy Synthes) and TomoFix® (DePuy Synthes) are CE-marked. The products are used within the indication.
The subject will be followed for twelve months following OWHTO.The radiological bone regeneration in the bony defect will be assessed at 6-weeks and 3-, 6-, and 12-months post-surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Adaptos®Ortho Wedge | Experimental | Bone augmentation after Open Wedge High Tibial Osteotomy (OWHTO), with Adaptos®Ortho Wedge (Biomendex Oy, synthetic bone graft material) in combination with a load bearing TomoFix® Medial High Tibia Plate (DePuy Synthes). |
|
| No bone graft | Sham Comparator | OWHTO with unfilled bony defect of the osteotomy gap with a load bearing TomoFix® Medial High Tibia Plate (DePuy Synthes). |
|
| chronOS® Wedge | Active Comparator | Bone augmentation, after OWHTO, with chronOS® Wedge (DePuy Synthes, synthetic beta-TCP bone graft) in combination with a load bearing TomoFix® Medial High Tibia Plate (DePuy Synthes). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Adaptos®Ortho Wedge (bone grafting surgery) | Device | After screening and enrollment, subjects will undergo medial knee open wedge high tibial osteotomy (OWHTO) with load bearing locking plate fixation. A synthetic bone graft will be used as a bone void filler in the osteotomy defect. Follow-up visits will be at 6 weeks, 3 months, 6 months, and 12 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Radiographic bone regeneration of the osteotomy defect, comparison between three treatment arms. | Radiographic bone regeneration assessments of the native x-ray of the standing anteroposterior (AP) radiographs of the knee, evaluated in the mediolaterally divided five zones of the osteotomized gap area (Brosset 2011), with rating of six bone remodeling phases (phases 0-5, with the score of 5 for the best outcome).The primary endpoint is the sum of the remodeling phase scores (0-5) in each of the five zones of the osteotomized gap area (range 0-25). Assessment longitudinally at 6-weeks and repeatedly at 3-, 6-, and 12-months post-surgery. Primary evaluation is done 12 months after surgery. | Change from baseline to 12 months. |
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| Measure | Description | Time Frame |
|---|---|---|
| Bone union of the tibial posterior cortex | Bone union of the tibial posterior cortex is assessed on lateral radiographs. Assessed at 6 weeks, 3-, 6-, and 12- months post-operation. | Change from baseline to 12 months. |
| Questionnaire: KOOS (Knee Injury and Osteoarthritis Outcome Score) |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mikko Manninen, MD, PhD | Orton Oy | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kanta-Häme Central Hospital | Hämeenlinna | Finland | ||||
| Meilahti Bridge Hospital, Helsinki University Hospital |
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|
| OWHTO without bone grafting | Procedure | After screening and enrollment, subjects will undergo medial knee open wedge high tibial osteotomy (OWHTO) with load bearing locking plate fixation, without bone grafting. Follow-up visits will be at 6 weeks, 3 months, 6 months, and 12 months. |
|
| chronOS® Wedge (bone grafting surgery) | Device | After screening and enrollment, subjects will undergo medial knee open wedge high tibial osteotomy (OWHTO) with load bearing locking plate fixation. A synthetic bone graft will be used as a bone void filler in the osteotomy defect. Follow-up visits will be at 6 weeks, 3 months, 6 months, and 12 months. |
|
Patient-reported outcome measure (PROM) relating to knee pain and function. KOOS is a 42-item questionnaire. KOOS consists of 5 subscales; Pain, other Symptoms, Function/activities in daily living (ADL), Function in sport and recreation (Sport/Rec) and knee related Quality of life (QOL). Standardized answer options are given (5 Likert boxes) and each question is assigned a score from 0 to 4. A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale. Assessed at preoperative visit, and 6 weeks, 3-, 6-, and 12- months post-operation. |
| Change of KOOS score from baseline to 12 months. |
| Questionnaire: FJS (Forgotten Joint Score) | Patient-reported outcome measure (PROM) focusing on patients' awareness of a specific joint in everyday life. FJS is a 12-item questionnaire. When calculating the total score for the FJS, all responses are summed (never, 1 point; almost never, 2 points; seldom, 3 points; sometimes, 4 points; mostly, 5 points) and the raw score is linearly transformed to obtain a total score range of 0 to 100. Finally, the score is subtracted from 100 to change the direction of the final score in such a way that high scores indicate a high degree of "forgetting" the joint-i.e. a low degree of awareness. Assessed at preoperative visit, and 6 weeks, 3-, 6-, and 12- months post-operation. | Change from baseline to 12 months. |
| NRS Knee Pain Intensity score | Patient reported outcomes relating to pain. Pain intensity is rated on a numeric rating scale where zero indicated no pain at all, and 10 represented the worst possible pain. Assessed at preoperative visit, and 6 weeks, 3-, 6-, and 12- months post-operation. | Change from baseline to 12 months. |
| Questionnaire: overall satisfaction to the procedure | Procedure satisfaction questionnaire. The study subjects complete 5-point Likert scale satisfaction questionnaire. The response category for subjects is 1 (Very dissatisfied), 2 (Dissatisfied), 3 (Neither satisfied nor dissatisfied), 4 (Satisfied), and 5 (Very satisfied). Assessed at 6 weeks, and 3-, 6-, and 12- months post-operation. | Change from baseline to 12 months. |
| Bone union in the defect area | Bone union assessed on AP radiographs (+/-) at 6 weeks, and 3-, 6-, and 12-months post-surgery. | The change from baseline to 12- months post-operation |
| Knee CT scan | Clinical assessment of bone regeneration, as based on computed tomography (CT) images of the knee. | 6 months post-operation. |
| Full loadbearing | The date (or follow-up week, +/- 1 week) when a patient is capable of full loadbearing, to abandon crutches conclusively. Outcome measure will be assessed up to 3 months visit. | Up to 3 months post-operation. |
| Mechanical axis Hip knee ankle angle | The HKA angle in degrees is measured. | The change from baseline to 12- months post-operation. |
| Mechanical axis weight-bearing line ratio | The WBL ratio in percentage is measured. | The change from baseline to 12- months post-operation. |
| Work disability days | The date when a patient returned to work after surgery is recorded (number of work disability days post-surgery). Outcome measure will be assessed up to 3 months visit. | Up to 3 months post-operation. |
| Helsinki |
| Finland |
| Pihlajalinna Kelloportti | Tampere | Finland |
| Petz Aladár University Teaching Hospital | Győr | Hungary |
| University of Szeged Szent-Györgyi Albert Clinical Center | Szeged | Hungary |
| Szent György University Teaching Hospital | Székesfehérvár | Hungary |
| ID | Term |
|---|---|
| D016025 | Bone Transplantation |
| ID | Term |
|---|---|
| D016378 | Tissue Transplantation |
| D064987 | Cell- and Tissue-Based Therapy |
| D001691 | Biological Therapy |
| D013812 | Therapeutics |
| D019637 | Orthopedic Procedures |
| D013514 | Surgical Procedures, Operative |
| D014180 | Transplantation |
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