Analysis of Specimens From Patients With Orthopaedic Implants

NCT ID: NCT02566694

Last Updated: 2017-04-12

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

UNKNOWN

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-03-31

Study Completion Date

2020-03-31

Brief Summary

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The investigators aim to determine the cause of failure of orthopaedic implants using multi-disciplinary analysis of data from patients who have undergone revision.

Detailed Description

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The following tests will then be arranged:

* Tribological assessment. The investigators will measure the wear of the explants using: 1) 'out of roundness'; and 2) Coordinate measuring. Semi-quantitative assessment of damage to the explants will also be conducted
* Histological assessment. Tissue sent in formalin may determine the biomarker of diagnosis of metal ion synovitis where applicable
* Metal ion measurement in body fluids where applicable (in patients with metal implants)
* Diamond Light Source (this was approved in the 1st amendment). The tests will involve subjecting formalin fixed tissue to the high energy electron beam of the Diamond Light Source
* Destructive testing of the implant is allowed by the patient (after all non-destructive tests have been performed)
* Protein analysis of fluid and tissue if provided
* Titanium levels from blood samples if provided
* Gene expression testing to assess and understand mechanism of inflammation where applicable

Conditions

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Implants

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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Failed implants

All patients undergoing revision of an orthopaedic implant (previously this was limited to metal hips but this has now expanded to other orthopaedic implants)

Implant

Intervention Type PROCEDURE

orthopaedic implant

Controls with different failure modes

We will compare findings with different types of orthopaedic implants and categories of failure mode.

Implant

Intervention Type PROCEDURE

orthopaedic implant

Interventions

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Implant

orthopaedic implant

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* All patients undergoing revision of an orthopaedic implant (previously this was limited to metal hips but this has now expanded to other orthopaedic implants)

Exclusion Criteria

* Patients not consenting to the study
Minimum Eligible Age

11 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Massachusetts General Hospital

OTHER

Sponsor Role collaborator

Coxa, Hospital for Joint Replacement

OTHER

Sponsor Role collaborator

Royal National Orthopaedic Hospital NHS Trust

OTHER

Sponsor Role lead

Responsible Party

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Professor Alister Hart

Professor of Orthopaedics

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Alister Hart, FRCSG(Orth)

Role: PRINCIPAL_INVESTIGATOR

RNOH

Locations

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Royal National Orthopaedic Hospital

Stanmore, London, United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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Iva Hauptmannova, BSc

Role: CONTACT

Facility Contacts

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Alister Hart, MD,FRCSG

Role: primary

Other Identifiers

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RNOH LIRC

Identifier Type: -

Identifier Source: org_study_id

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