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Trial registered on ANZCTR
Registration number
ACTRN12619000003178
Ethics application status
Approved
Date submitted
17/12/2018
Date registered
8/01/2019
Date last updated
21/12/2021
Date data sharing statement initially provided
8/01/2019
Date results provided
21/12/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
Bone remodelling and density of the pelvis following implantation of the delta TT acetabular cup in patients undergoing primary total hip replacement for hip arthritis
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Scientific title
Bone remodelling and density of the pelvis following implantation of the delta TT acetabular cup in patients undergoing primary total hip replacement for hip arthritis
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Secondary ID [1]
296888
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Protocol number (Medical Device Research Australia): P0125-001. Rev D
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Universal Trial Number (UTN)
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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:
Hip replacement
310825
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Condition category
Condition code
Musculoskeletal
309497
309497
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0
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Osteoarthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients undergoing primary total hip replacement for osteoarthritis of the hip. Intervention was by one of two experienced consultant orthopaedics surgeons (hip specialists). DEXA scans were used to measure the bone mineral density behind the cup at various intervals post op.
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Intervention code [1]
313164
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Treatment: Surgery
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Intervention code [2]
313184
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Treatment: Devices
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The change in bone mineral density due to bone remodelling behind the acetabular component measured with DEXA scans to the hip & pelvis at various intervals over two years.
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Assessment method [1]
308459
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Timepoint [1]
308459
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DEXA scans were performed at six weeks, six months, one year and two years after surgery
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Secondary outcome [1]
355000
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Clinical review (assessment of complications and revision surgery)
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Assessment method [1]
355000
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Timepoint [1]
355000
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At six weeks, six months, one year and two years after surgery
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Secondary outcome [2]
365183
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Hip pain at rest assessed using a 100mm Visual Analogue Scale (VAS)
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Assessment method [2]
365183
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Timepoint [2]
365183
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At six weeks, six months, one year and two years after surgery
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Secondary outcome [3]
365184
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Hip function and pain assessed using Oxford Hip Score (composite outcome)
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Assessment method [3]
365184
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Timepoint [3]
365184
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At six weeks, six months, one year and two years after surgery
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Secondary outcome [4]
365322
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Hip pain at mobilisation assessed using a 100mm Visual Analogue Scale (VAS)
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Assessment method [4]
365322
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Timepoint [4]
365322
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At six weeks, six months, one year and two years after surgery
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Eligibility
Key inclusion criteria
Patients with rheumatoid or osteoarthritis of the hip who are candidates for a primary total hip replacement.
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Minimum age
18
Years
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Maximum age
70
Years
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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
Patients with active infection, acute hip fracture, Patients who have had previous hip surgery. Patients with presence of malignancy in the hip joint area. Patient having surgery with other types of components. Patients who are mentally incompetent or unlikely to be compliant with the prescribed follow up evaluation schedule. Patients greater 125kg. Patients with a neuromuscular or concurrent illness which may affect their outcome.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
No allocation
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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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
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Actual
13/01/2014
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Date of last participant enrolment
Anticipated
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Actual
9/11/2015
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Date of last data collection
Anticipated
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Actual
20/12/2017
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Sample size
Target
50
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Accrual to date
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Final
47
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Recruitment outside Australia
Country [1]
21130
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New Zealand
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State/province [1]
21130
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Auckland
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Funding & Sponsors
Funding source category [1]
301460
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Commercial sector/Industry
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Name [1]
301460
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LIMA Orthopedics Australia
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Address [1]
301460
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20 Crummer Road
Auckland 1021
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Country [1]
301460
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New Zealand
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Primary sponsor type
Commercial sector/Industry
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Name
LIMA Orthopeadics
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Address
20 Crummer Road
Auckland 1021
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Country
New Zealand
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Secondary sponsor category [1]
301151
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Hospital
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Name [1]
301151
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North Shore Hospital
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Address [1]
301151
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Shakespeare Road
Takapuna
AUCKLAND 0622
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Country [1]
301151
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
302194
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Southern Health and Disabilities Ethics committee
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Ethics committee address [1]
302194
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Health and Disability Ethics Committees C/-Medsafe, Level 6, Deloitte house 10 Brandon Street PO Box 5013 Wellington
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Ethics committee country [1]
302194
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New Zealand
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Date submitted for ethics approval [1]
302194
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Approval date [1]
302194
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02/12/2013
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Ethics approval number [1]
302194
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13/STH90
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Summary
Brief summary
Total hip engineering and surgery are in a state of constant research development and improvement. The literature presents a plethora of alternative bearing materials and combinations as well as geometries, dimensions and fixation methods. Despite continued popularity of hip arthroplasty as effective treatment for patients experiencing end stage osteoarthritis, the acetabular component of the arthroplasty remains a limiting factor in the longevity of the arthroplasty. Cup wear and aseptic loosening are the main causes of failure. These have been associated with micro-motion in modular components and non fixation of the bone-implant interface. The Delta-TT cup uses a combination of the modularity of the Delta acetabular system with the porous structure of the Trabecular Tritanium. The Delta-TT cup is made of Ti6AI4V tritanium alloy which is bio-compatible and effective in biological fixation and has been used in the orthopedic sector for over 30 years. Bone density is a good indicator of the bone's response to implantation and its potential longer term success. Bone remodeling behavior following arthoplasty may be investigated radiographically. DEXA measurements are the gold-standard for measuring bone mineral density (BMD) and have been used extensively in clinical practice. Although DEXA is an established assessment technique in proximal femurs, there are relatively few reports in BMD in the acetabular region following total hip arthroplasty. In cases where clinical data is not yet available, it is desirable to predict the mid-term outcomes of an arthroplasty. Bone remodeling algorithms may be used with computer modelling techniques to detect these bony remodeling changes. Using this methodology it is possible to analyse more than one design in a parametric and comparable manner, at a minimal cost to the patient, designer and manufacturer. To our knowledge, however only one study has predicated bone remodeling behavior in the acetabulum following total hip arthroplasty. This method has been validated using data in the literature. It is proposed in this study to carry out a clinical DEXA study and a bone remodeling analysis of the Delta-TT cup.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Mr William Farrington
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Address
89434
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Waitemata District Health Board
North Shore Hospital
Shakespeare Road
Takapuna
AUCKLAND 0622
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Country
89434
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New Zealand
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Phone
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+64 486 8900
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Fax
89434
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Email
89434
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[email protected]
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Contact person for public queries
Name
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William Farrington
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Address
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Waitemata District Health Board
North Shore Hospital
Shakespeare Road
Takapuna
AUCKLAND 0622
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Country
89435
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New Zealand
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Phone
89435
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+64 486 8900
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Fax
89435
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Email
89435
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[email protected]
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Contact person for scientific queries
Name
89436
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William Farrington
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Address
89436
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Waitemata District Health Board
North Shore Hospital
Shakespeare Road
Takapuna
AUCKLAND 0622
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Country
89436
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New Zealand
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Phone
89436
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+64 486 8900
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Fax
89436
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Email
89436
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Individual data underlying published results only
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When will data be available (start and end dates)?
Beginning 3 months and ending 5 years following main results publication
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Available to whom?
Case by case basis at the discretion of the principal investigator
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Available for what types of analyses?
For statistical analysis, publication and presentation
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How or where can data be obtained?
Access subject to approval by PI
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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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