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Trial registered on ANZCTR
Registration number
ACTRN12606000325505
Ethics application status
Approved
Date submitted
20/07/2006
Date registered
31/07/2006
Date last updated
21/06/2024
Date data sharing statement initially provided
21/06/2024
Type of registration
Retrospectively registered
Titles & IDs
Public title
Clinical Outcomes of Increased Flexion Total Knee Replacement.
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Scientific title
A randomised controlled trial to evaluate knee range of motion (ROM), pain and functional outcomes of patients after primary total knee arthroplasty (TKA) for knee osteoarthritis with the Increased Flexion Profix Total Knee System (Smith & Nephew, Inc.).
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Secondary ID [1]
253359
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Dr Simon Journeaux
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Osteoarthritis of the knee
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Condition category
Condition code
Musculoskeletal
1385
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0
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Osteoarthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Total knee arthroplasty with the Profix Total Knee System (Smith & Nephew, Inc). This system enables the surgeon to implant the femoral prosthesis in a 4 degree flexed position (increased flexion technique) or in a neutral position (standard technique)
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Intervention code [1]
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None
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Comparator / control treatment
No comparator.
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Control group
Active
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Outcomes
Primary outcome [1]
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Range of motion of the knee: flexion
Knee flexion will be assessed using computer analysis of a digital photograph of the knee in maximum passive knee flexion.
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Assessment method [1]
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Timepoint [1]
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Pre-operatively, intra-operatively and post-operatively at 6 weeks, 6 months, one year
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Secondary outcome [1]
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Function, strength, quality of life.
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Assessment method [1]
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Timepoint [1]
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Pre-operatively and post-operatively at 6 weeks, 6 months, one and two years.
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Eligibility
Key inclusion criteria
Adults listed for total knee replacement at the Mater Adult Hospital, with a diagnosis of non-inflammatory degenerative joint disease, who will be available for follow-up evaluations for 2 years.
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Minimum age
18
Years
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Active local or systemic infection, patients undergoing revision knee or complex primary arthroplasty, patients who are to have bilateral knee arthroplasty or those who have had knee arthroplasty in the previous 12 months. Pre-existing severe osteoporosis, or any other systemic or metabolic disorders causing progressive deterioration of bone.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Randomisation concealed in opaque envelopes and provided to surgeon. Details of surgical technique (increased flexion or standard instrumentation) sealed in opaque envelope within medical chart.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomisation will follow a computer generated blocked randomisation sequence. The size of the blocks is not variable and was determined independently to maintain blinding of assessors. Allocation was stratified according to pre-operative range of knee motion.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
13/06/2006
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Actual
13/06/2006
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Date of last participant enrolment
Anticipated
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Actual
31/12/2008
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Date of last data collection
Anticipated
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Actual
31/12/2008
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Sample size
Target
40
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Accrual to date
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Final
40
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Recruitment in Australia
Recruitment state(s)
QLD
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Smith & Nephew
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Address [1]
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85 Waterloo Road
North Ryde NSW 2113
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Country [1]
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Australia
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Primary sponsor type
Government body
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Name
Mater Health Services
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Address
Raymond Terrace, South Brisbane, Queensland, 4101
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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University of Queensland, School of Health & Rehabilitation Sciences.
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Address [1]
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St Lucia
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Mater Misericordiae Ltd Human Research Ethics Committee
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Ethics committee address [1]
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http://www.materresearch.org.au/about-us/human-research-ethics-and-governance/human-research-ethics
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
2943
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Approval date [1]
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16/11/2005
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Ethics approval number [1]
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910A
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Ethics committee name [2]
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The University of Queensland Human Research Ethics Committee A
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Ethics committee address [2]
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https://www.uq.edu.au/research/research-support/ethics-integrity-and-compliance/human-ethics
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
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Approval date [2]
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08/03/2006
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Ethics approval number [2]
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2006000159
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Summary
Brief summary
Total knee arthroplasty (TKA) is a common, successful and safe operation for people who have end-stage knee arthritis. Pain-free knee flexion or bend of 135 degrees or more with stability is the goal of TKA. There are substantial improvements in pain and function. However, a major problem that persists is that patients do not consistently achieve knee flexion or bend greater than 110 degrees. The need to improve surgical technique and prosthetic designs to provide better flexibility and function is therefore essential. Many designs are available and currently in use. This study involves the use of one of these designs; the Profix Total Knee System (Smith & Nephew, Inc.). This system gives the surgeon the option to implant the prosthesis onto the leg using either increased flexion or standard instruments. The instruments are used by the surgeon to ensure accurate placement of the prosthesis. The objective of this study is to compare knee flexion range of motion (ROM), pain and functional outcomes of patients after primary TKA with the Profix Total Knee System. The primary hypothesis is that patients who have Profix TKA’s implanted by the surgeon with increased flexion instruments will achieve significantly greater knee flexion than those implanted with standard instruments. The secondary hypothesis is that this increased knee flexion will allow improved functional ability with less pain and as a result better quality of life. The trial is a double blind study with patients, assessors and data analysts blinded to group allocation
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Trial website
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Trial related presentations / publications
Murphy MT, Journeaux SF, Hides JA, Russell TG. Does flexion of the femoral implant in total knee arthroplasty increase knee flexion: a randomised controlled trial. Knee 2014;21(1):257-63
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Public notes
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Contacts
Principal investigator
Name
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Dr Michael Murphy
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Address
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Mater Hospital Brisbane
Raymond Terrace
South Brisbane
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Country
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Australia
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Phone
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+61 403477718
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Michael Murphy
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Address
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Department of Orthopaedics
Mater Health Services
South Brisbane QLD 4101
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Country
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Australia
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Phone
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+61 7 38408787
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Fax
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+61 7 38408877
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Email
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[email protected]
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Contact person for scientific queries
Name
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Michael Murphy
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Address
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Department of Orthopaedics
Mater Health Services
South Brisbane QLD 4101
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Country
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Australia
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Phone
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+61 7 38408787
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Fax
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+61 7 38408877
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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