RSA Study of Furlong Evolution With and Without Collar
Evaluation of the Furlong Evolution Uncemented Hip Prosthesis With Special Emphasize on the Use of Collared Design or Not. A Prospective, Randomized Study Evaluated by RadioStereometric Analysis (RSA) and DXA.
1 other identifier
interventional
50
1 country
1
Brief Summary
The aim of this study is to further investigate the clinical and radiological importance of design changes in cementless hip prosthesis. The investigators have earlier evaluated the classical Furlong HAC total hip prosthesis and a first design change Furlong Active. Now a further development, Furlong Evolution, is to be evaluated. This prosthesis, furthermore, comes with and without a collar, and the investigators are going to randomize between the two. The investigators hypothesize that the new design will be easier to implant and will present equal or less migration than the older designs which would imply a favourable outcome in the long term. The investigators further hypothesize that the collar play no major part for the long term migration and bone remodelling. We will now do a 10 year follow up of the patients including RSA, DXA and PROMS
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Oct 2012
Longer than P75 for not_applicable
1 active site
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
October 1, 2012
CompletedFirst Submitted
Initial submission to the registry
July 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2013
CompletedFirst Posted
Study publicly available on registry
July 10, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2025
CompletedJune 24, 2025
April 1, 2025
9 months
July 1, 2013
June 18, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Radiostereometric Analysis (RSA)
This will measure the change in migration (translation and rotation around the x-, y-, and z-axis of the hip) over time. The migration pattern the first 2 years can predict the long term outcome.
The first postoperative day, 14 days, 3 months, 1, 2, 5 and 10 years
Secondary Outcomes (3)
Dual-energy X-ray absorptiometry (DXA)
14 days postoperatively and after 1, 5 and 10 years
General health questionnaire
Preoperatively (3-4 weeks) and 1, 2, 5 and 10 years postoperatively
Hip specific health questionnaire
Preoperatively (3-4 weeks) and 1, 2, 5 and 10 years postoperatively
Study Arms (2)
Stem collar
NO INTERVENTIONThe stem has two versions, one with and one without a collar. This arm will have stems with a collar. The classical Furlong HAC had a collar.
No Stem collar
ACTIVE COMPARATORThe stem has two versions, one with and one without a collar. This arm will have stems without a collar. The classical Furlong HAC had a collar.
Interventions
The stem has two versions, one with and one without a collar. The classical Furlong HAC had a collar.
Eligibility Criteria
You may qualify if:
- Primary osteoarthritis of the hip necessitating primary hip replacement
- A femur considered suitable for uncemented fixation of the stem
You may not qualify if:
- Rheumatoid arthritis
- Malignant disease
- Severe osteoporosis
- Earlier fracture or operation in the hip to be operated on
- Peroperative fracture
- Ongoing corticosteroid (oral) or immunosuppressive medication
- Personal disorders (dementia, alcohol or drug abuse etc) suspected of making completion of the trial uncertain.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Region Skanelead
- JRI Orthopaedics Ltdcollaborator
Study Sites (1)
Department of Orthopedics, Skane University Hospital, Lund University
Lund, Skåne County, 221 85, Sweden
Related Publications (1)
Belfrage O, Weber E, Sundberg M, Flivik G. Preserved periprosthetic bone stock at 5 years post-operatively with uncemented short hip stem in both collared and collarless version. Arch Orthop Trauma Surg. 2022 Nov;142(11):3489-3496. doi: 10.1007/s00402-021-04225-z. Epub 2021 Nov 29.
PMID: 34841462DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Gunnar Flivik, MD PhD
Dept of Orthopedics, Skane University Hospital, Lund University, Sweden
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate professor, MD PhD
Study Record Dates
First Submitted
July 1, 2013
First Posted
July 10, 2013
Study Start
October 1, 2012
Primary Completion
July 1, 2013
Study Completion
March 1, 2025
Last Updated
June 24, 2025
Record last verified: 2025-04
Data Sharing
- IPD Sharing
- Will not share