Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID02469662

Retrospective and Prospective Clinical Outcomes Study of the Zimmer Nexel Total Elbow for Primary or Revision Total Elbow Replacement

Led by Zimmer Biomet · Updated on 2025-10-29

134

Participants Needed

11

Research Sites

52 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the safety and performance of the Zimmer Nexel Total Elbow device used in primary or revision total elbow replacement surgeries. The study aims to confirm these aspects by analyzing standard scoring systems, X-rays, and records of any adverse events. It focuses on conditions such as elbow joint destruction, post-traumatic lesions, arthritis, instability, and fractures that impact elbow function. The study includes two groups: patients who have already undergone elbow replacement using the Nexel Total Elbow and those scheduled to receive it. The device's safety is monitored by tracking adverse event frequency, while its performance is assessed by measuring pain, function, implant survival, patient health, and radiographic success. Both retrospective and prospective data are collected based on surgical details and follow-up evaluations. Participants will undergo scheduled follow-up visits to evaluate their pain levels, functional abilities, and elbow health through physical exams and imaging. Researchers will monitor device survival over 10 years and track any complications or adverse events. The total duration of participation varies depending on whether the patient is in the retrospective or prospective group, with ongoing assessments to ensure safety and performance.

CONDITIONS

Brief Title

Clinical Outcomes Study of the Nexel Total Elbow

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patient is 18 years of age or older.
  • Patient has signed IRB/EC-approved informed consent.
  • Patient is a candidate for primary or revision total elbow arthroplasty due to symptoms such as elbow joint destruction, post-traumatic lesions or bone loss, ankylosed joints, advanced rheumatoid or degenerative arthritis, instability or loss of motion, or acute comminuted articular fracture.
  • Patient is willing and able to complete scheduled follow-up evaluations.
  • For retrospective arm: Patient underwent total elbow replacement with the Nexel system between July 2013 and site initiation.
  • Retrospective patient data includes preoperative demographics, physical exam, operative report, and implant details.
Not Eligible

You will not qualify if you...

  • Patient has active or repeated local infection at the surgical site.
  • Patient has current major infection distant from the operative site.
  • Patient has history of prior sepsis.
  • Patient suffers from paralysis or dysfunctional neuropathy at the elbow joint.
  • Patient has significant ipsilateral hand dysfunction.
  • Patient has excessive scarring near the surgical site preventing adequate soft tissue coverage.
  • Patient participates in daily activities causing significant stress to the implant, such as heavy labor or competitive sports.
  • Patient is a prisoner.
  • Patient is mentally incompetent or unable to understand study participation.
  • Patient is a known alcohol or drug abuser.
  • Patient is anticipated to be non-compliant.
  • Patient is known to be pregnant.

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Implementation

Duration - Procedure day

Participants receive the Nexel Total Elbow device as part of primary or revision total elbow arthroplasty.

1 visit (in-person)

Post-operative Follow-up

Duration - Up to 10 years

Participants are monitored for safety and performance of the implant through standard scoring systems, radiographs, and adverse event records.

Scheduled follow-up visits over 10 years

Trial Site Locations

Total: 11 locations

1

Panorama Orthopedics and Spine Center

Golden, Colorado, United States, 80401

Actively Recruiting

2

OrthoCarolina Research Institute

Charlotte, North Carolina, United States, 28207

Actively Recruiting

3

Rothman Institute

Philadelphia, Pennsylvania, United States, 19107

Actively Recruiting

4

Campbell Clinic

Germantown, Tennessee, United States, 38138

Actively Recruiting

5

Sydney Shoulder & Elbow, NSW

Sydney, New South Wales, Australia, 2067

Terminated

6

Coxa Hospital

Tampere, Finland

Actively Recruiting

7

Hôpital Purpan (Centre Hospitalier Universitaire Toulouse)

Toulouse, France

Terminated

8

Arcus Sportklinik

Pforzheim, Germany

Terminated

9

AO Mauriziano

Torino, Italy, 10128

Actively Recruiting

10

Amphia Ziekenhuis Breda

Breda, Netherlands

Active, Not Recruiting

11

Wrightington

Wigan, United Kingdom

Actively Recruiting

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Research Team

R

Richard Marek

R

Ryan Boylan

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

2

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