An interventional study of Uniglide Mobile Bearing Unicondylar Knee System and Uniglide Fixed Bearing Unicondylar Knee System in Osteoarthritis, sponsored by Corin. Terminated at 6 sites in United States. Open to participants aged 40 Years to 80 Years. Per ClinicalTrials.gov, last updated 2019-06-13.
Sponsored by Corin · Not applicable, Interventional, and Treatment
The purpose of this study is to demonstrate that the Uniglide™ Mobile Bearing Unicondylar Knee System (investigational device)is not inferior when compared to the Uniglide™ Fixed Bearing Unicondylar Knee System (control device currently cleared) as measured by the Composite Clinical Success (CCS) endpoint.
Arthritic knees are the most common cause of long-term disability resulting in decreased mobility and increased pain. After other treatments for pain relief and return to activities of daily living fail, knee joint replacement is often the best option and unicompartmental knee arthroplasty was introduced as an appropriate treatment for management of osteoarthritis when disease effects only a portion of the knee joint. This study is a prospective, comparative, randomized, double blind (patient and post-operative evaluator), multi-center clinical study under a common protocol to determine the safety and effectiveness of the Uniglide Unicondylar Mobile Bearing knee implant system.
4,398 studies on the registry are indexed under Osteoarthritis; 582 are open to participants now.
This study's enrollment of 37 is below the median of 70 across 3,440 interventional studies indexed under Osteoarthritis.
Browse Osteoarthritis studies →Corin is the lead sponsor of 19 studies on the registry; 3 are open to participants now.
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Exclusion Criteria:
Uniglide Mobile Bearing Unicondylar Knee System (MBK)
Device: Uniglide Mobile Bearing Unicondylar Knee System
Uniglide Fixed Bearing Unicondylar Knee System (FBK)
Device: Uniglide Fixed Bearing Unicondylar Knee System
Uniglide Mobile Bearing Knee System includes a femoral component made of cobalt chromium molybdenum (CoCrMo)that articulates with a mobile bearing tibial construct comprised of a cobalt chromium molybdenum (CoCrMo)tibial base plate and ultra high molecular weight polyethylene (UHMWPE) meniscal insert. The femoral component has been cleared as part of the fixed bearing version in K050764. The investigational portion of this device is the mobile bearing tibial construct (tibial tray and meniscal insert).
Also known as: unicondylar knee, unicompartmental knee, partial knee
Uniglide Fixed Bearing Knee System includes a femoral component made of cobalt chromium molybdenum (CoCrMo) that articulates with a one piece ultra high molecular weight polyethylene (UHMWPE) tibial bearing (K050764).
Also known as: unicondylar knee, unicompartmental knee, partial knee
The Number of Implants Which Achieve Composite Clinical Success (CCS) at Month 24.
CCS success criteria includes the following: Hospital for Special Surgery (HSS) success: ≥ 70 and; If preop HSS between 60-69, HSS ≥ 70 plus a min 10 point improvement; No radiographic failure: No radiolucent lines \>1mm in \>50% of zones around any component; No progressive radiolucencies; No radiographic evidence of implant subsidence (vertical displacement) \> 2mm of any component; No radiographic evidence of aseptic implant loosening, i.e. no changes in angular orientations \> 2 degrees; No removal, replacement, or revision (including planned removal, replacement, or revision) of any component (including the bearing) on or before day 730 following initial surgery.
Time frame: Month 24 postoperative
American Knee Society Score (AKSS) (Total, Pain & Function Scores)
American Knee Society Score (AKSS) Total Score - Range: 0 (worst) - 100 (best) Pain Score - Range: 0 (worst) - 50 (best) Function Score - Range: 0 (worst) - 100 (best)
Time frame: Month 24 postoperative
Hospital for Special Surgery (HSS) Score (Total, Pain & Function Scores)
HSS (total): range 0 (worst) - 100 (best) HSS (pain): range 0 (worst) - 30 (best) HSS (function): range 0 (worst) - 22 (best)
Time frame: Month 24 postoperative
Knee Injury and Osteoarthritis Outcome Score (KOOS) (Pain, Symptoms, Activities of Daily Living, Sports/Rec & Quality of Life Scores)
Knee injury and Osteoarthritis Outcome Score (pain): 0 (worst) - 100 (best) Knee injury and Osteoarthritis Outcome Score (symptoms): 0 (worst) - 100 (best) Knee injury and Osteoarthritis Outcome Score (activities of daily living (ADL)): 0 (worst) - 100 (best) Knee injury and Osteoarthritis Outcome Score (sport/rec): 0 (worst) - 100 (best) Knee injury and Osteoarthritis Outcome Score (quality of life (QOL)): 0 (worst) - 100 (best) Knee injury and Osteoarthritis Outcome Score (sport and recreation): 0 (worst) - 100 (best) Knee injury and Osteoarthritis Outcome Score (quality of life): 0 (worst) - 100 (best)
Time frame: Month 24 postoperative
Survival Rate Using Kaplan-Meier Survival Curves
Kaplan-Meier survival curves will be plotted for All Enrolled investigational devices and All Enrolled control devices on the same graph to facilitate graphical comparisons of survivorship over time.
Time frame: Month 24 postoperative
Number of Implants With Any Device-related Complications
Time frame: Month 24 postoperative
The Number of Implants With Any Radiographic Findings at Month 24 Post Operatively
For both the Tibial \& Femoral Components the following were recorded: Implant Subsidence \> 2mm (recorded for the tibial component only) Implant Loosening \> 2deg Radiolucent Line (RLL) in \>50% zones Progressive RLL Osteolysis ≥ 5mm
Time frame: Month 24 postoperative
| Milestone | Uniglide Mobile Bearing Unicondylar Knee System (MBK) | Uniglide Fixed Bearing Unicondylar Knee System (FBK) |
|---|---|---|
| Started | 22 | 15 |
| Completed | 19 | 12 |
| Not completed | 3 | 3 |
CCS success criteria includes the following: Hospital for Special Surgery (HSS) success: ≥ 70 and; If preop HSS between 60-69, HSS ≥ 70 plus a min 10 point improvement; No radiographic failure: No radiolucent lines \>1mm in \>50% of zones around any component; No progressive radiolucencies; No radiographic evidence of implant subsidence (vertical displacement) \> 2mm of any component; No radiographic evidence of aseptic implant loosening, i.e. no changes in angular orientations \> 2 degrees; No removal, replacement, or revision (including planned removal, replacement, or revision) of any component (including the bearing) on or before day 730 following initial surgery.
| Implants | Uniglide Mobile Bearing Unicondylar Knee System (MBK) | Uniglide Fixed Bearing Unicondylar Knee System (FBK) |
|---|---|---|
| The Number of Implants Which Achieve Composite Clinical Success (CCS) at Month 24. | 17 | 15 |
American Knee Society Score (AKSS) Total Score - Range: 0 (worst) - 100 (best) Pain Score - Range: 0 (worst) - 50 (best) Function Score - Range: 0 (worst) - 100 (best)
| score on a scale | Uniglide Mobile Bearing Unicondylar Knee System (MBK) | Uniglide Fixed Bearing Unicondylar Knee System (FBK) |
|---|---|---|
| Mean Pain Score | 48.00 ± 6.77 | 42.63 ± 10.32 |
| Mean Function Score | 95.50 ± 10.50 | 94.74 ± 11.72 |
| Mean Total Score | 94.53 ± 8.46 | 89.58 ± 12.87 |
HSS (total): range 0 (worst) - 100 (best) HSS (pain): range 0 (worst) - 30 (best) HSS (function): range 0 (worst) - 22 (best)
| score on a scale | Uniglide Mobile Bearing Unicondylar Knee System (MBK) | Uniglide Fixed Bearing Unicondylar Knee System (FBK) |
|---|---|---|
| Mean Total Score | 95.25 ± 5.31 | 93.63 ± 6.18 |
| Mean Pain Score | 29.25 ± 2.45 | 28.16 ± 3.80 |
| Mean Function Score | 21.30 ± 1.78 | 20.79 ± 1.51 |
Knee injury and Osteoarthritis Outcome Score (pain): 0 (worst) - 100 (best) Knee injury and Osteoarthritis Outcome Score (symptoms): 0 (worst) - 100 (best) Knee injury and Osteoarthritis Outcome Score (activities of daily living (ADL)): 0 (worst) - 100 (best) Knee injury and Osteoarthritis Outcome Score (sport/rec): 0 (worst) - 100 (best) Knee injury and Osteoarthritis Outcome Score (quality of life (QOL)): 0 (worst) - 100 (best) Knee injury and Osteoarthritis Outcome Score (sport and recreation): 0 (worst) - 100 (best) Knee injury and Osteoarthritis Outcome Score (quality of life): 0 (worst) - 100 (best)
| score on a scale | Uniglide Mobile Bearing Unicondylar Knee System (MBK) | Uniglide Fixed Bearing Unicondylar Knee System (FBK) |
|---|---|---|
| Mean Pain Score | 91.35 ± 11.15 | 92.00 ± 9.71 |
| Mean Symptoms Score | 63.82 ± 13.87 | 66.73 ± 15.54 |
| Mean ADL Score | 93.65 ± 10.21 | 92.67 ± 9.80 |
| Mean Sport/Rec Score | 77.94 ± 21.22 | 78.67 ± 21.17 |
| Mean QOL Score | 83.94 ± 15.11 | 84.27 ± 13.26 |
Kaplan-Meier survival curves will be plotted for All Enrolled investigational devices and All Enrolled control devices on the same graph to facilitate graphical comparisons of survivorship over time.
| Implants | Uniglide Mobile Bearing Unicondylar Knee System (MBK) | Uniglide Fixed Bearing Unicondylar Knee System (FBK) |
|---|---|---|
| Survival Rate Using Kaplan-Meier Survival Curves | 24 | 21 |
| Implants | Uniglide Mobile Bearing Unicondylar Knee System (MBK) | Uniglide Fixed Bearing Unicondylar Knee System (FBK) |
|---|---|---|
| Number of Implants With Any Device-related Complications | 3 | 0 |
For both the Tibial \& Femoral Components the following were recorded: Implant Subsidence \> 2mm (recorded for the tibial component only) Implant Loosening \> 2deg Radiolucent Line (RLL) in \>50% zones Progressive RLL Osteolysis ≥ 5mm
| Implants | Uniglide Mobile Bearing Unicondylar Knee System (MBK) | Uniglide Fixed Bearing Unicondylar Knee System (FBK) |
|---|---|---|
| Tibial Implant Subsidence | 0 | 0 |
| Tibial Implant Loosening | 0 | 0 |
| Tibial RLL | 1 | 1 |
| Tibial Progressive RLL | 3 | 1 |
| Tibial Osteolysis | 1 | 0 |
| Femoral Implant Loosening | 0 | 0 |
| Femoral RLL | 0 | 1 |
| Femoral Progressive RL | 0 | 1 |
| Femoral Osteolysis | 0 | 0 |
Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Uniglide Mobile Bearing Unicondylar Knee System (MBK) | 0/22 (0%) | 6/22 (27.3%) | 20/22 (90.9%) |
| Uniglide Fixed Bearing Unicondylar Knee System (FBK) | 0/15 (0%) | 7/15 (46.7%) | 14/15 (93.3%) |
| Event | Uniglide Mobile Bearing Unicondylar Knee System (MBK) | Uniglide Fixed Bearing Unicondylar Knee System (FBK) |
|---|---|---|
| Myocardial infarctionCardiac disorders | 0/22 | 2/15 |
| Contralateral TKRSurgical and medical procedures | 2/22 | 0/15 |
| Carpal tunnel release surgerySurgical and medical procedures | 0/22 | 1/15 |
| Contralateral knee hematoma drainageSurgical and medical procedures | 0/22 | 1/15 |
| Contralateral knee traumatic wound dehiscenceSurgical and medical procedures | 0/22 | 1/15 |
| Gastrointestinal polyp removalSurgical and medical procedures | 0/22 | 1/15 |
| Knee hematoma drainage (operative side)Surgical and medical procedures | 0/22 | 1/15 |
| LumbagoMusculoskeletal and connective tissue disorders | 0/22 | 1/15 |
| Traumatic knee-wound dehiscence (operative side)Injury, poisoning and procedural complications | 0/22 | 1/15 |
| Chronic lymphocytic leukaemia anemiaBlood and lymphatic system disorders | 1/22 | 0/15 |
| Event | Uniglide Mobile Bearing Unicondylar Knee System (MBK) | Uniglide Fixed Bearing Unicondylar Knee System (FBK) |
|---|---|---|
| NauseaGastrointestinal disorders | 7/22 | 7/15 |
| ConstipationGastrointestinal disorders | 3/22 | 4/15 |
| InsomniaGeneral disorders | 0/22 | 4/15 |
| Muscle spasmMusculoskeletal and connective tissue disorders | 4/22 | 2/15 |
| Nausea and vomitingGastrointestinal disorders | 4/22 | 1/15 |
| Acute post-op blood loss anemiaInjury, poisoning and procedural complications | 3/22 | 1/15 |
| Post-fall knee pain (operative side)Injury, poisoning and procedural complications | 3/22 | 1/15 |
| SleeplessnessGeneral disorders | 3/22 | 0/15 |
| ItchingSkin and subcutaneous tissue disorders | 2/22 | 2/15 |
| Knee pain (operative side)Musculoskeletal and connective tissue disorders | 2/22 | 2/15 |
| Age, Continuous(years) | Uniglide Mobile Bearing Unicondylar Knee System (MBK) | Uniglide Fixed Bearing Unicondylar Knee System (FBK) | Total |
|---|---|---|---|
| Mean | 60.42 (48 to 71) | 57.48 (43 to 77) | 58.95 (43 to 77) |
| Sex: Female, Male(Implants) | Uniglide Mobile Bearing Unicondylar Knee System (MBK) | Uniglide Fixed Bearing Unicondylar Knee System (FBK) | Total |
|---|---|---|---|
| Female | 18 | 7 | 25 |
| Male | 8 | 14 | 22 |
| Region of Enrollment(Implants) | Uniglide Mobile Bearing Unicondylar Knee System (MBK) | Uniglide Fixed Bearing Unicondylar Knee System (FBK) | Total |
|---|---|---|---|
| United States | 26 | 21 | 47 |
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