ClinicalTrials.gg
Active, not recruitingNCT02766231Updated Aug 12, 2026

Physica CR and Physica PS Clinical Trial

An observational study in Knee Osteoarthritis, sponsored by Limacorporate S.p.a. Active, not recruiting at 4 sites in 3 countries. Open to participants aged 22 Years to 78 Years. Per ClinicalTrials.gov, last updated 2026-08-12.

Sponsored by Limacorporate S.p.a (part of Enovis) · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
157
Ages
22 Years to 78 Years
Sex
All
01

Study summary

Type \& Design:

Post-market, international, multicentre Prospective, parallel groups, open-label, baseline controlled

Objectives:

  1. Assessment of clinical, radiographic and patient-reported outcomes of Physica CR and PS designs
  2. Incidence of adverse events and identification of possible risk factors for unsatisfactory results
  3. Mid-term survivorship of the implants
02

Conditions studied

  • Knee Osteoarthritis

Keywords

  • knee replacement
03

In context

Osteoarthritis, Knee

3,292 studies on the registry are indexed under Osteoarthritis, Knee; 623 are open to participants now.

This study's enrollment of 157 is above the median of 100 across 486 observational studies indexed under Osteoarthritis, Knee.

Browse Osteoarthritis, Knee studies →

Lead sponsor

Limacorporate S.p.a is the lead sponsor of 31 studies on the registry; 12 are open to participants now.

First submitted before Limacorporate S.p.a became part of Enovis.

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

04

Who can participate

Ages eligible
22 Years to 78 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

General population of subjects requiring a primary TKR with a diagnosis of painful primary or secondary osteoartrithis not responding to other conservative treatments, after the review of medical history and the radiographic evaluation of the affected knee.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Male and females
  2. Age 22-78 years
  3. Any race
  4. Ambulatory patients
  5. Patients who have a medical condition with over 5 years of
  6. Patients with painful primary or secondary knee osteoarthritis
  7. Patients who have undamaged and functional collateral and posterior cruciate ligaments for the group requiring Physica CR or Patients who have undamaged and functional collateral ligaments for the group requiring Physica PS
  8. Patients with flexion ≥90° on the affected side
  9. Patients with a fixed flexion contracture \<20°
  10. Patients who understand the conditions of the study and are willing and able to comply with the prescribed rehabilitation and to perform all scheduled follow-up visits
  11. Patients who have signed the Ethics Committee approved study-specific Form prior to the surgery

Exclusion criteria

Exclusion Criteria:

  1. Previous partial knee replacement or patellofemoral joint replacement and previous patellectomy
  2. Primary Total Knee Replacement (TKR) in the affected knee
  3. Varus deformity >20° or Valgus deformity >15°
  4. Patients with a fixed flexion contracture >20°
  5. Previous intra-articular fractures of the affected knee
  6. Patients with previous methaphysal tibial or femoral osteotomy performed less than 5 years before the screening visit, in case of plate removal surgery it is done early than 1 year ago to screening.
  7. Previous knee replacement on the contralateral side within the last year and whose outcome is achieving an KSS\< 60 points
  8. Patients with symptomatic Osteoarthritis (OA) of the spine if the assessment of pain with Numeric Rating Scale is >4
  9. Patients with an history of infections (on the affected knee or systemic)
  10. Muscular insufficiency or absence of muscoligamentous supporting structures required for adequate soft tissue balance
  11. Patients who have damaged or absence of the posterior cruciate ligament for the group requiring Physica CR
  12. Patients with known or suspicious metal
  13. Recurrent medical history of severe allergic or immune-mediated reactions
  14. Vascular insufficiency of lower limbs severe enough to interfere with the study evaluation
  15. Current treatment or treatment within the previous 2 years before the screening visit for malignant and life-threatening non-malignant disorders
  16. Any pathology based on clinical history that the Investigator feels may affect the study evaluation including:

    1. any intercurrent chronic disease or condition that may interfere with the completion of the 5-year follow-up, such as liver disease, severe coronary disease, drug or alcohol abuse
    2. significant neurological or musculoskeletal disorders or disease that may adversely affect gait and compromise functional recovery
    3. neuromuscular or neurosensory deficit which would limit the ability to assess the performance of the device
    4. known metabolic disorders leading to progressive bone deterioration
  17. Patients who have known co-existent medical condition with less 5 years of
  18. Previous organ transplant surgery
  19. Any psychiatric illness that would prevent comprehension of the details and nature of the study
  20. Participation in any experimental drug/device study within the 6 months prior to the screening visit
  21. Female patients who are pregnant, nursing, or planning a pregnancy
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
157 participants (actual)
Patient registry
No

Groups and cohorts

  • Physica CR

    Patients who have undamaged and functional collateral and posterior cruciate ligaments for the group requiring Physica CR

    Device: Physica CR

  • Physica PS

    Patients who have undamaged and functional collateral ligaments for the group requiring Physica PS

    Device: Physica PS

Interventions

  • DevicePhysica CR

    Cruciate retaining total knee replacement

  • DevicePhysica PS

    Posterior Stabilized total knee replacement

06

What researchers measure

Primary outcomes

  1. Clinical change in Knee Society Score (KSS)

    KSS is divided into two components: the first ("Knee Score", KKSS) assesses the knee clinically through the physical examination, and the second ("Function Score", FKSS) assesses the individual's functionality, while both attain a total of 100 points each. The Clinical KSS (KKSS) evaluates pain (50 points), stability (25 points) and range of motion (25 points). The Functional KSS (FKSS) evaluates the walking distance (50 points), and the act of climbing and descending stairs (50 points). The system for selecting patients is provided through three categories: A- unilateral or bilateral (opposite knee replaced successfully), B- unilateral, other knee symptomatic and C- polyarthritis or clinical disease. Scores rating from 80 to 100 is considered excellent, from 70 to 79 good, from 60 to 69 fair, and less than 60 poor.

    Time frame: From preoperative (baseline) to 5 years after surgery

Secondary outcomes

  1. Functional change in Timed up and Go (TUG) test

    The Timed-get-up-and-go test (TUG) is a simple test widely used to assess a person's mobility, requiring both static and dynamic balance. Subjects are instructed to walk as quickly as they feel safe and comfortable. Time (seconds) is taken to rise from a chair (seat height, 46 cm), walk 3 meters, turn around, walk back to the chair, then sit down wearing regular footwear. The TUG has excellent inter-rater and intra-rater reliability. Timing starts on the signal to start and terminates once the participant sits back down fully with their back resting on the back of the chair. Regular walking aid is allowed and recorded if required. Two trials are performed and the faster of the 2 trials is recorded to nearest 10th of a second.

    Time frame: From preoperative (baseline) to 5 years after surgery

  2. Change in Knee injury and Osteoarthritis Outcome Score (KOOS)

    KOOS was developed and is validated for several cohorts of younger and/or more active patients with knee injury and/or knee osteoarthritis. KOOS is a 42-item self-administered self-explanatory questionnaire that covers five patient-relevant dimensions: Pain, Other Disease-Specific Symptoms, Active Daily Living Function, Sport and Recreation Function, and knee-related Quality of Life. The KOOS's five patient-relevant dimensions are scored separately: Pain (nine items); Symptoms (seven items); ADL Function (17 items); Sport and Recreation Function (five items); Quality of Life (four items). A Likert scale is used and all items have five possible answer options scored from 0 (No Problems) to 4 (Extreme Problems) and each of the five scores is calculated as the sum of the items included. Scores are transformed to a 0-100 scale, with zero representing extreme knee problems and 100 representing no knee problems as common in orthopaedic scales and generic measures.

    Time frame: From preoperative (baseline) to 5 years after surgery

  3. Change in Satisfaction Visual Analogue Scale (Satisfaction VAS)

    A Satisfaction Visual Analogue Scale (VAS) system was developed to evaluate patient satisfaction with the TKR at follow-up, similar to the system used to measure pain. The scale consists of a 10-cm-long horizontal line ranging from completely satisfied to totally unsatisfied. On top of the scale the question: "Are you satisfied with your knee prosthesis?" is placed. Facial expressions are put above the line to express satisfaction visually. The patient receives this scale and is asked to mark the line at a point that would match his/her satisfaction. With a ruler, the number of millimetres is measured and converted to points. The satisfaction VAS system ranges from 100 (best, completely satisfied) to 0 (worst, totally unsatisfied) points.

    Time frame: From 3 months to 5 years after surgery

  4. Change in Forgotten Joint Score (FJS-12)

    The Forgotten Joint Scores (FJS-12) comprises measures for the assessment of joint-specific patient-reported outcome and focus on patients' awareness of a specific joint in everyday life. FJS-12 is a 12-item questionnaire that integrates variables such as pain, stiffness, function on activities of daily living, patients' expectations and activity levels and finally psychosocial factors. It consists of 12 questions and is scored using a 5-point Likert response format (never-almost never-seldom-sometimes-mostly) with the raw scores transformed onto a 0-100 point scale. High scores indicate good outcome, that is, a high degree of "forgetting" the joint. FJS-12 evaluation isn't performed preoperatively.

    Time frame: From 3 months to 5 years after surgery

  5. Components stability - radiolucent lines evaluation

    The radiographical assessment includes a modified evaluation of presence, location and thickness of periprosthetic radiolucent lines. The sums of the width of radiolucent lines for every component are categorised as follows: 4 or less and non progressive is probably not significant; 5-9 should be closely followed for progression; 10 or greater signifies possible or impending failure regardless of symptoms. Signs of a radiographically loose prosthesis include progressively enlarging luciencies, subsidence of the component or a change in alignment from previous films.

    Time frame: From discharge to 5 years after surgery

  6. Survival rate of Physica CR and PS

    Survival rate of the implant (Kaplan-Meier)

    Time frame: At 3 years and 5 years after surgery

  7. Incidence of device-related AE/SAE/DD/ADE/SADE

    Incidence of device-related adverse events( AE), serious adverse events (SAE), device deficiency (DD), adverse device effect (ADE), serious adverse device effect (SADE).

    Time frame: From intraoperative to 5 years after surgery

07

Study locations

4 sites
  • Cliniques Universitaires Saint-Luc ASBL
    Brussels, Brussels Capital 1200, Belgium
  • I.R.C.C.S. Galeazzi
    Milan, Milano 20161, Italy
  • Casa di cura Citta' di Parma
    Parma, Parma 43100, Italy
  • Clinique d'Eich - centre Hospitalier de Luxembourg
    Luxembourg, Luxembourg 1460, Luxembourg
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02766231
Responsible party
Sponsor
First posted
May 9, 2016
Start date
Feb 2016
Primary completion
Oct 30, 2027 (estimated)
Completion
Oct 30, 2027 (estimated)
Last update
Aug 12, 2026

Study contacts

Giuseppe Peretti, MD
principal investigator · I.R.C.C.S. Galeazzi (Milan, Italy)

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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