Periprosthetic Bone Remodeling Around Uncemented Components in Total Hip Arthroplasty (PeriBRUSBRAC)

This study is ongoing, but not recruiting participants.
Sponsor:
Collaborator:
Johnson & Johnson Consumer Products Company Division of Johnson & Johnson Consumer Companies, Inc.
Information provided by (Responsible Party):
Olof Skoldenberg, Danderyd Hospital
ClinicalTrials.gov Identifier:
NCT01319227
First received: March 18, 2011
Last updated: October 2, 2012
Last verified: October 2012

March 18, 2011
October 2, 2012
October 2009
August 2013   (final data collection date for primary outcome measure)
  • Bone remodelling, i e change in bone mineral density around the stem, as measured with dual energy x-ray absorptiometry (DEXA) [ Time Frame: bone mineral density (BMD) measured postoperatively and after 3, 6, 12, 24 months and after 6 and 10 years ] [ Designated as safety issue: No ]
  • Bone remodelling, i e change in bone mineral density behind the acetabular component, as measured with dual energy x-ray absorptiometry (DEXA) [ Time Frame: bone mineral density (BMD) measured postoperatively and after 3, 6, 12, 24 months and after 6 and 10 years ] [ Designated as safety issue: No ]
Bone remodelling, i e change in bone mineral density around the stem, as measured with dual energy x-ray absorptiometry (DEXA) [ Time Frame: BMD measured postoperatively and after 3, 6, 12 and 24 months ] [ Designated as safety issue: No ]
Complete list of historical versions of study NCT01319227 on ClinicalTrials.gov Archive Site
  • Migration of stem components in six degrees of freedom and maximum total point motion measured with radiostereometric analysis (RSA) [ Time Frame: RSA measured postoperatively, after 6 weeks, after 3, 6, 12, 24 months and after 6 and 10 years ] [ Designated as safety issue: No ]
  • Migration of acetabular components in six degrees of freedom and maximum total point motion of the head center measured with radiostereometric analysis (RSA) [ Time Frame: RSA measured postoperatively, after 6 weeks, after 3, 6, 12, 24 months and after 6 and 10 years ] [ Designated as safety issue: No ]
Migration of stem components in six degrees of freedom and maximum total point motion measured with radiostereometric analysis (RSA) [ Time Frame: RSA measured postoperatively after 6 weeks and after 3, 6, 12 and 24 months ] [ Designated as safety issue: No ]
Clinical outcome measures with validated scores comparing patients receiving different stems and acetabular components [ Time Frame: Self administred validated score outcome measures after 6 weeks, after 3, 6, 12, 24 months and after 6 and 10 years ] [ Designated as safety issue: No ]
Validated scores included are Harris Hip Score (HHS), Euroqol 5-dimension (Eq5d) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
Not Provided
 
Periprosthetic Bone Remodeling Around Uncemented Components in Total Hip Arthroplasty
Periprosthetic Bone Remodeling Around Two Different Types of Uncemented Femoral Stems and Two Uncemented Acetabular Components in Total Hip Arthroplasty

This is a randomized clinical trial comparing two different uncemented femoral stems and two different uncemented sockets using Dual-energy x-ray absorptiometry, Radiostereometry and clinical evaluation.

Hypothesis:

  1. A short uncemented stem gives less periprosthetic bone resorption in the proximal femur than a conventional uncemented stem.
  2. An uncemented acetabular component with a backside of three-dimensional Titanium porous construct gives less periprosthetic bone resorption than a backside covered with a conventional porous coating with Titanium-beads and a hydroxy-apatite layer.

Consecutive patients 40-70 years old who are being planned for Total Hip Arthroplasty (THA) will be eligible for inclusion in the study.

Periprosthetic bone remodeling, migration of the components and clinical scores will be recorded prospectively.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Osteoarthritis
Procedure: Hip replacement
Hip arthroplasty with uncemented components
Other Names:
  • Ultra-short hydroxyapatite-coated Proxima stem and hydroxyapatite covered porous coated Pinnacle cup from DePuy, Johnson&Johnson.
  • Tapered, proximally porous and hydroxyapatite-coated, Bimetric stem and a Regenerex cup with trabecular-Titanium-backside from Biomet.
  • Experimental: Hip Arthroplasty, ultra-short stem, conventional cup
    Hip replacement with a hydroxy-apatite covered ultra-short uncemented femoral stem and a conventional uncemented acetabular cup with hydroxy-apatite covered porous coating and a moderately cross-linked polyethylene cup liner
    Intervention: Procedure: Hip replacement
  • Experimental: Hip Arthroplasty, conventional stem, trabecular-titanium cup
    Hip replacement with an uncemented tapered femoral stem and an uncemented acetabular cup with trabecular-Titanium backside and E-vitamin-treated polyethylene cup liner
    Intervention: Procedure: Hip replacement
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Active, not recruiting
51
December 2021
August 2013   (final data collection date for primary outcome measure)

Inclusion Criteria:

  1. Age 40-70 years old
  2. Primary osteoarthritis of the hip
  3. Type A or B femur according to Dorr10
  4. Femoral anatomy allowing implantation of both femoral stems
  5. Willingness and ability to follow study-protocol -

Exclusion Criteria:

  1. Inflammatory arthritis
  2. Abnormal femoral anatomy after hip dysplasia, not suitable for implantation of components
  3. Treatment with bisphosphonates, cortisol or cytostatic drugs 6 months prior to surgery
  4. Ongoing oestrogen treatment
  5. Type C femur according to Dorr
  6. Not suited for the study for other reason (surgeons preference)
Both
40 Years to 70 Years
No
Contact information is only displayed when the study is recruiting subjects
Sweden
 
NCT01319227
PeriBRUSBRAC
No
Olof Skoldenberg, Danderyd Hospital
Danderyd Hospital
Johnson & Johnson Consumer Products Company Division of Johnson & Johnson Consumer Companies, Inc.
Not Provided
Danderyd Hospital
October 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP