Cormet Post-PMA Study: New Enrollment
- Conditions
- Rheumatoid ArthritisAvascular NecrosisOsteoarthritis
- Interventions
- Device: Cormet Hip Resurfacing
- Registration Number
- NCT00722007
- Lead Sponsor
- Corin
- Brief Summary
The primary objective of this study is to evaluate the performance of the Cormet Hip Resurfacing implant system in the post-approval environment.
- Detailed Description
This study tracks the performance of the Cormet Hip Resurfacing system in the post-approval environment to see if there are significant changes in device performance from the pre-market IDE setting as compared to the post-approval setting. Specifically this study will compare the proportion of subjects achieving a Month 24 composite clinical success (CCS) criterion and 24 month cumulative revision rate among the newly enrolled post-approval study subjects to the IDE subjects' performance on CCS as reported in the Pre-Market Application (PMA).
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 147
- Male or female patient who meets eligibility criteria consistent with product labeling
- skeletally mature
- mentally capable of completing follow-up forms
- Will be available for follow-up out to 2 years and annually thereafter until the last patient reaches the two-year evaluation
- Has been deemed a candidate for hip replacement by diagnosis of the investigator
- consented to participate in the clinical study
- Patient with active or suspected infection in or around the hip joint;
- Patient with bone stock inadequate to support the device
- Patient with severe osteopenia
- Patient with a family history of severe osteoporosis or severe osteopenia;
- Patient with osteonecrosis or avascular necrosis (AVN) with >50% involvement of the femoral head (regardless of FICAT Grade)
- Patient with multiple cysts of the femoral head (>1cm)
- In cases of questionable bone stock, a DEXA scan may be necessary to assess inadequate bone stock.
- Patient with any vascular insufficiency, muscular atrophy, or neuromuscular disease severe enough to compromise implant stability or postoperative recovery;
- Female of child-bearing age due to unknown effects on the fetus of metal ion release.
- Patient with known moderate or severe renal insufficiency;
- Patient who is immunosuppressed with diseases such as AIDS or person receiving high doses of corticosteroids;
- Patient who is severely overweight;
- Patient with known or suspected metal sensitivity (e.g., jewelry).
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Cormet Hip Resurfacing Post-PMA Group Cormet Hip Resurfacing hip resurfacing
- Primary Outcome Measures
Name Time Method The Number of Unilateral Procedures Which Achieved Composite Clinical Success (CCS) at Month 24 Month 24+ Composite Clinical Success (CCS) is based upon the following:
There has been no revision, removal, or replacement of any device component on or prior to the exact 24 month anniversary (i.e., relative day 730); and Month 24 Harris Hip Total score (HHS) ≥ 80 points.
- Secondary Outcome Measures
Name Time Method Number of Procedures (Unilateral & Bilateral) With Any Device Related Adverse Events Month 24+ The Number of Procedures (Unilateral & Bilateral) With Any Radiographic Findings at Month 24 Post Operatively Month 24+ The following was assessed:
Radiolucency Acetabular Component: I; II; III Radiolucency Femoral Component: Superior; Tip; Inferior Cup Migration and Tilt: Superior/Inferior Migration \> 4mm; Medial/Lateral Migration \> 4mm; Varus/Valgus Tilt \> 4 degrees Stem Migration and Tilt: Subsidence of Femoral Component \> 4mm and Stem tilting \> 4 degrees Other Assessments: Anteversion of the Head ≥ 5mm; Retroversion of the Head ≥ 5 mm; Hypertrophy in Any Zone; Resorption in Any Zone; Lysis in Any Zone; OsteolysisSurvival Rate Using Kaplan-Meier Survival Curves Month 24+ Kaplan-Meier survival curves were completed for all implants (unilateral \& bilateral) for Month 24
Number of Implants (Unilateral & Bilateral) With Harris Hip Scores (HHS) Components Including Total, Pain & Function Scored at Month 24+ Month 24+ All unilateral and bilateral implants have been assessed using the following grading:
Total HHS: Excellent (90-100); Good (80-89); Fair (70-79); Poor (\<70) Pain HHS: None; Slight; Mild; Moderate; Marked; Totally Disabled Function HHS: Normal (40-47); Mild Dysfunction (30=\<39); Moderate Dysfunction (20=\<29); Severe Dysfunction (10=\<19); Disabled (0=\<9)
Trial Locations
- Locations (6)
Sinai Hospital of Baltimore
🇺🇸Baltimore, Maryland, United States
Florida Orthopaedic Institute
🇺🇸Tampa, Florida, United States
Memorial Bone and Joint Clinic
🇺🇸Houston, Texas, United States
Lattimore Orthopaedics P.C.
🇺🇸Rochester, New York, United States
Willamette Orthopedic Group LLC
🇺🇸Salem, Oregon, United States
George Washington University
🇺🇸Washington, District of Columbia, United States