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Comparison of CoCr Alloy and TiN Coating in TKA

Key facts

Who runs it
Medical University of Graz
Where
Austria1 site in 1 countryChoose a country to see its sites
Trial code
Status
Withdrawn
Started
10 Oct 2022
Expected to end
1 Nov 2029
Type of study
Interventional, 2 groupsOne group gets an existing treatment, for comparison.
Treatments tested
  • TiN-alloy based total knee arthroplasty
  • CoCr-coating based total knee arthroplasty
Record updated
16 March 2023
Why it stopped
Implant to be analysed not used at study centre any more.

Who can take part

Age
50 years to 90 years
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 9 criteriaShow less

Who can take part

  • Knee osteoarthritis of index knee
  • Varus angle < 15° of index knee

Who cannot take part

  • Previous native knee infection of index knee
  • Previous distal femoral fracture of index knee
  • Previous proximal tibial fracture of index knee
  • Known allergies against metals, drugs, organic substances
  • Preceding osteotomy of index knee
  • Unicondylar prosthetic replacement of index knee
  • Knee osteoarthritis of both joints with planned simultaneous TKA

This trial has no sites in United States.

It has sites in one country. Choose a country to see its sites.

About the trial

What the trial wants to find out

In the current prospective, randomized study, two different materials of the same total knee arthroplasty (TKA) system - cobalt-chromium (CoCr) and titanium-nitride (TiN) - are going to be compared with regards to postoperative outcome. Two-hundred patients are planned to be included in the study over a 4-year period, randomly assigned to either the CoCr- or TiN-implant-group. In order to ensure double-blinding, patients will not be informed about the group they had been assigned to. Moreover, no identifying information of the implant used will be written on documents later accessible to nurses and/or physicians at follow-up appointments. Consequently, surgeons of the respective patients will be excluded from study-specific examination of patients. Despite range of motion (ROM), questionnaires (visual analogue scale - VAS; Western Ontario and McMaster Universities Osteoarthritis Index - WOMAC, Forgotten Joint Score - FJS; Knee Society Scoe - KSS) will be used to assess the postoperative outcome. Furthermore, metal ion levels (cobalt, chrom, molybdenum, titanium) in the blood stream of patients will be measured at scheduled follow-up appointments. It is expected that there will not be a measureable difference between the two coating-groups with regards to ROM, functionality, and metal-ion levels over time.

The 2 groups in the trial

  • Group A (TiN-coating)Treatment being tested

    Patients with knee osteoarthritis receive total knee arthroplasty with Titanium-Nitride (TiN)-coated implant.

    Treatment: TiN-alloy based total knee arthroplasty

  • Group B (CoCr-alloy)Existing treatment, for comparison

    Patients with knee osteoarthritis receive total knee arthroplasty with Cobalt-Chromium (CoCr)-alloy implant.

    Treatment: CoCr-coating based total knee arthroplasty

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Comparison of Cobalt-Chromium (CoCr) Alloy and Titanium-Nitride (TiN) Coating in Total Knee Arthroplasty: A Prospective, Randomised, Double-blinded Clinical Trial
Record updated
16 March 2023