Randomized Clinical Trial of Ceramic Bearing Primary Total Hip Arthroplasty
Five-Year Outcome of Ceramic on Ceramic Bearing Versus Ceramic on Crossfire® Highly Cross-Linked Polyethylene Bearing in Primary Total Hip Arthroplasty: A Randomized Trial
1 other identifier
interventional
92
1 country
2
Brief Summary
Primary total hip arthroplasty (THA) has been a very successful surgical intervention in the geriatric population. Numerous studies have reported good mid and long term results of THA in patients over the age of 60 years. With the reported high success rate of this surgical intervention, the THA surgery is being performed in younger patients who have significant joint disease. A clinical trial, using a randomized blinded design, was undertaken to compare the functional outcome of 1) alumina heads/alumina liners, and 2) alumina head/Crossfire polyethylene liners in patients 60 years of age or younger with non-inflammatory arthritis of the hip. Subjects were assessed preoperatively and at one and five years postoperatively. Ten-year follow-up is currently underway. The primary outcome measure is the WOMAC Osteoarthritis Index. Secondary measures were the RAND-12, as well as measurement of complication and revision rates. The patient's demand on the implant as calculated by the patient's age, weight, health status and activity level was also measured.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4
Started Nov 1997
Longer than P75 for phase_4
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 1997
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2009
CompletedFirst Submitted
Initial submission to the registry
January 26, 2012
CompletedFirst Posted
Study publicly available on registry
January 31, 2012
CompletedJuly 28, 2021
July 1, 2021
11.2 years
January 26, 2012
July 23, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Western Ontario McMaster Osteoarthritis Index (WOMAC) Pain Score
This is a disease-specific, patient reported outcome measure of pain.
Five Years
WOMAC Function Score
This is a disease-specific patient reported outcome measure of function
Five years
WOMAC Stiffness Score
This is a disease-specific, patient-reported outcome measure of stiffness.
Five Years
Secondary Outcomes (13)
WOMAC Pain Score
One Year
WOMAC Function Score
One Year
WOMAC Stiffness Score
One Year
RAND 12-Item Health Survey (RAND-12)
Five Years
RAND-12
One years
- +8 more secondary outcomes
Study Arms (2)
Ceramic on Ceramic
ACTIVE COMPARATORSubjects received a ceramic on ceramic bearing total hip replacement.
Ceramic-on-Highly Crosslinked Polyethylene
ACTIVE COMPARATORInterventions
Eligibility Criteria
You may qualify if:
- Males or females scheduled for primary THA to treat non-inflammatory arthritis
- Less than 61 years old at time of surgery
- Able to speak and read the English language or have an available translator
- Dorr Index A or B bone quality on preoperative radiographs
- Willing and able to return for follow-up visits
You may not qualify if:
- Have femoral or acetabular bone deficiency requiring augmentation
- Ongoing corticosteroid use
- Dorr Index C bone quality on the preoperative radiograph
- Required a prosthesis neck length of greater than five millimeters
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Albertalead
- Stryker Canada LPcollaborator
Study Sites (2)
University of Alberta Hospital
Edmonton, Alberta, T6G 2B7, Canada
Royal Alexandra Hospital
Edmonton, Alberta, Canada
Study Officials
- STUDY DIRECTOR
Lauren Beaupre, PT, PhD
University of Alberta
- PRINCIPAL INVESTIGATOR
D William C Johnston, MD, FRCS (C)
Alberta Health services
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 26, 2012
First Posted
January 31, 2012
Study Start
November 1, 1997
Primary Completion
January 1, 2009
Study Completion
June 1, 2009
Last Updated
July 28, 2021
Record last verified: 2021-07