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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT01118247
Other study ID # P-REK NORD 44/206
Secondary ID 200602701-8/IAY/
Status Active, not recruiting
Phase N/A
First received
Last updated
Start date April 2004
Est. completion date March 2023

Study information

Verified date February 2019
Source University Hospital of North Norway
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Both HA coated and certain uncoated femoral stems have good results in general. On the cup side the results are more variable, either with or without HA. HA may delaminate from the prosthesis, damage the articulation, witch may lead to osteolysis and aseptic loosening.

The investigators are investigating whether a well working uncemented hip prosthesis design with HA coating, will perform without HA in the long run, when the investigators use pure Ti macrostructure and alumina on alumina articulation.

Hypothesis: The bone ingrowth will be equal when the surface has almost equal roughness in Ti and HA version. This means that HA on Ti is not necessary with a well functioning prosthesis design.

0-hypothesis:The two prosthesis perform equal in survival, clinically (HHS),radiographic and in patient satisfaction at 2, 5, 10, 15 and 20 years.


Description:

Investigate survival of the implants and possible biological consequences. Clinical outcome with Harris Hip Score. Radiographic outcome with a modified protocol after JRC, JBJS 1990. Patient satisfaction with the hip prosthesis (five categories).

Grit blasted TiAL6V4 + pure Ti versus grit blasted TiAL6V4 + pure Ti +HA, with almost the same roughness. Screw cup, double tapered stem, partly double coated cup, proximally double coated stem.

Prospective RCT. Multicenter ( Three hospitals). Selected surgeons. Non-inferiority-design.

At present 569 hips (391 patients, 178 bilateral) are randomized into the study. Inclusion of patients into the study stopped in January 2013.

548 hips have completed follow ups at an average of 2 years, 301 hips have completed follow ups at an average of 5 years and 60 hips at 8-10 years.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 400
Est. completion date March 2023
Est. primary completion date March 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years to 70 Years
Eligibility Inclusion Criteria:

- Primary or secondary osteoarthrosis.

- Both gender, less than seventy years.

- Patients operated for FCF and patients with previous osteotomies are included.

Exclusion Criteria:

- Treatment with Prednisolon.

- Osteomyelitis.

- Serious infections illnesses.

- Cancer or metastasis.

- Rheumatoid arthritis.

- Osteonecrosis after use of alcohol or medicaments.

- Kidney illnesses.

- Metabolic bone diseases.

- Earlier hip arthrodesis.

- Allergic reactions on implants.

- Patients who do not cooperate on rehabilitation.

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
Uncemented primary total hip arthroplasty
Total hip prosthesis partly coated with pure Ti with and without HA are compared in a RCT.

Locations

Country Name City State
Norway Ortopaedic Department, University Hospital of North Norway Tromsø

Sponsors (1)

Lead Sponsor Collaborator
University Hospital of North Norway

Country where clinical trial is conducted

Norway, 

Outcome

Type Measure Description Time frame Safety issue
Primary Survival with revision as endpoint. 5-20 years
Secondary Clinical outcome with Harris Hip Score. 10-30 years
Secondary Radiographic outcome. The radiographic evaluation will be carried out postoperatively, 2, 5, 10, 15 and 20 years after the operations with the same protocol modified after Johnston et al, JBJS Am. 1990;72: page 166. We judge and compare a.p pelvic x-rays calibrated on the computer. 10-30years
Secondary Patient satisfaction with the hip prosthesis. At the consultations we ask the patient if he/she is satisfied with the hip. The patient may answer i 5 categories (dissatisfied, not satisfied, satisfied, very satisfied and very much satisfied). We also have registrations on early and late complications, leg length discrepancy, Trendelenburg lurch etc. 10-30 years