ClinicalTrials.gg
RecruitingNCT06627699Updated Jun 26, 2026

Prospective, In-Vivo, Post-Market Safety and Efficacy Surveillance Registry of the MAXX Orthopedics, Freedom Total Knee® System

An observational study in Knee Osteoarthristis and Total Knee Anthroplasty, sponsored by Maxx Orthopedics Inc. Recruiting at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-26.

Sponsored by Maxx Orthopedics Inc · Observational

From the registry’s dates

  • Started Nov 2025; still recruiting 1 year later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
300
Ages
18 Years and older
Sex
All
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Study summary

In an effort to satisfy regulatory requirements for post-market surveillance of product safety and efficacy, a representative sample of patients will be recruited for prospective monitoring.

Read the detailed description

In an effort to satisfy regulatory requirements for post-market surveillance of product safety and efficacy, a representative sample of patients will be recruited for prospective monitoring.

To maintain equal site distribution per device, patient recruitment will include up to a total of twenty (20) registry sites and thirty (30) primary TKA candidates per site / surgeon for a total of 600 registry patients. A total of no more than 200 patients across all sites will be recruited per level of constraint (e.g.: 200 CR, 200:PS, 200:UC) for this registry with a 10-month accrual target from study initiation per site (\~3 patients consented / month).

02

Conditions studied

  • Knee Osteoarthristis
  • Total Knee Anthroplasty

Keywords

  • Registry
  • Primary TKA
  • Total Knee Arthroplasty
  • Total Knee Replacement
03

In context

Lead sponsor

Maxx Orthopedics Inc is the lead sponsor of 5 studies on the registry; 2 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
Sampling method
Non-probability sample

Study population

The registry population will consist of adult male and female subjects who are suffering from moderate to severe symptoms of the following diagnoses: painful degenerative knee disease.

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

Candidates for this registry must meet ALL of the following criteria:

  • Patient is > 18 years of age
  • Patient has failed attempts at non-operative conservative therapy
  • Patient has participated in the process and signed an IRB approved informed consent
  • Patient is scheduled to undergo unilateral or bilateral primary TKA of the knee

Exclusion criteria

EXCLUSION CRITERIA:

Candidates will be excluded from the evaluation if ANY of the following apply:

  • Patients with previous TKA, UKA, HTO or knee fusion of the indicated knee
  • Patients that have undergone previous surgery of indicated knee for tumor, trauma or fracture
  • Evidence of active or suspected (systemic or local) infection at time of surgery
  • Other significant disabling problems from the musculoskeletal system than in the knee (i.e.: muscular dystrophy, polio, neuropathic joints)
  • Patients with or having; - active malignancy, Paget's disease, renal osteodystrophy, immunologically suppressed, sickle cell anemia and systemic lupus erythematosus
  • Patients with neuromuscular or neurosensory deficit
  • Women who are pregnant
  • Prisoner or transient
  • Recent history of known narcotic abuse
  • Any significant psychological disturbance past or present, that could impair the consent process or ability to complete subject self-report questionnaires
Terms in these criteria, in plain language(2)

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
300 participants (estimated)
Target follow-up
2 Years
Patient registry
Yes

Groups and cohorts

  • Patients receiving the Maxx Freedom Total Knee System for primary TKA

    TARGETED PATIENTS Adult male and female patients greater than 18 years of age Candidate for primary TKA GENERAL EXCLUSIONS Active infection Revision / conversion TKA (Prior UKA or HTO)

    Device: Total Knee Arthroplasty

Interventions

  • DeviceTotal Knee Arthroplasty

    Post-Market Surveillance of the Freedom Total Knee System for Primary TKA

06

What researchers measure

Primary outcomes

  1. Device Survivorship

    Revision / re-operation post-operatively due to device / device composite failure. An anticipated benefit of the device is that it is more conforming at higher degrees of flexion, which could potentially result in reduced polyethylene wear and improved survivorship over the longer-term. To assess this aspect of the device in addition to safety over the short-, intermediate- and long-term, survivorship analyses will be conducted at the targeted follow-up landmark timepoints. There will be 3 survivorship endpoints: * Revision of any component (including insert) for any reason * Revision of any component (including insert) for any reason except infection

    Time frame: 2 years

Secondary outcomes

  1. Original Knee Society Scale (KSS)

    The Knee Society Score rating system was first introduced during the late 1980's and has become the standard clinical evaluation system for reporting results for patients undergoing Total Knee Arthroplasty. Most major journals strongly encourage that total knee manuscripts include Knee Society Score rating scores as part of the result section. The Knee Society Score consists of points given for pain, range of motion, and stability. The Function Score consists of points given for the ability to walk on level surfaces, and the ability to ascend and descend stairs, with deductions for the use of external supporting devices.

    Time frame: 3-6 Weeks, 3 Months, 6 Months, 12 Months, 24 Months

  2. Knee Injury and Osteoarthritis Outcome Score - Joint Replacement (KOOS-JR)

    The KOOS-JR is self-administered and assesses three domains: stiffness (1 question), pain (4 questions), function / daily living (2 questions). The KOOS-JR meets basic criteria of outcome measures and can be used to evaluate the course of knee injury and treatment outcome. Each item (questions) is coded from 0 to 4. The raw responses are summed (0-28) which is then converted to an interval score based on the KOOS-JR conversion table. The score is a percentage score from 0 to 100, 0 representing total knee disability and 100 representing perfect knee health.

    Time frame: 3-6 Weeks, 3 Months, 6 Months, 12 Months, 24 Months

  3. Patient Reported Outcomes Measurement Information System (PROMIS Global-10)

    The Patient Reported Outcomes Measurement Information System (PROMIS Global-10) is a valid and reliable patient assessment and consists of ten (10) items that measure physical health, physical functioning, general mental health, emotional distress, satisfaction with social activities and relationships, ability to carry out usual social activities and roles, pain, fatigue and overall quality of life. The response options are presented as 5-point (as well as a single 11-point) rating scales. The results of the questions are used to calculate two summary scores: a Global Physical Health Score and a Global Mental Health score. These scores are then standardized to the general population, using the "T-Score". The average "T-Score" for the United States population is 50 points, with a standard deviation of 10 points. Higher scores indicate a healthier patient. The PROMIS 10 scores are predictive of healthcare utilization, mortality in general and disease-specific clinical populations.

    Time frame: 3-6 Weeks, 3 Months, 6 Months, 12 Months, 24 Months

  4. Visual Analog Scale (VAS)

    This scale has been designed to give subjective pain information as to the degree of knee pain you the patient is currently experiencing. VAS scoring is included in the PROMIS GLOBAL-10 assessment and is not necessary to collect a separate assessment. Applying the VAS, the patient will select a number from 1 (no pain) to 10 (maximum pain) that most closely describes their current pain.

    Time frame: 3-6 Weeks, 3 Months, 6 Months, 12 Months, 24 Months

  5. Forgotten Joint Score (FJS-12)

    The 12 question Forgotten Joint Score (FJS-12) was introduced with the aim of assessing the patients 'joint awareness'. The authors of the score suggest the "higher the score" is more representative of higher-level function after surgery, as to be able to forget about the joint requires the absence of pain and the ability to perform all desired functional tasks without limitation.

    Time frame: 3-6 Weeks, 3 Months, 6 Months, 12 Months, 24 Months

Other outcomes

  1. Radiography (plain-film radiography as per standard of care - independent collective site assessment)

    * Evidence of correct component position * Evidence of stable component fixation * Review of incidence and location of any lucencies, sclerotic lines, component subsidence and/or osteolysis

    Time frame: 3-6 Weeks, 3 Months, 6 Months, 12 Months, 24 Months

  2. Adverse Events

    * Local (wound and skin) * Systemic (infection markers) * Clinical / radiographic evidence of component / composite failure * Unscheduled re-visit or re-operation within 24 months post-operatively.

    Time frame: 3-6 Weeks, 3 Months, 6 Months, 12 Months, 24 Months

07

Study locations

2 of 2 sites recruiting
  • Ascentist Healthcare
    Leawood, Kansas 66211, United States
    Recruiting
    • Andrew C Palmoisano, MD · Principal investigator
  • South Texas Bone & Joint Institute
    San Antonio, Texas 78249, United States
    Recruiting
    • Siraj A Sayeed, MD · Principal investigator
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References and documents

Publications

  • Boonstra AM, Schiphorst Preuper HR, Reneman MF, Posthumus JB, Stewart RE. Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. Int J Rehabil Res. 2008 Jun;31(2):165-9. doi: 10.1097/MRR.0b013e3282fc0f93. PubMed 18467932 ↗
  • Thomsen MG, Latifi R, Kallemose T, Barfod KW, Husted H, Troelsen A. Good validity and reliability of the forgotten joint score in evaluating the outcome of total knee arthroplasty. Acta Orthop. 2016 Jun;87(3):280-5. doi: 10.3109/17453674.2016.1156934. Epub 2016 Mar 3. PubMed 26937689 ↗
  • Shim J, Hamilton DF. Comparative responsiveness of the PROMIS-10 Global Health and EQ-5D questionnaires in patients undergoing total knee arthroplasty. Bone Joint J. 2019 Jul;101-B(7):832-837. doi: 10.1302/0301-620X.101B7.BJJ-2018-1543.R1. PubMed 31256677 ↗
  • Lyman S, Lee YY, Franklin PD, Li W, Cross MB, Padgett DE. Validation of the KOOS, JR: A Short-form Knee Arthroplasty Outcomes Survey. Clin Orthop Relat Res. 2016 Jun;474(6):1461-71. doi: 10.1007/s11999-016-4719-1. Epub 2016 Feb 29. PubMed 26926773 ↗
  • Insall JN, Dorr LD, Scott RD, Scott WN. Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res. 1989 Nov;(248):13-4. PubMed 2805470 ↗

Individual participant data

Plan to share: Undecided — Proprietary nature of data for use for FDA De-Novo Submission following study conclusion.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06627699
Lead sponsor
Maxx Orthopedics Inc
Responsible party
Sponsor
First posted
Oct 4, 2024
Start date
Nov 1, 2025
Primary completion
Nov 1, 2028 (estimated)
Completion
Mar 1, 2029 (estimated)
Last update
Jun 26, 2026

Study contacts

Nach Dave, MS, RPh
Contact
nach.dave@maxxortho.com
732-718-1385
Corey Perine, BS, MBA
Contact
corey.perine@maxxortho.com
215-432-4323
Asit Shah, MD, PhD
study chair · Chief of Orthopedics, Englewood Hospital

Oversight

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

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