ClinicalTrials.gg
RecruitingNCT04821154Updated Jul 10, 2026

Persona Revision Knee System Outcomes

An observational study in Arthroplasty Complications, Infection and Knee Disease, sponsored by Zimmer Biomet. Recruiting at 16 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-10.

Sponsored by Zimmer Biomet · Observational

From the registry’s dates

  • Started Jun 2021; still recruiting 5 years 4 months later.
Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
380
Ages
18 Years and older
Sex
All
01

Study summary

The study will evaluate the performance, clinical benefits and safety of the Persona Revision Knee System in patients who have received primary or revision total knee arthroplasty (TKA) treatment. This will be done using a multicenter, single-arm, consecutive series, retrospective cohort study with prospective follow-up.

Read the detailed description

Under study are the Persona® Revision Knee System (K181947 and K191625) implants and instrumentation, and any compatible devices being used in conjunction according to the Instructions for Use. This will be accomplished by retrospectively identifying patients who underwent primary or revision TKA with this system and inviting them to participate in prospective data collection at 1, 2, 3, 4, 5, 7, and 10 years postoperative follow-up. As the device was not available for commercial use until late 2019, the retrospective portion will involve those activities that occurred per standard of care for participants.

The primary endpoint for this study will be performance assessed by improvement in the 1989 Knee Society Clinical Rating System (KS) objective knee score (KS-KS) from baseline to 2 years (as evaluated using the overall group mean showing at least the Minimal Clinically Important Difference (MCID) of 5.4 points).

A maximum of 20 sites will contribute to this study. There will be a maximum of 380 patients enrolled in the study.

02

Conditions studied

  • Arthroplasty Complications
  • Infection
  • Knee Disease
  • Knee Osteoarthritis

Keywords

  • Revision
  • Total Knee
  • Medical Device
  • Safety
  • Performance
  • Primary
  • Clinical Benefits
03

In context

Infections

2,093 studies on the registry are indexed under Infections; 364 are open to participants now.

This study's planned enrollment of 380 is above the median of 300 across 685 observational studies indexed under Infections.

Browse Infections studies →

Lead sponsor

Zimmer Biomet is the lead sponsor of 275 studies on the registry; 28 are open to participants now.

Of its 22 completed or terminated interventional studies of FDA-regulated products, 19 (86%) have results posted.

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
Sampling method
Non-probability sample

Study population

Patients in need of a primary or revision total knee procedure who receive Persona Revision Knee implants who meet all the inclusion criteria and none of the exclusion criteria.

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 or female of at least 18 years of age at the time of screening.
  2. Signed an institutional review board approved .
  3. Willingness and ability to comply with the study procedures and visit schedules and ability to understand and follow oral and written post-operative care instructions.
  4. Previous medical diagnosis/ history of at least one of the following conditions requiring treatment using the Persona Revision Knee System within a pre-specified study variant configuration (cohort), in accordance with the instructions for use (IFU):

    1. Rheumatoid arthritis, osteoarthritis, traumatic arthritis or polyarthritis
    2. Collagen disorders, and/or avascular necrosis of the femoral condyle
    3. Post-traumatic loss of joint configuration, particularly when there is patellofemoral erosion, dysfunction or prior patellectomy
    4. Moderate valgus, varus, or flexion deformities
    5. The salvage of previously failed surgical attempts or for a knee in which satisfactory stability in flexion cannot be obtained at the time of surgery
  5. A pre-operative Knee Society Knee Score (objective assessment) ≤ 80.

Exclusion criteria

Exclusion Criteria:

1) Presence of clinically observed active or suspected latent infection in the affected joint at the time of procedure.

3) Presence of of local/systemic/distant focal infection that may affect or hematogenously spread to the prosthetic joint.

4) Skeletal immaturity or insufficient bone stock on femoral or tibial surfaces which cannot provide adequate support and/or fixation to the prosthesis.

5) Diagnosed with neuropathic arthropathy, osteoporosis, or any loss of musculature or neuromuscular disease that compromises the affected limb.

6) Presence of a stable, painless arthrodesis in a satisfactory functional position in the affected joint.

7) Severe instability of the affected joint secondary to the absence of collateral ligament integrity.

8) Diagnosis of rheumatoid arthritis in conjunction with any of the following at the time of screening:

  1. An ulcer of the skin
  2. History of recurrent breakdown of the skin
  3. Use of

    9) Patient requires simultaneous bilateral knee surgery for treatment of diagnosed condition.

    10) Pregnant or women planning to become pregnant during the time they will be participating in the study.

    11) Any documented degree of cognitive impairment or other condition, finding, or psychiatric illness at screening which, in the opinion of the Investigator, could compromise patient safety or interfere with the assessment of the safety and treatment effects of the study procedure.

    12) Any patient who is institutionalized, or with a known drug or alcohol dependence currently or within the last year.

Terms in these criteria, in plain language(3)

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.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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
Other
Enrollment
380 participants (estimated)
Patient registry
No

Groups and cohorts

  • 1) Revision Splined CCK

    Patients who were implanted with a splined tibial stem, 0 degree Persona Revision tibial component, constrained condylar knee (CCK) articular surface, Persona Revision femoral component, and splined femoral stem.

    Device: Persona Revision Knee System

  • 2) Revision Cemented CCK

    Patients who were implanted with a cemented tibial stem, 0 degree Persona Revision tibial component, CCK articular surface, Persona Revision femoral component, and cemented femoral stem.

    Device: Persona Revision Knee System

  • 3) Revision Splined PS/CPS

    Patients who were implanted with a splined tibial stem, 0 degree Persona Revision tibial component, posterior stabilized/constrained posterior stabilized (PS/CPS) articular surface, Persona Revision femoral component, and splined femoral stem.

    Device: Persona Revision Knee System

  • 4) Revision Cemented PS/CPS

    Patients who were implanted with a cemented tibial stem, 0 degree Persona Revision tibial component, PS/CPS articular surface, Persona Revision femoral component, and cemented femoral stem.

    Device: Persona Revision Knee System

  • 5) Revision Splined PS/CPS

    Patients who were implanted with a splined tibial stem, 0 degree Persona Revision tibial component, PS/CPS articular surface, Persona primary PS femoral component, with no femoral stem.

    Device: Persona Revision Knee System

  • 6) Revision Cemented PS/CPS

    Patients who were implanted with a cemented tibial stem, 0 degree Persona Revision tibial component, PS/CPS articular surface, Persona primary PS femoral component, with no femoral stem.

    Device: Persona Revision Knee System

  • 7) Revision Cemented CCK with 5 Degree Primary Tibia

    Patients who were implanted with a cemented tibial stem, 5 degree Persona primary tibial component, CCK articular surface, Persona Revision femoral component, and cemented femoral stem.

    Device: Persona Revision Knee System

  • 8) Primary Splined CCK/CPS/PS with 0 Degree Tibia

    Patients with a primary implant (non-revision case) who were implanted with a splined tibial stem, 0 degree Persona Revision tibial component, CCK/PS/CPS articular surface, Persona Revision femoral component, and splined femoral stem.

    Device: Persona Revision Knee System

  • 9) Primary Cemented CCK/PS/CPS with 0 Degree Tibia

    Patients with a primary implant (non-revision case) who were implanted with a cemented tibial stem, 0 degree Persona Revision tibial component, CCK/PS/CPS articular surface, Persona Revision femoral component, and cemented femoral stem.

    Device: Persona Revision Knee System

  • 10) Primary Cemented CCK/PS/CPS with 5 Degree Primary Tibia

    Patients with a primary implant (non-revision case) who were implanted with a cemented tibial stem, 5 degree Persona primary tibial component, CCK/PS/CPS articular surface, Persona Revision femoral component, and cemented femoral stem.

  • 11) Infection Cases

    Any configuration of PRK components used for end stage (non-temporary) treatment

Interventions

  • DevicePersona Revision Knee System

    Patients in this cohort will have been previously implanted with the Persona Revision Knee system in the described configuration per standard of care. The Persona Revision knee system is a total knee system that is widely available for use in the United States and is designed for use in primary and revision knee surgical interventions.

06

What researchers measure

Primary outcomes

  1. Knee Society Clinical Rating System objective knee score (KS-KS)

    The primary endpoint for this study will be performance assessed by improvement in the 1989 Knee Society Clinical Rating System (KS) objective knee score (KS-KS) from baseline to 2 years (as evaluated using the overall group mean showing at least the minimal clinically important difference \[MCID\] of 5.4 points) The Knee Society objective knee score (KS-KS) assesses the knee joint by awarding points for pain, stability, and range of motion, with a minimum possible score of 0 and maximum possible score of 100. As described in Insall et al. (1989), "100 points will be obtained by a well-aligned knee prosthesis with no pain, \[at least 121\] degrees of motion, and negligible anteroposterior and mediolateral instability."

    Time frame: 2 years

Secondary outcomes

  1. Incidence and frequency of adverse events.

    Safety of the device will be assessed by evaluating the incidence and frequency of adverse events including (re-)revision of any component during the study in accordance with Regulation (EU) 2017/745 - Medical Device Regulation (MDR) Article 80(2) as well as Medical Devices Coordination Group (MDCG) 2020-10/1.

    Time frame: 2 years

  2. Numeric Rating Scale (NRS) Pain Score

    Performance and clinical benefits will be assessed by evaluating improvements in patient reported outcome measures (PROMs) of the Numeric Rating Scale (NRS) pain scores from baseline to 2 years. The Numeric Rating Scale (NRS) pain is scored on a scale of 0 to 10. A score of 0 indicates that the patient is experiencing no pain in their knee joint while a score of 10 indicates that the patient is experiencing the worst possible pain in their knee joint.

    Time frame: 2 years

  3. Knee Injury and Osteoarthritis Outcome Score Junior (KOOS-Jr)

    Performance and clinical benefits will be assessed by evaluating improvements in patient reported outcome measures (PROMs) for the Knee Injury and Osteoarthritis Outcome Score Junior (KOOS-Jr) subscale scores from baseline to 2 years. The Knee Injury and Osteoarthritis Outcome Score Junior (KOOS-Jr) is scored on a scale of 0 to 100. A score of 100 indicates that a patient is experiencing perfect knee health while a score of 0 indicates that a patient is experiencing total knee disability.

    Time frame: 2 years

Other outcomes

  1. Radiographic Imaging

    Exploratory outcomes will include the evaluation of radiographic imaging as required for adverse event/complication reporting purposes with focus on the following parameters: radiolucency lines, component migration/subsidence, osteolysis, and localized osteopenia.

    Time frame: 2 years

07

Study locations

7 of 16 sites recruiting
  • Advanced Orthopaedic Specialists
    Fayetteville, Arkansas 72703, United States
    Recruiting
    • Sydney Dale · Contactsdale@arkosm.com · 479-316-4785
    • Christopher Arnold, MD · Principal investigator
  • Bowen Hefley Orthopedics
    Little Rock, Arkansas 72205, United States
    Recruiting
  • Community Foundation Medical Group
    Fresno, California 93720, United States
    Withdrawn

    Not enrolling at this site.

  • Cornerstone Orthopaedics & Sports Medicine
    Superior, Colorado 80027, United States
    Completed

    Not enrolling at this site.

  • Orthopaedic Associates, Inc.
    Evansville, Indiana 47710, United States
    Completed

    Not enrolling at this site.

  • Jeff Yergler, LLC
    Granger, Indiana 46530, United States
    Recruiting
    • Derek Yocum, PhD · Contactdyocum@sbortho.com · 865-360-9042
    • Jeffrey Yergler, MD · Principal investigator
  • Arthroplasty Foundation Inc.
    Louisville, Kentucky 40220, United States
    Completed

    Not enrolling at this site.

  • Ascension Providence Rochester Hospital
    Rochester, Michigan 48307, United States
    Recruiting
  • Michigan Orthopaedic Surgeons, PLLC
    Southfield, Michigan 48076, United States
    Recruiting
  • TRIA Orthopaedic Center Research Institute
    Bloomington, Minnesota 55431, United States
    Completed

    Not enrolling at this site.

  • Thomas Aleto MD, PC
    Columbia, Missouri 65201, United States
    Withdrawn

    Not enrolling at this site.

  • Orthopaedic Research Institute of New Jersey
    Chester, New Jersey 07390, United States
    Recruiting
  • The Cleveland Clinic Foundation
    Cleveland, Ohio 44195, United States
    Recruiting
  • ROC Orthopedics
    Oregon City, Oregon 97045, United States
    Completed

    Not enrolling at this site.

  • Penn Medicine/ Lancaster General Health
    Lancaster, Pennsylvania 17602, United States
    Completed

    Not enrolling at this site.

  • Orthopedic Surgeons of Wisconsin, SC
    Wauwatosa, Wisconsin 53222, United States
    Withdrawn

    Not enrolling at this site.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04821154
Lead sponsor
Zimmer Biomet
Responsible party
Sponsor
First posted
Mar 29, 2021
Start date
Jun 14, 2021
Primary completion
Dec 31, 2033 (estimated)
Completion
Dec 31, 2033 (estimated)
Last update
Jul 10, 2026

Study contacts

Chelsea Smith
Contact
chelsea.smith2@zimmerbiomet.com
714-740-9438
Charles Jaggard
Contact
charles.jaggard@zimmerbiomet.com
Charles Jaggard
study director · Zimmer Biomet

Oversight

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

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