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CTRI Number  CTRI/2025/04/085046 [Registered on: 17/04/2025] Trial Registered Prospectively
Last Modified On: 03/04/2025
Post Graduate Thesis  No 
Type of Trial  PMS 
Type of Study   Medical Device 
Study Design  Other 
Public Title of Study   Post-Market Clinical follow-up study to evaluate safety and performance of Altius Buechel Pappas Primary Total Knee Replacement System  
Scientific Title of Study   An open-label, prospective, single centric, non-comparative, observational, Post-Market Clinical Follow-up to evaluate the safety and effectiveness of AltiusTM Buechel Pappas High Flex Total Knee Replacement System in Adult subject for a period of 15 years 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Aashish Chaudhry 
Designation  Principal Investigator 
Affiliation  Aakash Healthcare Super Speciality Hospital 
Address  Aakash Healthcare Super Specialty Hospital, Hospital Plot, Road No.201, Sector-3, Dwarka, New Delhi-110075, Department: Orthopedics Division: Unit-I Room No.: 05, Ground Floor OPD Phone: 011 43388888

New Delhi
DELHI
110075
India 
Phone  01143388888  
Fax    
Email  anjusha.singh@aakashhealthcare.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Aashish Chaudhry 
Designation  Principal Investigator 
Affiliation  Aakash Healthcare Super Speciality Hospital 
Address  Aakash Healthcare Super Specialty Hospital, Hospital Plot, Road No.201, Sector-3, Dwarka, New Delhi-110075, Department: Orthopedics Division: Unit-I Room No.: 05, Ground Floor OPD Phone: 011 43388888


DELHI
110075
India 
Phone  01143388888  
Fax    
Email  anjusha.singh@aakashhealthcare.com  
 
Details of Contact Person
Public Query
 
Name  Dr Aashish Chaudhry 
Designation  Principal Investigator 
Affiliation  Aakash Healthcare Super Speciality Hospital 
Address  Aakash Healthcare Super Specialty Hospital, Hospital Plot, Road No.201, Sector-3, Dwarka, New Delhi-110075, Department: Orthopedics Division: Unit-I Room No.: 05, Ground Floor OPD Phone: 011 43388888


DELHI
110075
India 
Phone  01143388888  
Fax    
Email  anjusha.singh@aakashhealthcare.com  
 
Source of Monetary or Material Support  
TTK Healthcare Ltd (Ortho Division) 
 
Primary Sponsor  
Name  TTK Healthcare Ltd (Ortho Division) 
Address  No. 290, SIDCO Industrial Estate, Ambattur, Chennai-600 098 
Type of Sponsor  Other [Manufacturer] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Aashish Chaudhry  Aakash Healthcare Super Speciality Hospital  Hospital Plot, Road No.201, Sector-3, Dwarka, New Delhi-110075, Department: Orthopedics Division: Unit-I Room No.: 05, Ground Floor OPD Phone: 011 43388888
New Delhi
DELHI 
011 43388888

anjusha.singh@aakashhealthcare.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Aakash Healthcare Super Speciality Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M179||Osteoarthritis of knee, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Altius™ Buechel-Pappas Primary Total Knee replacement System (Co-Cr Mobile Bearing Knee– Cemented)  Following up prospectively for a period of 15 years with the recruited subjects at defined time intervals. 1 A clinical follow up is done in the Pre-operative, Post-operative years – 6 weeks, 1st, 3rd, 6th, 10th and 15th year and 2 A telephonic follow up is done in the Post-operative years - 4th, 5th, 7th, 8th, 9th,11th,12th,13th,14th years. 
Comparator Agent  Not applicable  Not Applicable 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1. Male or female subjects who were implanted with CE marked AltiusTM Buechel Pappas High Flex Total Knee Replacement System (Co-Cr Mobile Bearing
Knee- Cemented)
2. Subjects that underwent TKR due to degenerative joint disease (primary Osteo Arthritis, post- traumatic arthritis, avascular necrosis (Osteochondritis), Rheumatoid Arthritis, abnormal formation or alignment of the knee) 
 
ExclusionCriteria 
Details  Subjects who underwent TKA without CE marked Altius (Co-Cr MobileBearing Knee- Cemented)
Subjects who underwent TKA having contraindications mentioned in IFU.
Subject has clinical conditions contributing to abnormal ambulation
Subject has undergone a previous major surgery to the study knee
Subject has active infection or sepsis (treated or untreated), not caused due to Buechel Pappas Total Knee replacement system
Subject has presence of malignant tumor such as Active lamignancy, metastatic, or neoplastic disease
Subject has conditions that may interfere with the TKA survival or outcome such as Paget’s bone disease, Charcot’s joint’s neuroarthropathy disease, muscular atrophy, metabolic disorders that affect bone regrowth, uncontrolled diabetes, moderate to severe renal insufficiency or neuromuscular disease
Subject has any acute or chronic morbidity of vascular origin that, in the opinion of the Medical Investigator, is likely to compromise successful treatment or compliance to follow up visits
Subject has inadequate bone stock to support the device such as severe osteopenia, family history of severe osteoporosis or osteopenia or osteomalacia or lower extremity orthopaedic problems that limits function
Subject has an emotional or neurological condition that would preempt their ability or willingness to participate in the study
Subject BMI greater than 40
Pregnant Women
Subject is enrolled in another clinical study at the same time  
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
Device performance will be analysed by parameters such as :
a) Knee Scores (Knee society score and WOMAC scores) are collected to
clinically analyse pain and activities of daily lives for each subject in the study
population .
b) Measurement of range of motion
c) Radiographic analysis 
15 years 
 
Secondary Outcome  
Outcome  TimePoints 
Revision rate, Risk monitoring and Adverse event monitoring during clinical and telephonic follow up  15 years 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Post Marketing Surveillance 
Date of First Enrollment (India)   03/07/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="15"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

The purpose of the study is to confirm the safety and performance of the device throughout its expected lifetime based on state-of-the-art; identify previously unknown complications and monitor the residual risks and contraindications; identify and analyze emergent risks on the basis of factual evidence; and ensure the continued acceptability of the benefit-risk ratio. The prospective follow-up period with the recruited subjects is 15 years at defined time intervals. 

 
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