Modifications of Devices for Hip Arthroscopy

NCT ID: NCT04516109

Last Updated: 2023-02-08

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

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

111 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-24

Study Completion Date

2026-08-31

Brief Summary

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This is protocol is intended to demonstrate the principal investigator's improvements and modifications of a hip capsule side fixed slotted cannula for continued access to the hip joint and a bone graft delivery tool set for grafting subchrondral cysts during hip arthroscopy procedure.

Detailed Description

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Femoroacetabular impingement (FAI) and acetabular dysplasia represent the two most common causes of secondary osteoarthritis of the hip1-3 and the two main indications for Hip Preservation procedures. Most patients with these pathologies will undergo Hip Arthroscopy, either alone, or combined with bony realignment procedures. Hip arthroscopy has grown exponentially over the past 15 years and is currently being leveraged in the diagnosis and treatment of a wide range of hip joint problems.

In an effort to improve surgical techniques, make surgeries faster and reproducible, mitigate complications and increase patient safety, surgeons modify and improve commercially available and commonly used non-significant risk devices with the above goals in mind.

For these reasons, the Principal Investigator (PI) modified and improved two devices for hip arthroscopy. These include the modified (1) hip capsule side fixed slotted cannula for continued access to the hip joint and (2) bone graft delivery tool set for grafting subchrondral cysts arthroscopically during hip arthroscopy procedure. After utilizing these modified devices clinically, the PI has been impressed with their impact and thus aims to demonstrate that the modifications provide significant improvements in surgical flow and technique, minimize surgical time (per technical phase), minimize surgical costs, result in an absolute low incidence of surgical complications, and ultimately improve patient outcomes.

Conditions

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Hip Arthroscopy

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

All eligible patients undergoing hip arthroscopy by the principal investigator will be assigned to one of two groups for analysis, based on the appropriate SOC surgical treatment for FAI, hip dysplasia, or a combination of the two. All patients will undergo hip arthoscopy with the use of the modified hip capsule slotted cannula.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators
We will be utilizing anonymous staff surveys. After the staff within the operating room (scrub, circulator, PA, and fellow) completes the paper survey (following the procedure), the staff member (who did not use the device per specific surgery) will administer the survey and seal in an envelope, which will be sent to the PRA. Thus, these responses will be blinded to the PI.

Study Groups

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Arthrosocpic labral repair

Patients undergoing arthroscopic labral repair with the use of the modified hip capsule slotted cannula.

Group Type ACTIVE_COMPARATOR

Modified hip capsule side fixed slotted cannula

Intervention Type DEVICE

Modified hip capsule side fixed slotted cannula used during surgery to allow for continued access to the hip joint.

Arthroscopic bone grafting

Patients undergoing arthroscopic bone grafting of subchrondral cyst with the use of the modified bone graft delivery tool set and modified hip capsule slotted cannula.

Group Type ACTIVE_COMPARATOR

Modified hip capsule side fixed slotted cannula

Intervention Type DEVICE

Modified hip capsule side fixed slotted cannula used during surgery to allow for continued access to the hip joint.

Modified bone graft delivery tool set

Intervention Type DEVICE

Modified bone graft delivery tool set for grafting subchrondral cysts arthroscopically during hip arthroscopy procedure.

Interventions

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Modified hip capsule side fixed slotted cannula

Modified hip capsule side fixed slotted cannula used during surgery to allow for continued access to the hip joint.

Intervention Type DEVICE

Modified bone graft delivery tool set

Modified bone graft delivery tool set for grafting subchrondral cysts arthroscopically during hip arthroscopy procedure.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Males or females between the ages of 18 and 60 years diagnosed with FAI, Hip Dysplasia or the combination of the two.
* Persistent hip pain accompanied by mechanical symptoms refractory to nonoperative management lasting at least 3 months.
* Reproducible clinical examination findings suggestive of impingement and/or decreased range of motion, and positive radiographic findings on radiography, computed tomography with 3-dimensional reconstruction, and magnetic resonance imaging.
* Joint-space width \> 3 mm on all views of plain radiography and 3-dimensional computed tomography.
* Patients undergoing hip arthroscopy for the treatment of FAI, Hip Dysplasia, or the combination of the two by the Principal Invesitgator.

Exclusion Criteria

* Age \<18 years.
* Prisoners.
* Pregnant women.
* Decisionally challenged.
* Does not speak or understand English.
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Colorado, Denver

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Omer Mei-Dan, MD

Role: PRINCIPAL_INVESTIGATOR

University of Colorado, Denver

Locations

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University of Colorado, Hip Preservation Center, Orthopedic Department

Boulder, Colorado, United States

Site Status

UCHealth Steadman Hawkins Clinic - Denver

Englewood, Colorado, United States

Site Status

Countries

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United States

References

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Beck M, Kalhor M, Leunig M, Ganz R. Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg Br. 2005 Jul;87(7):1012-8. doi: 10.1302/0301-620X.87B7.15203.

Reference Type BACKGROUND
PMID: 15972923 (View on PubMed)

Zhang C, Li L, Forster BB, Kopec JA, Ratzlaff C, Halai L, Cibere J, Esdaile JM. Femoroacetabular impingement and osteoarthritis of the hip. Can Fam Physician. 2015 Dec;61(12):1055-60.

Reference Type BACKGROUND
PMID: 26668284 (View on PubMed)

Lung R, O'Brien J, Grebenyuk J, Forster BB, De Vera M, Kopec J, Ratzlaff C, Garbuz D, Prlic H, Esdaile JM. The prevalence of radiographic femoroacetabular impingement in younger individuals undergoing total hip replacement for osteoarthritis. Clin Rheumatol. 2012 Aug;31(8):1239-42. doi: 10.1007/s10067-012-1981-9. Epub 2012 May 3.

Reference Type BACKGROUND
PMID: 22552857 (View on PubMed)

Huo MH, Parvizi J, Bal BS, Mont MA; Council of Musculoskeletal Specialty Societies (COMSS) of the American Academy of Orthopaedic Surgeons. What's new in total hip arthroplasty. J Bone Joint Surg Am. 2008 Sep;90(9):2043-55. doi: 10.2106/JBJS.H.00741. No abstract available.

Reference Type BACKGROUND
PMID: 18762667 (View on PubMed)

Kelly BT, Williams RJ 3rd, Philippon MJ. Hip arthroscopy: current indications, treatment options, and management issues. Am J Sports Med. 2003 Nov-Dec;31(6):1020-37. doi: 10.1177/03635465030310060701.

Reference Type BACKGROUND
PMID: 14623676 (View on PubMed)

Philippon MJ, Stubbs AJ, Schenker ML, Maxwell RB, Ganz R, Leunig M. Arthroscopic management of femoroacetabular impingement: osteoplasty technique and literature review. Am J Sports Med. 2007 Sep;35(9):1571-80. doi: 10.1177/0363546507300258. Epub 2007 Apr 9.

Reference Type BACKGROUND
PMID: 17420508 (View on PubMed)

Huo MH, Parvizi J, Bal BS, Mont MA. What's new in total hip arthroplasty. J Bone Joint Surg Am. 2009 Oct;91(10):2522-34. doi: 10.2106/JBJS.I.00801. No abstract available.

Reference Type BACKGROUND
PMID: 19797590 (View on PubMed)

Leunig M, Werlen S, Ungersbock A, Ito K, Ganz R. Evaluation of the acetabular labrum by MR arthrography. J Bone Joint Surg Br. 1997 Mar;79(2):230-4. doi: 10.1302/0301-620x.79b2.7288.

Reference Type BACKGROUND
PMID: 9119848 (View on PubMed)

Tsai SW, Chen CF, Wu PK, Chen TH, Liu CL, Chen WM. Modified anterolateral approach in minimally invasive total hip arthroplasty. Hip Int. 2015 May-Jun;25(3):245-50. doi: 10.5301/hipint.5000218. Epub 2015 Feb 12.

Reference Type BACKGROUND
PMID: 25684250 (View on PubMed)

Wang Y, Xu H, Ding M, Zhen Z, Lu Q, Liao B, Shangguan L. Permanently Avoiding Steam on Camera for Arthroscopy by a Simple Device. Arthrosc Tech. 2018 Dec 17;8(1):e47-e49. doi: 10.1016/j.eats.2018.08.029. eCollection 2019 Jan.

Reference Type BACKGROUND
PMID: 30899650 (View on PubMed)

RStudio: Integrated Development for R. [computer program]. Version 1.1.456. Boston, MA: RStudio, Inc.; 2016

Reference Type BACKGROUND

Other Identifiers

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19-2755

Identifier Type: -

Identifier Source: org_study_id

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