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Trial registered on ANZCTR
Registration number
ACTRN12610000551099
Ethics application status
Approved
Date submitted
15/06/2010
Date registered
8/07/2010
Date last updated
13/02/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
Minimally invasive hip replacement for osteoarthritis of the hip - a randomised trial
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Scientific title
A comparative study of minimally invasive total hip replacement for osteoarthritis, with emphasis on complications and clinical scores
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Secondary ID [1]
252026
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Nil
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Universal Trial Number (UTN)
U1111-1115-5024
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Osteoarthritis of the hip
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Condition category
Condition code
Musculoskeletal
257738
257738
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0
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Osteoarthritis
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Surgery
257889
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0
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Surgical techniques
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Single-incision mini-posterior approach to the hip. This technique involves a smaller incision (around 10cm) and sparing of some short external rotators (namely Piriformis) than a standard approach. Each approach takes the same time (around 60-90 minutes)
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Intervention code [1]
256751
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Treatment: Surgery
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Comparator / control treatment
Standard posterior approach to the hip. This approach involves a generous incision (around 20cm), and detachment of all short external rotator muscles. Each approach takes the same time (around 60-90 minutes)
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Control group
Active
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Outcomes
Primary outcome [1]
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Complication rate from surgery, including fractures, infection and dislocation. These will be assessed clinically and by xray
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Assessment method [1]
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Timepoint [1]
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2 weeks, 6 weeks, 3 months, 1 year and 2 years post-operation
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Secondary outcome [1]
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Clinical scores (function): Oxford Hip Score, 6-minute walk test
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Assessment method [1]
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Timepoint [1]
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3 months, 1 year and 2 years post-operation
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Secondary outcome [2]
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Satisfaction: Visual analogue scale
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Assessment method [2]
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Timepoint [2]
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3 months, 1 year and 2 years post-operation
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Secondary outcome [3]
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The impact on the muscle of cutting the tendon (in the standard group) using the preserved tendon (in the less invasive group) as a control. This outcome is assessed using magnetic resonance imaging (MRI) of the Piriformis and Obturator Internus in a subgroup of 20 patients.
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Assessment method [3]
264978
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Timepoint [3]
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Preoperative, and 3 months and 2 years postoperative.
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Eligibility
Key inclusion criteria
Primary osteoarthritis (OA) of the hip
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Minimum age
70
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Previous surgery to the hip
Trauma to the hip
Dysplasia
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Enrolled through outpatient clinic. Allocation concealment using central randomisation by computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomization table created by a computer software (i.e., computerised sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/08/2005
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Actual
1/09/2005
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Date of last participant enrolment
Anticipated
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Actual
3/11/2007
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
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Primary sponsor type
Individual
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Name
Riaz Khan
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Address
Suite 1, Hollywood Medical Centre, 85 Monash Ave, Nedlands, WA 6009, Australia
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
256396
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Country [1]
256396
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Sir Charles Gairdner Group Human research Ethics Committee
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Ethics committee address [1]
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Level 2, A Block, Hospital Ave, Nedlands, WA 6009
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Ethics committee country [1]
259174
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Australia
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Date submitted for ethics approval [1]
259174
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05/02/2004
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Approval date [1]
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15/10/2004
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Ethics approval number [1]
259174
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2008 - 158
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Summary
Brief summary
There has been a recent drive to perform hip replacements through smaller incisions. The question is, does this increase the risk of complications? The primary purpose was to assess whether a hip replaced through a smaller incision produced as good a result as when done through a standard incision. Our hypothesis was that it did, and was possibly more beneficial since fewer tissues were divided.
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Trial website
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Trial related presentations / publications
A comparison of a less invasive Piriformis-sparing approach versus the standard posterior approach to the hip. Khan RJK, Maor D, Hofmann M and Haebich S. JBJS Br 2012; 94B (1): 43-50
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Public notes
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Contacts
Principal investigator
Name
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Prof Riaz Khan
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Address
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The Joint Studio, 85 Monash Ave, Nedlands, WA 6009
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Country
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Australia
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Phone
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+61 8 93863933
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Riaz Khan
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Address
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Suite 1, Hollywood Medical Centre, 85 Monash Ave, Nedlands, 6009, WA
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Country
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Australia
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Phone
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+61 8 93863933
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Fax
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+61 8 93863015
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Email
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[email protected]
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Contact person for scientific queries
Name
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Riaz Khan
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Address
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Suite 1, Hollywood Medical Centre, 85 Monash Ave, Nedlands, 6009, WA
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Country
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Australia
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Phone
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+61 8 93863933
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Fax
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+61 8 93863015
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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