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NCT03969654

ROSA Robot Used in Total Knee Replacement Post Market Study

Completed NA Results posted Last updated 3 May 2024
What this trial tests

NA trial testing PERSONA Total Knee in Knee Pain in 181 participants. Completed in 22 September 2023.

Timeline
1 May 2020
Primary endpoint
22 September 2023
22 September 2023

Quick facts

Lead sponsorZimmer Biomet
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment181
Start date1 May 2020
Primary completion22 September 2023
Estimated completion22 September 2023
Sites5 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Zimmer Biomet — full company profile →

Who can join

18 and older, any sex, with Knee Pain or Chronic Osteoarthritis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Clinical Performance Primary · Pre-op (Baseline), 6 weeks, 3 months, and 1 year

EQ-5D Questionnaire: A questionnaire completed by the Patient and assesses his/her General Health Status. The EQ5D is used to derive a Quality of life index used for health economics considerations. The scale is from 0-1, 0 being dead and 1 being the best possible score.

Preop
GroupValue95% CI
Robotic Assisted TKA.540± .268
Conventional TKA.442± .256
6 Week
GroupValue95% CI
Robotic Assisted TKA.740± .166
Conventional TKA.763± .179
3 Month
GroupValue95% CI
Robotic Assisted TKA.826± .137
Conventional TKA.842± .128
1 Year
GroupValue95% CI
Robotic Assisted TKA.889± .145
Conventional TKA.891± .137
Oxford Primary · Pre-op (Baseline), 6 weeks, 3 months, and 1 year

Oxford Knee Score: The Oxford Knee Score is a patient completed 12-question metric to rate a patient's knee pain and function using an ordinal 0 - 4 point scale. The total score is obtained by calculating the sum of the 12 items. The minimum score is 0 (most severe) and the maximum score is 48 points (least severe).

Preop
GroupValue95% CI
Robotic Assisted TKA24.6± 9.2
Conventional TKA22.2± 8.2
6 Week
GroupValue95% CI
Robotic Assisted TKA32.0± 7.6
Conventional TKA32.5± 6.8
3 Month
GroupValue95% CI
Robotic Assisted TKA38.2± 6.8
Conventional TKA38.5± 6.9
1 Year
GroupValue95% CI
Robotic Assisted TKA42.4± 5.4
Conventional TKA41.2± 5.8
Post-Operative Pain & Satisfaction Primary · 6 weeks, 3 months, and 1 year

Post-Operative Pain \& Satisfaction Survey. The scale range for the level of satisfaction ranges is very satisfied, satisfied, uncertain, and unsatisfied.

6 Week
GroupValue95% CI
Robotic Assisted TKA80
Conventional TKA32
Robotic Assisted TKA32
Conventional TKA9
Robotic Assisted TKA12
Conventional TKA2
Robotic Assisted TKA0
Conventional TKA1
3 Month
GroupValue95% CI
Robotic Assisted TKA89
Conventional TKA34
Robotic Assisted TKA22
Conventional TKA7
Robotic Assisted TKA9
Conventional TKA1
Robotic Assisted TKA0
Conventional TKA0
1 Year
GroupValue95% CI
Robotic Assisted TKA77
Conventional TKA23
Robotic Assisted TKA11
Conventional TKA8
Robotic Assisted TKA6
Conventional TKA3
Robotic Assisted TKA1
Conventional TKA0
Total Range of Motion Primary · Pre-op (Baseline), 6 weeks, 3 months, and 1 year

Total Range of Motion Change from Preop to 1 year. The scale includes the total range of motion (0 degrees of knee extension (fully straightened knee) and 135 degrees of knee flexion) from preop to 1-year postop

Preop
GroupValue95% CI
Robotic Assisted TKA121.0± 13.9
Conventional TKA115.7± 16.2
6 Week
GroupValue95% CI
Robotic Assisted TKA114.5± 12.9
Conventional TKA111.4± 11.1
3 Month
GroupValue95% CI
Robotic Assisted TKA121.1± 11.0
Conventional TKA120.7± 9.7
1 Year
GroupValue95% CI
Robotic Assisted TKA122.7± 9.5
Conventional TKA120.4± 10.8

Adverse events — posted to ClinicalTrials.gov

Time frame: All adverse events reported throughout each subject's length of participation in the study are included. Length of participation is defined as the implantation date through the date of study closure or the date of subject withdrawal for an average of 1 year.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Robotic Assisted TKA
Serious: 7/133 (5%)
Deaths: 0/133
Conventional TKA
Serious: 1/48 (2%)
Deaths: 0/48

Serious adverse events (7 terms)

ReactionSystemRobotic Assisted TKAConventional TKA
Patellar Periprosthetic FractureMusculoskeletal and connective tissue disorders
Transverse Femur Fracture at site of ROSA pinsSurgical and medical procedures
Patient seen for 2nd opinion at another orthopaedic provider. Diagnosed with tibial LooseningMusculoskeletal and connective tissue disorders
Stiffness/Limited Motion due to missing PT; Patient underwent open lysis of adhesions and poly swap.Musculoskeletal and connective tissue disorders
PneumoniaRespiratory, thoracic and mediastinal disorders
Anemia and MelenaBlood and lymphatic system disorders
Calf Pain/Possible DVTVascular disorders
Other adverse events (37 terms — click to expand)

ReactionSystemRobotic Assisted TKAConventional TKA
Stiffness/Limited ROMMusculoskeletal and connective tissue disorders
Contralateral Knee ReplacementMusculoskeletal and connective tissue disorders
Inability to eat/full/nausea/vomiting/diarrheaGastrointestinal disorders
PainMusculoskeletal and connective tissue disorders
ErythemaSkin and subcutaneous tissue disorders
Urinary tract infection/unable to voidRenal and urinary disorders
Hip/DJDMusculoskeletal and connective tissue disorders
Lumbar Stenosis/Degenerative Disc/Facet DiseaseMusculoskeletal and connective tissue disorders
Right Frontal Ischemic InfarctNervous system disorders
Pulmonary EmbolismVascular disorders
Periprosthetic Joint InfectionInfections and infestations
Dermatitis/allergic reactionSkin and subcutaneous tissue disorders
HypotensionCardiac disorders
HypertensionCardiac disorders
LeukocytosisBlood and lymphatic system disorders
Infection (non-knee)Infections and infestations
CellulitisInfections and infestations
Nonunion Femur FractureMusculoskeletal and connective tissue disorders
Plantar FascitisMusculoskeletal and connective tissue disorders
Contralateral Knee PainMusculoskeletal and connective tissue disorders
Neuro not intact to Left foot and ankle unable to DorsiflexNervous system disorders
Lytic Lesions in Thoracic SpineNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Amelanotic Melanoma Right Upper ArmNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Possible DVTVascular disorders
Nasal BleedingVascular disorders
Mild CrepitusMusculoskeletal and connective tissue disorders
Traumatic Injury/TwistingMusculoskeletal and connective tissue disorders
Superficial Infection of IncisionInfections and infestations
Irritation of the distal aspect of IncisionInfections and infestations
Severe Swelling of the surgical knee following surgerySkin and subcutaneous tissue disorders
Trauma/FallSkin and subcutaneous tissue disorders
Arthritis IncreasedMusculoskeletal and connective tissue disorders
Dizzy/Nausea from medicationSurgical and medical procedures
Wound Dehiscence Left AnkleInjury, poisoning and procedural complications
Stress Reaction at Femoral Pin SitesSurgical and medical procedures
Patella DislocationSurgical and medical procedures
Skyline Patella Lateral Tilt and Erosion of Non-Resurfaced PatellaSurgical and medical procedures

Most-reported serious reactions: Patellar Periprosthetic Fracture, Transverse Femur Fracture at site of ROSA pins, Patient seen for 2nd opinion at another orthopaedic provider. Diagnosed with tibial Loosening, Stiffness/Limited Motion due to missing PT; Patient underwent open lysis of adhesions and poly swap., Pneumonia, Anemia and Melena, Calf Pain/Possible DVT.

Data from ClinicalTrials.gov NCT03969654 adverse events section.

Sponsor's own description

This is a prospective, multicenter clinical study designed to facilitate the collection and evaluation of workflow efficiency, patient pain and function, and adverse event data. This clinical study will include Persona, NexGen, and Vanguard product families using the ROSA Total Knee Robotic System or conventional instrumentation. The primary objective of this study is to collect and compare clinical and surgical data using the commercially available ROSA Total Knee robotic instrumentation and conventional instrumentation.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Imageless ROSA® Robotic Arm-Assisted Total Knee Arthroplasty Is Associated With Improved Accuracy Compared to Conventional Techniques.
    Hoehmann CL, Baker J, Struck K, Fahey E, et al · · 2025 · PMID 41393583 · DOI 10.7759/cureus.96782

Verify or expand the search:

Other trials of PERSONA Total Knee

Trials testing the same drug.

Other recruiting trials for Knee Pain

Currently open trials in the same condition.

Other Zimmer Biomet trials

Trials by the same sponsor.

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