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CompletedNCT03047564Updated Aug 24, 2025

Metal Ion Concentration Between Coated and Uncoated TKA

An interventional study of Coated Total Knee Arthroplasty and Standard Total Knee Arthroplasty in Knee Osteoarthritis, sponsored by Technische Universität Dresden. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-08-24.

Sponsored by Technische Universität Dresden · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 4 years 11 months after the study started (first participant enrolled Feb 2012, registered Jan 2017).
Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Metal ion release from metal implants may have side effects. It can be reduced by coating of the implant. This study compares coated and uncoated TKA.

Read the detailed description

Patients are randomized to receive a coated or uncoated TKA. Patients are assessed before surgery, after 3 month, 1 year and 5 years.

Blood samples are collected in 7.5 ml S-Monovette® tubes (for trace metal analysis, Sarstedt AG, Germany) using a specific steel needle for trace metal analysis (Sarstedt AG, Germany). Within one hour, plasma was separated by centrifugation at 2500g for ten minutes. Samples were stored at -20°C before being analysed for chromium, cobalt, molybdenum and nickel content using a graphite furnace atomic absorption spectrometer Z-8270 with Polarisation-Zeeman-Absorption (Hitachi Ltd., Japan). The accuracy and precision of the method is validated to \< 10% using the control materials SeronormTM Trace Elements Serum (SERO AS, Norway). The detection limit of the method is estimated at 0.5µg/l for chromium, cobalt and molybdenum, 1.0µg/l for nickel (mean + 3 standard deviations from buffer). All probes having ion levels below the detection limit were adjusted to 0.25µg/l for chromium, cobalt and molybdenum and 0.5µg/l for nickel.

Clinical outcome is measured with the Knee Society Score, Oxford Knee Score, Short-Form 36 and University of Los Angeles Activity Score.

02

Conditions studied

  • Knee Osteoarthritis

Keywords

  • Total Knee Arthroplasty
  • Total Knee Replacement
  • Outcome
  • Metal ion concentration
  • Results
03

In context

Osteoarthritis, Knee

3,302 studies on the registry are indexed under Osteoarthritis, Knee; 608 are open to participants now.

This study's enrollment of 120 is above the median of 70 across 2,731 interventional studies indexed under Osteoarthritis, Knee.

Browse Osteoarthritis, Knee studies →

Lead sponsor

Technische Universität Dresden is the lead sponsor of 237 studies on the registry; 45 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

  • indication to TKA
  • no other metal implant

Exclusion criteria

Exclusion Criteria:

  • no informed consent
  • not able to understand study and/or questionnaires
  • Need of a higher constrained implant
05

Study design

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

Study arms

  • Experimental
    Coated Total Knee Arthroplasty

    Implantation of a coated Total Knee Arthroplasty

    Device: Coated Total Knee Arthroplasty

  • Active comparator
    Standard Total Knee Arthroplasty

    Implantation of a Standard Total Knee Arthroplasty

    Device: Standard Total Knee Arthroplasty

Interventions

  • DeviceCoated Total Knee Arthroplasty

    Implantation of a coated Total Knee Arthroplasty

  • DeviceStandard Total Knee Arthroplasty

    Implantation of a Standard Total Knee Arthroplasty

06

What researchers measure

Primary outcomes

  1. Metal Ions (Cobalt, Chromium, Molydenum, Nickel)

    Change in Serum Metal Ion concentrations 1 and 5 years after surgery

    Time frame: before surgery, 1 year, 5 years

Secondary outcomes

  1. Function

    Knee Society Score

    Time frame: before surgery, 3 month, 1 year, 5 years

  2. Patient Reported Outcome

    Oxford Knee Score

    Time frame: before surgery, 3 month, 1 year, 5 years

  3. Health-related Quality of Life

    SF 36

    Time frame: before surgery, 3 month, 1 year, 5 years

  4. Activity

    UCLA activity score

    Time frame: before surgery, 3 month, 1 year, 5 years

Other outcomes

  1. Adverse Events

    Adverse Events

    Time frame: through study completion, in average 5 years

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Undecided

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 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03047564
Lead sponsor
Technische Universität Dresden
Collaborators
Mathys Ltd Bettlach
Responsible party
Sponsor
First posted
Feb 9, 2017
Start date
Feb 1, 2012
Primary completion
Feb 28, 2015
Completion
Dec 1, 2020
Last update
Aug 24, 2025

Study contacts

Jörg Lützner, MD
principal investigator · University Hospital Carl Gustav Carus

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2021. You cannot join it, but the record below documents what was studied.

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