A Comparative Study of In-vivo Wear Between 28 mm and 40 mm Metal Heads With Highly Cross Linked (X3) Acetabular Polyethylene Insert in the Hemispherical Trident Cup
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- To Compare Wear of the Polyethylene X3 Insert Based on Digital Radiographs Using the Hip Analysis Suite (HAS).
研究概览
简要总结
Prospective, single centre, randomized clinical study; series of patients with a 5-years patient evaluation period.
详细描述
This is a single centre randomized clinical outcomes study. The Symax stem or Accolade TMZF (Titan, Molybdenum, Zirconium, Ferrum) in combination with the Hemispherical Trident cup, X3 inserts, 28 and 40 mm Metal heads are the primary components to be implanted for evaluation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male and non pregnant female patients between 18-75 years of age.
- •Patients requiring uncemented primary total hip arthroplasty (THA), suitable for the use of the Symax stem
- •Patients with a diagnosis of osteoarthritis (OA), rheumatoid arthritis (RA), avascular necrosis (AVN) or post-traumatic arthritis (TA).
- •Patients who understand the conditions of the study and are willing and able to comply with the post-operative scheduled clinical and radiographic evaluations and the prescribed rehabilitation
- •Patients who signed the specific Informed Consent Form prior to surgery
排除标准
- •Patients who require revision of a previously implanted THA
- •Patients who had a THA on contra-lateral side within the last 1 year.
- •Patients who had a THA on contralateral side more than 1 year ago and the rehabilitation period outcome was considered unsatisfactory or not good. (Patients with contra-lateral THA > 1 year ago with good outcome (Harris Hip Score > 85) can be included in the study).
- •Patients who will need lower limb joint replacement for another joint within one year.
- •Bilaterally operated patient.
- •Patients who have had a prior procedure of acetabular osteotomy.
- •Patients with active or suspected infection.
- •Patients with malignancy - active malignancy
- •Patients with a diagnosed systemic disease that would affect the subject's welfare or overall outcome of the study (i.e. severe osteoporosis, Paget's disease, renal osteodystrophy) or is immunologically suppressed, or receiving steroids in excess of physiologic dose requirements.
- •The patient has a neuromuscular or neurosensory deficit which would limit the ability to assess the performance of the device or the patient has a neurological deficit which interferes with the patient's ability to limit weight bearing or places an extreme load on the implant during the healing period.
- •Female patients planning a pregnancy during the course of the study.
- •Patients with systemic or metabolic disorders leading to progressive bone deterioration.
- •Patients, who as judged by the surgeon, are mentally incompetent or are unlikely to be compliant with the prescribed post-operative routine and follow-up evaluation schedule.
- •Patients with other severe concurrent joint involvements which can affect their outcome.
- •Patients with other concurrent illnesses which are likely to affect their outcome such as sickle cell anaemia, systemic lupus erythematosus, psoriasis, Insulin dependent Type I diabetes or renal disease requiring dialysis.
- •Surgeries to be performed with navigation and/or robot-assisted instruments.
- •Patient with a known sensitivity to device materials.
研究组 & 干预措施
Trident cup, X3 inserts, 28 mm head
Equality of 5 year wear in the 28mm and the 40mm metal femoral head sizes. Trident cup in combination with Symax stem or Accolade TMZF stem.
干预措施: Symax stem (Device)
Trident cup, X3 inserts, 28 mm head
Equality of 5 year wear in the 28mm and the 40mm metal femoral head sizes. Trident cup in combination with Symax stem or Accolade TMZF stem.
干预措施: Trident cup, X3 inserts, 28 mm head (Device)
Trident cup, X3 inserts, 28 mm head
Equality of 5 year wear in the 28mm and the 40mm metal femoral head sizes. Trident cup in combination with Symax stem or Accolade TMZF stem.
干预措施: Accolade TMZF stem (Device)
Trident cup, X3 inserts, 40 mm head
Equality of 5 year wear in the 28mm and the 40mm metal femoral head sizes. Trident cup in combination with Symax stem or Accolade TMZF stem.
干预措施: Trident cup, X3 inserts, 40 mm head (Device)
Trident cup, X3 inserts, 40 mm head
Equality of 5 year wear in the 28mm and the 40mm metal femoral head sizes. Trident cup in combination with Symax stem or Accolade TMZF stem.
干预措施: Symax stem (Device)
Trident cup, X3 inserts, 40 mm head
Equality of 5 year wear in the 28mm and the 40mm metal femoral head sizes. Trident cup in combination with Symax stem or Accolade TMZF stem.
干预措施: Accolade TMZF stem (Device)
结局指标
主要结局
To Compare Wear of the Polyethylene X3 Insert Based on Digital Radiographs Using the Hip Analysis Suite (HAS).
时间窗: 5 years follow-up
Determine equality of 5 year wear in the 28mm and the 40mm metal femoral head sizes using HAS, a software for the determination of polyethylene wear on digital radiographs.
次要结局
- Merle D'Aubergine Score (MdA)(6 weeks, 3 months, 1, 2 and 5 years)
- Harris Hip Score (HHS) Patient Questionnaire(6 weeks, 3 months, 1, 2 and 5 years)
