Efficacy of a New Resurfacing Hip Prosthesis

NCT ID: NCT00391937

Last Updated: 2013-03-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-10-31

Study Completion Date

2013-01-31

Brief Summary

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The purpose of this study is to compare the articular surface replacement (ASR) prosthesis placed by the conventional positioning method and the ASR prosthesis placed by 'computer assisted surgery' (CAS) in variation between pre planned position of the femoral component and the actual position of the femoral component of the prosthesis. The hypothesis is that this variation is larger with the conventional positioning method than when CAS is used.

Detailed Description

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For patients who suffer from end stage of osteoarthritis of the hip, a joint replacement could result in an obvious improvement of the quality of life. However, because of the life expectation and high level of activity of young and active patients, the conventional total hip replacement does not offer an optimal solution.

An alternative to a total hip replacement in young and active patients is the resurfacing hip prostheses. The articular surface replacement (ASR) hip prostheses can be placed by the conventional positioning method and by using 'computer assisted surgery' (CAS). The hypothesis is that the positioning of the femoral component by the conventional positioning method will show a larger variation between pre planned and actual position than when CAS is used.

This study will compare the results of those who had an ASR prosthesis placed by the conventional positioning method with those patients in whom the ASR prosthesis was placed using CAS.

Conditions

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Osteoarthritis, Hip

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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1

ASR prosthesis placed using CAS

Group Type EXPERIMENTAL

Articular Surface Replacement (ASR) hip prosthesis

Intervention Type DEVICE

a DePuy ASR™ primary resurfacing femoral and acetabular component (DePuy International Ltd, Leeds, UK). The cement that will be used is one dose of DePuy SmartSet® GHV 40 gram, a high-viscosity cement with gentamycin (DePuy CMW, Blackpool, UK). Instrumentation includes standard ASR™ instruments and Ci™ Software for DePuy ASR™ System1.0.

2

ASR prosthesis placed by conventional method

Group Type ACTIVE_COMPARATOR

Articular Surface Replacement (ASR) hip prosthesis

Intervention Type DEVICE

a DePuy ASR™ primary resurfacing femoral and acetabular component (DePuy International Ltd, Leeds, UK). The cement that will be used is one dose of DePuy SmartSet® GHV 40 gram, a high-viscosity cement with gentamycin (DePuy CMW, Blackpool, UK). Instrumentation includes standard ASR™ instruments and Ci™ Software for DePuy ASR™ System1.0.

Interventions

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Articular Surface Replacement (ASR) hip prosthesis

a DePuy ASR™ primary resurfacing femoral and acetabular component (DePuy International Ltd, Leeds, UK). The cement that will be used is one dose of DePuy SmartSet® GHV 40 gram, a high-viscosity cement with gentamycin (DePuy CMW, Blackpool, UK). Instrumentation includes standard ASR™ instruments and Ci™ Software for DePuy ASR™ System1.0.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Men aged ≤ 60 years, and women aged ≤ 55 years
* Presence of evident clinical and radiological osteoarthritis of the hip, indicated for a joint replacement surgery

Exclusion Criteria

* Evident osteoporosis
* Active local or systemic infection
* Clinical manifestation of vascular deficiency of the lower extremity
* Pathological condition of the acetabulum
* Presence of evident clinical and radiological avascular necrosis of the femoral head, hip dysplasia, slipped capital femoral epiphysis, Legg-Calve- Perthes disease
* Rheumatoid arthritis
* Extreme varus position (neck-shaft angle \< 110º)
* Presence of femoral cyst \> 1 cm in diameter
* Previous hip surgery
* Presence of bilateral hip pathology, which may lead to joint replacement surgery within 1 year
* Presence of a THR at the contra lateral site less than 6 months post- operatively or patients with a THR at the contra lateral site with a poor function of the hip
* BMI\> 30 kg/m2
* Renal deficiency (creatine \> 115 μmol/l for men and \> 90 μmol/l for women)
* Medically proven metal allergy
* Request of patient to correct an existing leg length discrepancy
* Head-neck ratio \< 1
* Use of steroids, and/or immunosuppressive medication
* Alcoholism
* Patients from which it is not sure that they will be able to attend the follow-up measurements
* Insufficient command of the Dutch language, spoken and/of written
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Johnson & Johnson

INDUSTRY

Sponsor Role collaborator

Erasmus Medical Center

OTHER

Sponsor Role lead

Responsible Party

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maaike vissers

PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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JAN Verhaar, PhD MD

Role: STUDY_DIRECTOR

Erasmus Medical Center

Locations

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Laurentius Hospital

Roermond, Limburg, Netherlands

Site Status

Maxima Medical Center, location Eindhoven

Eindhoven, North Brabant, Netherlands

Site Status

Medical Center Haaglanden, location Antoniushove

Leidschendam, South Holland, Netherlands

Site Status

Erasmus Medical Center

Rotterdam, South Holland, Netherlands

Site Status

Medical Center Haaglanden, location Westeinde Hospital

The Hague, South Holland, Netherlands

Site Status

Oosterschelde Hospital

Goes, Zeeland, Netherlands

Site Status

Countries

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Netherlands

References

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Koper MC, Reijman M, van Es EM, Waarsing JH, Koot HWJ, Keizer SB, Jansen I, van Biezen FC, Verhaar JAN, Bos PK. No added value for Computer-Assisted surgery to improve femoral component positioning and Patient Reported Outcomes in Hip Resurfacing Arthroplasty; a multi-center randomized controlled trial. BMC Musculoskelet Disord. 2019 Oct 25;20(1):473. doi: 10.1186/s12891-019-2883-7.

Reference Type DERIVED
PMID: 31651318 (View on PubMed)

Other Identifiers

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06-DP-001

Identifier Type: -

Identifier Source: org_study_id

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