FDA-Approved ankle replacement under the microscope: will it hold up?
NCT ID NCT04770870
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study follows 94 people who received the FDA-approved H3 total ankle replacement for arthritis. Researchers will track serious device-related problems and how well the ankle works over 2 to 5 years. The goal is to confirm the device's safety and effectiveness in real-world use.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Hintermann Series H3 Total Ankle Replacement System (a device with metal and plastic parts to replace the ankle joint)
- What this could lead to
- If successful, this study could confirm that the H3 ankle replacement is a safe and effective option for people with severe ankle arthritis, helping them move with less pain.
- What could go wrong
- This is a post-approval study, not a new treatment test. It mainly tracks safety and device survival, so it won't prove a cure. Some patients may still need revision surgery or have complications.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 94 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2022
- Expected to finish
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Dec 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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21 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Each potential subject must be an appropriate candidate for mobile bearing TAR by having: a primary osteoarthritis, post-traumatic osteoarthritis, or arthritis secondary to inflammatory disease, as determined by the Principle Investigator. * Willingness to participate in the study and follow-up visits * Written informed consent, including authorization to release collected health data Exclusion Criteria: * Skeletal immaturity * Bone stock inadequate to support the device including: * Severe osteoporotic or osteopenic condition or other conditions resulting in poor bone quality * Avascular necrosis of the talus * Active or prior deep infection in the ankle joint or adjacent bones * Malalignment or severe deformity of involved or adjacent anatomic structures including: * Hindfoot or forefoot malalignment precluding plantigrade foot * Significant malalignment of the knee joint * Insufficient ligament support that cannot be repaired with soft tissue stabilization (syndesmosis disruption) * Charcot joint or peripheral neuropathy that may lead to Charcot joint of the affected ankle * Neuromuscular disease resulting in lack of normal muscle function about the affected ankle * Lower extremity vascular insufficiency demonstrated by Doppler arterial pressure * Poor skin and soft tissue quality about the surgical site * Immunosupressive therapy * Prior ankle fusion or revision of total ankle replacement * High demanding sport activities (e.g., contact sports, jumping) * Suspected or documented metal allergy or intolerance * Condition or situation which, in the Physician's opinion, puts the subject at significant risk, or may interfere significantly with the subject's participation in the study
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Christus St Vincent
Alamogordo, New Mexico, 88310, United States
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Department of Orthopedic Surgery, Johns Hopkins Outpatient Center
Baltimore, Maryland, 21287, United States
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Dept. of Orthopedic Surgery and Rehabilitation, University of Oklahoma
Oklahoma City, Oklahoma, 73104, United States
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Duke Orhtopaedics Arringdon
Morrisville, North Carolina, 27560, United States
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Florida Orthopedic Foot & Ankle Center
Sarasota, Florida, 34233, United States
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Los Angeles Institute of Foot and Ankle Surgery
Mission Hills, California, 91345, United States
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MUSC Department of Orthopaedics/Foot and Anke Services
Charleston, South Carolina, 29425, United States
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Ortho Arkansas
Little Rock, Arkansas, 72204, United States
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Orthopaedic Associates
Evansville, Indiana, 47710, United States
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Paley Orthopedic & Spine Institute
West Palm Beach, Florida, 33407, United States
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Spring Branch Podiatry, PLLC
Houston, Texas, 77024, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Could a single bone screw save ankles from arthritis?
- Which scan is best for foot arthritis? new study aims to find out
- Gentle group workouts may ease joint pain without drugs
- Can a special brace stop ankle arthritis after a break?
- Ankle brace study pulled before it even started
- Zap away arthritis pain? new electromagnetic therapy shows promise