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Long-Term Multi-center Evaluation of E-Poly and Regenerex

Not Applicable
Conditions
Osteoarthritis of Hip
Traumatic Arthritis of Hip
Interventions
Procedure: Total Hip Arthroplasty
Registration Number
NCT00545285
Lead Sponsor
Massachusetts General Hospital
Brief Summary

There are two distinct aims of this study:

1. This prospective study is designed to document the long-term (10-year) radiographic and clinical outcomes of a new type of highly cross-linked polyethylene liner which contains vitamin E as an anti-oxidant, (E-Poly), in a group of primary total hip arthroplasty subjects. The clinical outcome of E-Poly will be compared to a group of subjects receiving Arcom XL polyethylene.

2. This study is also designed to document the long-term (10-year) radiographic and clinical outcomes of a new cementless acetabular component having a titanium porous surface (Regenerex). The clinical outcome of this new FDA cleared device will be compared a group of subjects receiving an acetabular component having a plasma sprayed surface.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
1000
Inclusion Criteria
  • Subjects requiring primary total hip replacement
  • Subjects with diagnosis of osteoarthritis or traumatic arthritis
  • Subjects who demonstrate the ability to return for follow-up for the next 10 years
Exclusion Criteria
  • Subjects with limited life span
  • Subjects with difficulty in comprehending study protocol for any reason.
  • Subjects with inflammatory disease, previous infection or those requiring revision hip surgery.
  • Subjects with avascular necrosis
  • Subjects whose bony structures are so small that a femoral head less than 32mm in diameter must be used.
  • Subjects whose bony structure deviates substantially from the general norm sufficiently to require non-standard techniques and non-standard implants. Specific examples of these are total dislocation of the hip, severe coxa vera deformity, severe forms of multiple epiphyseal dysplasia
  • Subjects with complex disease entities which significantly increase the risks of the surgery such as any major platelet abnormality, hematological disorder, positive for HIV or any other major medical complication which substantially reduces longevity.
  • Female subjects that are pregnant or who may suspect they are pregnant or who plan to become pregnant while participating in this study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
2Total Hip ArthroplastyTotal hip Arthroplasty ArcomXL® polyethylene liner in a titanium plasma sprayed RingLoc® shell
3Total Hip ArthroplastyTotal hip Arthroplasty E-Poly™ liner with Regenerex Ringloc +™ shell
4Total Hip ArthroplastyTotal hip Arthroplasty ArcomXL® polyethylene liner with Regenerex Ringloc +™ shell
1Total Hip ArthroplastyTotal hip Arthroplasty E-Poly™ liner in a titanium plasma sprayed RingLoc® shell
Primary Outcome Measures
NameTimeMethod
Survivorship: length of time implant remains without revisionEvaluated at 1,3,5,7 ,10th year over 10 years
Complications and Adverse EventsEvaluated at 1,3,5,7 ,10th year over 10 years
Incidence of radiolucencies (acetabular component)Evaluated at 1,3,5,7 ,10th year over 10 years
Patient administered Outcome Survey scoresEvaluated at 1,3,5,7 ,10th year over 10 years
Polyethylene wear rates from AP radiographsEvaluated at 1,3,5,7 ,10th year over 10 years
Secondary Outcome Measures
NameTimeMethod
Other outcomes that may be relevant.1,3,5,7,10 yr over 10 years
Retrieval analysis1,3,5,7,10 yr over 10 years
Survivorship in subcategories of infection, aseptic loosening and other1,3,5,7,10 yr over 10 years
Subcategories of the outcome scores regarding pain, patient satisfaction, function,general quality of life.1,3,5,7,10 yr over 10 years

Trial Locations

Locations (1)

Massachusetts General Hospital

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Boston, Massachusetts, United States

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