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Arthroplasty Complications clinical trials

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NCT ID: NCT03692351 Completed - Clinical trials for Arthroplasty Complications

Osteolysis Development Around Uncemented Cups With or Without Screw Holes

Start date: June 15, 1994
Phase: N/A
Study type: Interventional

In order to investigate the role of acetabular cup screw holes for the transport of osteolysis-inducing particles in a total hip arthroplasty articulation, the investigators compare the amount of bone loss around acetabular cups with and without holes. Bone loss is measured with computed tomography at 7 years and 15 - 18 years of follow-up.

NCT ID: NCT03680443 Completed - Clinical trials for Arthroplasty Complications

Total Hip Arthoplastry Revision by Dual-mobility Acetabular Cup Cemented in a Metal Reinforcement

PTH
Start date: January 1, 2013
Phase:
Study type: Observational

Total hip arthroplasty (THA) requires bone reconstruction in case of severe acetabular injury, with risk of dislocation, especially postoperatively. Dual-mobility cups have proved effective in preventing dislocation in THA revision for instability, but their behavior when cemented in a metal reinforcement has been little studied. The present study assessed results for a dual-mobility cup cemented in a metal reinforcement, in terms of aseptic loosening and postoperative instability. A single-center continuous series of 62 patients receiving such an assembly in THA revision was assessed retrospectively at a minimum 5 years' follow-up.

NCT ID: NCT03677518 Completed - Clinical trials for Arthroplasty Complications

Total Knee Arthroplasty With the Medial-Pivot Knee System

MEDIAL-PIVOT
Start date: January 1, 2017
Phase:
Study type: Observational

The "ball-in-socket" design of the Medial-Pivot knee system (MicroPort Orthopedics, Arling-ton, Tennessee, USA) aims to reproduce normal knee kinematics by medializing its rotational axis. Thegoal of this study was to measure knee range of motion (ROM) with this implant after a mean follow-up of 10 years and to report the survivorship and long-term clinical and radiological outcomes. Wehypothesized the prosthetic knee would have at least 120◦flexion at 10 years. This was retrospective, single-centre study of 74 Medial-Pivot knees implanted in71 patients (average age of 69 years) between May 2005 and November 2007. All patients who receiveda Medial-Pivot knee were included consecutively. The mean follow-up was 10 years. Clinical and radio-logical assessments were performed using the Knee Society Score (KSS) and Ewald's score. Kaplan-Meirsurvival analysis was used to calculate survivorship.

NCT ID: NCT03572920 Completed - Pain Clinical Trials

Sleep Behavior and Rest-activity Circadian Rhythm (RAR) in Hip/Knee Prosthesis

Sleep&RAR
Start date: June 19, 2018
Phase:
Study type: Observational

The consequences of chronically insufficient sleep are both behavioral and medical. . Patients who undergo total knee or hip arthroplasty commonly complain of sleep fragmentation after hospitalization The aim of the present study is to evaluate the changes inrest-activity circadian rhythm (RAR) and objective and subjective sleep quality and perceived pain, untill the 10th hospitalization day, in patients who underwent total knee or hip arthroplasty.

NCT ID: NCT03522285 Not yet recruiting - Clinical trials for Arthroplasty Complications

Outcome of Total Hip Replacement in Patients With Chronic Renal Disease

Start date: June 1, 2018
Phase:
Study type: Observational

the study aims to determine rate of mortality and morbidity after total hip replacement in patients with chronic kidney diseases and incidence of periprosthetic joint infection in these patients.

NCT ID: NCT03415204 Completed - Clinical trials for Arthroplasty Complications

Acupuncture for Post Operative Pain Following Total Knee or Hip Arthroplasty

Start date: December 20, 2017
Phase: N/A
Study type: Interventional

Post operative pain (POP) is a major obstacle on the road to healing, despite the increasing interest in postoperative pain management and development of pain control modalities (1). Postoperative pain is still insufficiently treated with more than 50% of patients suffering from moderate to severe pain early after surgery .Pain after orthopedic surgery is considered especially difficult to manage. Approximately half of total knee or hip arthroplasty patients present with extreme pain immediately after surgery. Total knee and hip arthroplasty often results not only in severe perioperative pain and debilitation, but chronic pain, joint stiffness, and functional disability many months or even years following the procedure. Various modalities of treating orthopedic POP exist, but the optimal management of postoperative pain remains controversial with no clear consensus of the best method.We suggest that acupuncture can be an effective treatment for post operative pain after total knee or hip arthroplasty.

NCT ID: NCT03392285 Completed - Hip Fractures Clinical Trials

Undisplaced Femoral Neck Fractures

UNFNF
Start date: January 1, 2013
Phase: N/A
Study type: Observational

Purpose The purpose of this study is to compare the clinical outcome and the rate of reoperations in a cohort of patients with undisplaced femoral neck fractures treated with internal fixation and patients with displaced femoral neck fractures treated with hip arthroplasty. Methods In a consecutive series of patients we compared the results of internal fixation for undisplaced femoral neck fractures with those of hip arthroplasty for displaced fractures (control group) of elderly patients. Risk of reoperation and patient reported hip function assessed with Harris hip score and WOMAC were used as outcome measurements.

NCT ID: NCT03379935 Completed - Clinical trials for Arthroplasty Complications

Radial Head Arthroplasty A Clinical and Radiological Comparison of Monopolar and Bipolar Radial Head Arthroplasty

RHA
Start date: January 1, 2017
Phase: N/A
Study type: Observational

Fractures of the radial head are among the most common fractures in the elbow and represent one-third of all elbow fractures.This retrospective cohort study was performed between 2004 and 2014 at Sundsvall and Umeå University hospital, Sweden. All patients who were operated on between 2004 and 2014 with a radial head arthroplasty for an acute or sequelae due to a caput radii fracture.The aim of this study is to evaluate clinical or radiological differences between patients treated with a unipolar or bipolar radial head arthroplasty.

NCT ID: NCT03306810 Recruiting - Clinical trials for Arthroplasty Complications

Recognition and Treatment of Dysglycemia. AGS - Acute Glucose Service

AGS
Start date: September 26, 2017
Phase: N/A
Study type: Interventional

AGS (Acute Glucose Service ) is an inpatient glucose management service consisting of Nurse Practitioner and physician. Team manages not - consulted- based preoperative assessment, perioperative glucose control, patient education and supervision, but also transition of care postoperatively. The goal is to detect and treat dysglycemias , but also provide an active and constantly ongoing education to other hospital teams. AGS improves better overall- survival of arthroplastic patients and is an effective way to recognize and treat dysglycemias and to organize constantly ongoing education.

NCT ID: NCT03289247 Completed - Infection Clinical Trials

Tissue Adhaesive in Wound Closure Following Primary Total Knee Arthroplasty

Start date: September 1, 2015
Phase: N/A
Study type: Interventional

The study's primary objective is to compare the following parameters between wound closure following primary TKA with and without supplement tissue adhesive (Leukosan®):