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CompletedNCT02145455Updated Jul 14, 2020

Unity Total Knee Replacement Using Two Different Surgical Techniques

An interventional study of Unity Total Knee Replacement System and Unity Total Knee Replacement System in Arthritis of the Knee, sponsored by Corin. Completed at 1 site in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-07-14.

Sponsored by Corin · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
111
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will compare two different surgical methods used in total knee replacement with the Unity Total Knee Replacement System. The study will evaluate these two methods based on patients' ability to perform various tasks prior to surgery and at 4 time points during the first 12 months after surgery.

Read the detailed description

This study will be conducted at a single centre. The study has two treatment groups. One group of 50 knees (approximately 50 subjects) will have a surgical method that uses mechanical alignment (alignment based on how the leg and knee joint move) to determine the proper position of the knee replacement device. The other group of 50 knees (approximately 50 subjects) will have a surgical method that uses anatomical alignment (alignment based on how the anatomy/structure of the leg and knee joint) determine the proper position of the knee replacement device. Subjects will be randomly assigned to one of the two groups. Clinical and functional tests will be conducted pre-operatively and at 6 weeks, 3 months, 6 months and 12 months to determine overall knee function. In addition, a CT scan will be completed pre-operatively and at 6 weeks to assess changes in alignment.

02

Conditions studied

  • Arthritis of the Knee

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Keywords

  • Arthroplasty, Replacement, Knee/methods
  • Knee Joint/physiopathology
  • Knee Joint/radiography
  • Knee Joint/surgery
  • Knee Prosthesis
  • Outcome Assessment (Health Care)
  • Female
  • Male
  • Adult
03

In context

Arthritis

3,554 studies on the registry are indexed under Arthritis; 317 are open to participants now.

This study's enrollment of 111 is above the median of 90 across 2,377 interventional studies indexed under Arthritis.

Browse Arthritis studies →

Lead sponsor

Corin is the lead sponsor of 19 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • The patient must be listed for a primary total knee replacement using the Corin Unity Total Knee Replacement System, according to the product 'Instructions For Use'
  • The patient must give signed informed consent to participate in the study
  • The patient must be able to understand all that is expected of them and be able to comply with the study protocol
  • Male and female patients who are skeletally mature

Exclusion criteria

Exclusion Criteria:

  • Any patient with a total knee replacement not implanted with a Corin Unity Total Knee Replacement
  • Any patient with a revision total knee replacement or conversion of a Unicondylar replacement to a total knee replacement on the operative knee
  • Any patient with fixed flexion contracture greater than 20 degrees
  • Any patient with varus/valgus deformity greater than 15 degrees
  • Any case not described in the inclusion criteria
  • Any patient who cannot or will not provide signed informed consent for participation in the study
  • Any patient whose prospects for a recovery to independent mobility would be compromised by known co-existent, medical problems
  • Any patient with a known sensitivity to device material
  • Any patient who is pregnant
  • Any patient currently a prisoner
  • Any patient known to be a drug or alcohol abuser, or have a psychological disorder that could affect follow-up care or treatment outcomes
  • Any patient currently involved in any personal injury litigation, medical-legal or worker's compensations claims
  • Any patient unable to read and understand English
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
111 participants (actual)

Study arms

  • Active comparator
    Mechanical alignment

    Patients in this arm will have the Unity Total Knee Replacement System implanted using a surgical technique that utilizes mechanical alignment via measured resection to establish knee alignment.

    Device: Unity Total Knee Replacement System

  • Active comparator
    Anatomic alignment

    Patients in this arm will have the Unity Total Knee Replacement System implanted using a surgical technique that utilizes anatomic alignment via ligament balancing with the tibial cut perpendicular to the tibial anatomic axis.

    Device: Unity Total Knee Replacement System

Interventions

  • DeviceUnity Total Knee Replacement System

    Also known as: Unity Total Knee Replacement System (Cruciate Retaining), Unity Total Knee Replacement System (Posterior Stabilised)

  • DeviceUnity Total Knee Replacement System

    Also known as: Unity Total Knee Replacement System (Cruciate Retaining), Unity Total Knee Replacement System (Posterior Stabilised)

06

What researchers measure

Primary outcomes

  1. Power of knee extension

    Power of knee extension via peak torque of quads measured on a digital myometer.

    Time frame: 12 months post-operative

Secondary outcomes

  1. Timed up and go test

    The test measures the length of time it takes the subject to rise from a chair, walk 10 feet, turn around, and sit back down in the chair. The subject may rest or use walking aids during the test.

    Time frame: 12 months post-operative

  2. Single leg stance (SLS) test

    The test measures the length of time the subject can stand on their operative leg.

    Time frame: 12 months post-operative

  3. 6 minute walk test

    The test measures the length of distance a subject can walk in 6 minutes at a pace that does not cause them to become short of breath. Patient may stop and rest if needed, then resume.

    Time frame: 12 months post-operative

  4. Timed stairs test

    The test measures the length of time it takes a subject to climb up a stair block and down the other side. The subject is asked how difficult the test was on a scale of 0 to 10. The subject can use the rails, if needed.

    Time frame: 12 months post-operative

  5. Wii Fit balance test

    The subject is asked to stand on a Wii Fit balance board while the "Deep breathing" exercise in the Yoga section is selected. The subject is instructed to follow the instructions on the screen. The subject's score is recorded and the subject is asked how difficult the test was on a scale from 1 to 10.

    Time frame: 12 months post-operative

  6. Ability to kneel

    The subject is asked to kneel on a mat on the floor and then rise to a standing position. The subject may use a bench or the floor for balance. After the test, the subject is asked how difficult the test was on a scale of 1 to 10. The subject is allowed to refuse to do the test if he/she feels unable to do so.

    Time frame: 12 months post-operative

  7. Sloped treadmill test

    The subject is asked to walk on a level treadmill at a comfortable walking speed. The incline of the treadmill is increased until the subject says stop or the limit of the treadmill is reached. The test is repeated with the treadmill in reverse and the subject facing backwards to simulate walking downhill. The subject is asked how difficult the test was on a scale of 1 to 10.

    Time frame: 12 months post-operative

  8. Walking on uneven ground

    The subject is asked to walk from one end to the other on a specialized track topped with fist-sized pebbles. The subject is allowed to use walking aids. The subject is asked how difficult the test was on a scale of 1 to 10.

    Time frame: 12 months post-operative

  9. CT evaluation

    CT scan will be done to assess the following anatomical items: * Medial joint line position * Overall limb alignment * Joint obliquity * Rotation

    Time frame: 6 weeks post-operative

  10. Power of knee flexion

    Power of knee flexion via peak torque of quads measured on a digital myometer.

    Time frame: 12 months post-operative

  11. Oxford Knee Score (OKS)

    A questionnaire about your ability to perform daily functions.

    Time frame: 12 months Post-operative

  12. Knee Injury and Osteoarthritis Score (KOOS)

    A questionnaire to assess your ability to perform activities of different difficulty levels.

    Time frame: 12 months Post-operative

  13. EuroQoL 5-dimension Health State (EQ-5D)

    A questionnaire to assess your health and well-being.

    Time frame: 12 months Post-operative

  14. Patient Satisfaction Score

    A questionnaire to assess your satisfaction with your knee implant.

    Time frame: 12 months Post-operative

07

Study locations

1 site
  • Exeter Knee Reconstruction Unit at the Princess Elizabeth Orthopaedic Centre
    Exeter, Devon EX2 5DW, United Kingdom
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 14, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02145455
Lead sponsor
Corin
Responsible party
Sponsor
First posted
May 23, 2014
Start date
Jun 6, 2015
Primary completion
May 2020
Completion
May 2020
Last update
Jul 14, 2020

Study contacts

Andrew Toms, MD
principal investigator · Princess Elizabeth Orthopaedic Centre

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2020. You cannot join it, but the record below documents what was studied.

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