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Studies a total elbow replacement device in people with elbow joint damage

Tests the Nexel total elbow implant in adults needing elbow replacement surgery.

Plain-language title generated from the registry record
Registry title: Clinical Outcomes Study of the Nexel Total Elbow

Key facts

Where
Pforzheim, GermanySee the site

AI summary: who the study is looking for

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults who need a first or repeat total elbow replacement because of elbow damage, instability, stiffness or severe arthritis.

Age
18 years or older
Sex
All
Disease stage
Needs a primary or revision total elbow replacement because of at least one of these: elbow joint destruction that limits daily life, bone loss or injury causing instability, ankylosed (stiff, fused) joints, advanced rheumatoid, post-traumatic or degenerative arthritis with disabling pain, instability or loss of motion, or an acute comminuted fracture of the elbow joint surface.
Earlier treatment
People in the retrospective arm must have had a total elbow replacement with the Nexel system between July 2013 and the date of the site initiation visit.

Main reasons for not taking part

  • Active or repeated infection at the surgical site, or a major infection elsewhere
  • History of prior sepsis
  • Paralysis or nerve problems at the elbow, or significant hand dysfunction on the same side
  • Heavy labor, torsional stress or competitive sports that may strain the implant
  • Known to be pregnant

Read by machine on 12 November 2026.

Where in Germany

  • Arcus SportklinikPforzheim, GermanyContact: Richard MarekNo longer taking part

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Trial details

Who runs it
Zimmer Biomet
Trial code
NCT02469662
Record updated
9 July 2026
Original description
The objectives of the study are to confirm safety and performance of the Zimmer Nexel Total Elbow when used in primary or revision total elbow replacement.Read full original descriptionShow less

Retrospective and Prospective Clinical Outcomes Study of the Zimmer® Nexel™ Total Elbow

The objectives of the study are to confirm safety and performance of the Zimmer Nexel Total Elbow when used in primary or revision total elbow replacement.

Inclusion: Patient is 18 years of age or older; Patient must have signed Institutional Review Board (IRB)/Ethics Committee (EC)-approved informed consent; Patient is a candidate for primary or revision total elbow arthroplasty, based on symptoms including at least one of the following:; Elbow joint destruction which significantly compromises daily living activities; Post-traumatic lesions or bone loss contributing to elbow instability; Ankylosed joints, especially cases of bilateral ankylosis from causes other than active sepsis; Advanced rheumatoid arthritis, post-traumatic, or degenerative arthritis with incapacitating pain; Instability or loss of motion when the degree of joint or soft tissue damage precludes reliable osteosynthesis; Acute comminuted articular fracture of elbow joint surfaces that precludes less radical procedures, including 13-C3 fractures of the distal humerus; Patient is willing and able to complete scheduled follow-up evaluations as defined by the protocol; Additional Retrospective Arm Inclusion Criteria; Patient must have undergone a total elbow replacement with the Nexel system between July 2013 and the date of the site initiation visit; Patient information available for each retrospective patient must, at minimum, include preoperative demographic information, preoperative physical exam information, the index surgery operative report, and details of the devices implanted.

Exclusion: Patient has a history of prior sepsis; Patient has excessive scarring near the surgical site, which could prevent adequate soft tissue coverage; Patient is a known alcohol or drug abuser; Patient has a currently active or history of repeated local infection at the surgical site; Patient has a current major infection distant from the operative site; Patient suffers from paralysis or dysfunctional neuropathy at the elbow joint; Patient has significant ipsilateral hand dysfunction; Patient participates in daily activities that may cause significant stress to an implanted device such as heavy labor, torsional stress, and/or competitive sports; Patient is a prisoner; Patient is mentally incompetent or unable to understand what participation in the study entails; Patient is anticipated to be non-compliant; Patient is known to be pregnant.

ClinicalTrials.gov NCT02469662