Two Year Study With Robotic-Arm Assisted Hip Surgery.

NCT ID: NCT03891199

Last Updated: 2024-03-12

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-08

Study Completion Date

2020-08-01

Brief Summary

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This study will involve a quantitative assessment of prospectively collected computed tomography, radiographic and patient outcomes data from multiple centers. Specifically looking at acetabular cup placement during Total Hip Arthroplasty by either traditional or robotic-arm assisted placement.

Detailed Description

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The incidence of dislocation following total hip arthroplasty (THA) has been reported to be from 1% to as much as 3.2%. The demand for THA is expected to increase. Post- dislocation solutions include closed reduction, open reduction, THA revision, and constrained cup, conversion to hemiarthroplasty, allograft or girdlestone resection. These solutions are often costly, painful and can involve substantial additional risks and complications. Acetabular cup placement is an important factor in the stability of the THA. Cup malpositioning has been associated with bearing surface ware and dislocation. For most patients, acceptable angles for abduction are 40° abduction (±10°) and 20° (±5°) version. However, malpositioning continues to occur resulting in cup angles outside acceptable ranges and leaving patients with an increased risk of dislocation.

This objective of this study is to examine the acetabular cup placement of THA patients and compare results for patients who undergo THA with robotic-arm assistance with those who undergo traditional THA.

Conditions

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Surgery Hip Osteoarthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Control

Traditional THA.

Group Type NO_INTERVENTION

No interventions assigned to this group

Intervention

Robotic-arm assisted THA.

Group Type ACTIVE_COMPARATOR

Robotic-Arm Assisted THA

Intervention Type PROCEDURE

The study will examine the acetabular cup placement of THA patients and compare results for patients who undergo THA with robotic-arm assistance with those who undergo traditional THA.

Interventions

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Robotic-Arm Assisted THA

The study will examine the acetabular cup placement of THA patients and compare results for patients who undergo THA with robotic-arm assistance with those who undergo traditional THA.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Patients requiring primary total hip arthroplasty
2. Patients willing and able to comply with follow-up requirements
3. Patients willing to sign an Institutional Review Board approved informed consent form.

Exclusion Criteria

1. Patients with Body Mass Index \>45
2. Patients who are \<18 years of age
3. Patients with an active infection or suspected latent infection in or about the hip joint
4. Bone stock that is inadequate for support or fixation of the prosthesis
5. Previous major hip surgery excluding hip arthroscopy
6. Total hip arthroplasty using cement fixation or resurfacing
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Stryker Nordic

INDUSTRY

Sponsor Role collaborator

West Penn Allegheny Health System

OTHER

Sponsor Role collaborator

West Virginia University

OTHER

Sponsor Role lead

Responsible Party

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Matthew Dietz, MD

Associate Professor, Chair

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Matthew J Dietz, MD

Role: PRINCIPAL_INVESTIGATOR

West Virginia University

Locations

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WVU Medicine

Morgantown, West Virginia, United States

Site Status

Countries

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United States

References

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Banerjee S, Cherian JJ, Elmallah RK, Pierce TP, Jauregui JJ, Mont MA. Robot-assisted total hip arthroplasty. Expert Rev Med Devices. 2016;13(1):47-56. doi: 10.1586/17434440.2016.1124018. Epub 2015 Dec 21.

Reference Type BACKGROUND
PMID: 26592900 (View on PubMed)

Elson L, Dounchis J, Illgen R, Marchand RC, Padgett DE, Bragdon CR, Malchau H. Precision of acetabular cup placement in robotic integrated total hip arthroplasty. Hip Int. 2015 Nov-Dec;25(6):531-6. doi: 10.5301/hipint.5000289. Epub 2015 Sep 10.

Reference Type BACKGROUND
PMID: 26391264 (View on PubMed)

Kanawade V, Dorr LD, Banks SA, Zhang Z, Wan Z. Precision of robotic guided instrumentation for acetabular component positioning. J Arthroplasty. 2015 Mar;30(3):392-7. doi: 10.1016/j.arth.2014.10.021. Epub 2014 Oct 22.

Reference Type BACKGROUND
PMID: 25453633 (View on PubMed)

Werner SD, Stonestreet M, Jacofsky DJ. Makoplasty and the accuracy and efficacy of robotic-assisted arthroplasty. Surg Technol Int. 2014 Mar;24:302-6.

Reference Type BACKGROUND
PMID: 24574012 (View on PubMed)

Tarwala R, Dorr LD. Robotic assisted total hip arthroplasty using the MAKO platform. Curr Rev Musculoskelet Med. 2011 Sep;4(3):151-6. doi: 10.1007/s12178-011-9086-7.

Reference Type BACKGROUND
PMID: 21728013 (View on PubMed)

Callanan MC, Jarrett B, Bragdon CR, Zurakowski D, Rubash HE, Freiberg AA, Malchau H. The John Charnley Award: risk factors for cup malpositioning: quality improvement through a joint registry at a tertiary hospital. Clin Orthop Relat Res. 2011 Feb;469(2):319-29. doi: 10.1007/s11999-010-1487-1.

Reference Type BACKGROUND
PMID: 20717858 (View on PubMed)

Woo RY, Morrey BF. Dislocations after total hip arthroplasty. J Bone Joint Surg Am. 1982 Dec;64(9):1295-306.

Reference Type BACKGROUND
PMID: 7142237 (View on PubMed)

Lewinnek GE, Lewis JL, Tarr R, Compere CL, Zimmerman JR. Dislocations after total hip-replacement arthroplasties. J Bone Joint Surg Am. 1978 Mar;60(2):217-20.

Reference Type BACKGROUND
PMID: 641088 (View on PubMed)

Domb BG, El Bitar YF, Sadik AY, Stake CE, Botser IB. Comparison of robotic-assisted and conventional acetabular cup placement in THA: a matched-pair controlled study. Clin Orthop Relat Res. 2014 Jan;472(1):329-36. doi: 10.1007/s11999-013-3253-7. Epub 2013 Aug 29.

Reference Type BACKGROUND
PMID: 23990446 (View on PubMed)

Banerjee S, Cherian JJ, Elmallah RK, Jauregui JJ, Pierce TP, Mont MA. Robotic-assisted knee arthroplasty. Expert Rev Med Devices. 2015;12(6):727-35. doi: 10.1586/17434440.2015.1086264. Epub 2015 Sep 12.

Reference Type BACKGROUND
PMID: 26365088 (View on PubMed)

Roche M. Robotic-assisted unicompartmental knee arthroplasty: the MAKO experience. Orthop Clin North Am. 2015 Jan;46(1):125-31. doi: 10.1016/j.ocl.2014.09.008.

Reference Type BACKGROUND
PMID: 25435041 (View on PubMed)

Soong M, Rubash HE, Macaulay W. Dislocation after total hip arthroplasty. J Am Acad Orthop Surg. 2004 Sep-Oct;12(5):314-21. doi: 10.5435/00124635-200409000-00006.

Reference Type BACKGROUND
PMID: 15469226 (View on PubMed)

Pellicci PM, Bostrom M, Poss R. Posterior approach to total hip replacement using enhanced posterior soft tissue repair. Clin Orthop Relat Res. 1998 Oct;(355):224-8. doi: 10.1097/00003086-199810000-00023.

Reference Type BACKGROUND
PMID: 9917607 (View on PubMed)

Ghelman B, Kepler CK, Lyman S, Della Valle AG. CT outperforms radiography for determination of acetabular cup version after THA. Clin Orthop Relat Res. 2009 Sep;467(9):2362-70. doi: 10.1007/s11999-009-0774-1. Epub 2009 Mar 10.

Reference Type BACKGROUND
PMID: 19277802 (View on PubMed)

Redmond JM, Gupta A, Hammarstedt JE, Petrakos A, Stake CE, Domb BG. Accuracy of Component Placement in Robotic-Assisted Total Hip Arthroplasty. Orthopedics. 2016 May 1;39(3):193-9. doi: 10.3928/01477447-20160404-06. Epub 2016 Apr 12.

Reference Type BACKGROUND
PMID: 27064781 (View on PubMed)

El Bitar YF, Stone JC, Jackson TJ, Lindner D, Stake CE, Domb BG. Leg-Length Discrepancy After Total Hip Arthroplasty: Comparison of Robot-Assisted Posterior, Fluoroscopy-Guided Anterior, and Conventional Posterior Approaches. Am J Orthop (Belle Mead NJ). 2015 Jun;44(6):265-9.

Reference Type BACKGROUND
PMID: 26046996 (View on PubMed)

Gupta A, Redmond JM, Hammarstedt JE, Petrakos AE, Vemula SP, Domb BG. Does Robotic-Assisted Computer Navigation Affect Acetabular Cup Positioning in Total Hip Arthroplasty in the Obese Patient? A Comparison Study. J Arthroplasty. 2015 Dec;30(12):2204-7. doi: 10.1016/j.arth.2015.06.062. Epub 2015 Jul 2.

Reference Type BACKGROUND
PMID: 26253480 (View on PubMed)

Bukowski BR, Anderson P, Khlopas A, Chughtai M, Mont MA, Illgen RL 2nd. Improved Functional Outcomes with Robotic Compared with Manual Total Hip Arthroplasty. Surg Technol Int. 2016 Oct 26;29:303-308.

Reference Type BACKGROUND
PMID: 27728953 (View on PubMed)

Kamara E, Robinson J, Bas MA, Rodriguez JA, Hepinstall MS. Adoption of Robotic vs Fluoroscopic Guidance in Total Hip Arthroplasty: Is Acetabular Positioning Improved in the Learning Curve? J Arthroplasty. 2017 Jan;32(1):125-130. doi: 10.1016/j.arth.2016.06.039. Epub 2016 Jun 29.

Reference Type BACKGROUND
PMID: 27499519 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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1808218345

Identifier Type: -

Identifier Source: org_study_id

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