NCT05223777

Brief Summary

There is a growing interest in the effects of mental health and wellness on orthopedic intervention outcomes, not only in terms of how advances in surgical procedures influence patient outcomes, but also with regard for physician physical and mental well-being. Although total hip arthroplasty (THA) is associated with favorable clinical outcomes as assessed by surgeon evaluation, radiographic analysis and implant longevity, unfavorable long-term pain and quality of life outcomes are consistently observed in upwards of 20% of patients receiving THAs. As such, the need to understand and address the determinants of positive and negative outcomes is of critical importance if the field hopes to continue to advance strategies to improve long-term outcomes for joint replacement. The overarching goal of this application is to assess the benefits of the KINCISE for patient recovery outcomes related to physical and mental well-being.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
50

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Sep 2021

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 1, 2021

Completed
2 months until next milestone

Study Start

First participant enrolled

September 9, 2021

Completed
5 months until next milestone

First Posted

Study publicly available on registry

February 4, 2022

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2023

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2024

Completed
Last Updated

February 4, 2022

Status Verified

January 1, 2022

Enrollment Period

2 years

First QC Date

July 1, 2021

Last Update Submit

January 24, 2022

Conditions

Keywords

total hip arthroplasty

Outcome Measures

Primary Outcomes (1)

  • The Short Form (36) Health Survey

    The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability.

    1 year

Secondary Outcomes (1)

  • The Patient Health Questionnaire20 (PHQ-9)

    1 year

Study Arms (2)

KINCISE

ACTIVE COMPARATOR

The KINCISE™ Surgical Automated System (KINCISE) (DePuy Synthes Products, Inc, Warsaw, IN) was developed to replace the handheld mallet traditionally used in total hip arthroplasty (THA). The device is an FDA-approved medical instrument. As such, the focus of the study does not relate to the safety and efficacy of the device, which has already been established. Instead, the current IRB proposal investigates whether there are long-term benefits to patient outcomes that differ between KINCISE-guided versus mallet THA.

Device: KINCISE

Traditional Mallet

PLACEBO COMPARATOR

A traditional mallet will be used during surgery in this group.

Device: Traditional Handheld Mallet

Interventions

KINCISEDEVICE

The KINCISE™ Surgical Automated System (KINCISE) (DePuy Synthes Products, Inc, Warsaw, IN) was developed to replace the handheld mallet traditionally used in total hip arthroplasty (THA). The device is an FDA-approved medical instrument.

KINCISE

The handheld mallet traditionally used in total hip arthroplasty.

Traditional Mallet

Eligibility Criteria

Age21 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male and female participants over age 21 with a compatible smartphone (Apple iPhone 6s or newer running iOS 13 or higher) are eligible to participate.
  • Participants must be community ambulatory

You may not qualify if:

  • Age less than 21.
  • Incompatible smartphone device.
  • History of neurological injury or pathology.
  • Prior total joint athroplasty in the preceding year.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Univrsity of Cincinnati Medical Center

Cincinnati, Ohio, 45267, United States

RECRUITING

Related Publications (22)

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    PMID: 28767494BACKGROUND
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    PMID: 28346948BACKGROUND
  • Shanafelt TD, Dyrbye LN, Sinsky C, Hasan O, Satele D, Sloan J, West CP. Relationship Between Clerical Burden and Characteristics of the Electronic Environment With Physician Burnout and Professional Satisfaction. Mayo Clin Proc. 2016 Jul;91(7):836-48. doi: 10.1016/j.mayocp.2016.05.007. Epub 2016 Jun 27.

    PMID: 27313121BACKGROUND
  • Kuhn T, Basch P, Barr M, Yackel T; Medical Informatics Committee of the American College of Physicians. Clinical documentation in the 21st century: executive summary of a policy position paper from the American College of Physicians. Ann Intern Med. 2015 Feb 17;162(4):301-3. doi: 10.7326/M14-2128.

    PMID: 25581028BACKGROUND
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    PMID: 24005796BACKGROUND
  • Kelley TC, Adams MJ, Mulliken BD, Dalury DF. Efficacy of multimodal perioperative analgesia protocol with periarticular medication injection in total knee arthroplasty: a randomized, double-blinded study. J Arthroplasty. 2013 Sep;28(8):1274-7. doi: 10.1016/j.arth.2013.03.008. Epub 2013 Apr 20.

    PMID: 23608085BACKGROUND
  • Kelley TC, Tucker KK, Adams MJ, Dalury DF. Use of tranexamic acid results in decreased blood loss and decreased transfusions in patients undergoing staged bilateral total knee arthroplasty. Transfusion. 2014 Jan;54(1):26-30. doi: 10.1111/trf.12167. Epub 2013 Mar 22.

    PMID: 23521109BACKGROUND
  • Dalury DF, Kelley TC, Adams MJ. Modern proximally tapered uncemented stems can be safely used in Dorr type C femoral bone. J Arthroplasty. 2012 Jun;27(6):1014-8. doi: 10.1016/j.arth.2011.12.019. Epub 2012 Feb 8.

    PMID: 22325961BACKGROUND
  • Dalury DF, Tucker KK, Kelley TC. All-polyethylene tibial components in obese patients are associated with low failure at midterm followup. Clin Orthop Relat Res. 2012 Jan;470(1):117-24. doi: 10.1007/s11999-011-1964-1.

    PMID: 21739322BACKGROUND
  • Dalury DF, Tucker KK, Kelley TC. When can I drive?: brake response times after contemporary total knee arthroplasty. Clin Orthop Relat Res. 2011 Jan;469(1):82-6. doi: 10.1007/s11999-010-1507-1.

    PMID: 20700671BACKGROUND
  • Huckins JF, daSilva AW, Wang R, Wang W, Hedlund EL, Murphy EI, Lopez RB, Rogers C, Holtzheimer PE, Kelley WM, Heatherton TF, Wagner DD, Haxby JV, Campbell AT. Fusing Mobile Phone Sensing and Brain Imaging to Assess Depression in College Students. Front Neurosci. 2019 Mar 21;13:248. doi: 10.3389/fnins.2019.00248. eCollection 2019.

    PMID: 30949024BACKGROUND
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    PMID: 33263726BACKGROUND
  • Neta M, Norris CJ, Whalen PJ. Corrugator muscle responses are associated with individual differences in positivity-negativity bias. Emotion. 2009 Oct;9(5):640-8. doi: 10.1037/a0016819.

    PMID: 19803586BACKGROUND
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    PMID: 11556941BACKGROUND
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    PMID: 17874169BACKGROUND
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    PMID: 22184363BACKGROUND
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    PMID: 16717171BACKGROUND
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    PMID: 26719105BACKGROUND
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    PMID: 3397865BACKGROUND
  • Lowe B, Wahl I, Rose M, Spitzer C, Glaesmer H, Wingenfeld K, Schneider A, Brahler E. A 4-item measure of depression and anxiety: validation and standardization of the Patient Health Questionnaire-4 (PHQ-4) in the general population. J Affect Disord. 2010 Apr;122(1-2):86-95. doi: 10.1016/j.jad.2009.06.019. Epub 2009 Jul 17.

    PMID: 19616305BACKGROUND
  • Lemke MR, Wendorff T, Mieth B, Buhl K, Linnemann M. Spatiotemporal gait patterns during over ground locomotion in major depression compared with healthy controls. J Psychiatr Res. 2000 Jul-Oct;34(4-5):277-83. doi: 10.1016/s0022-3956(00)00017-0.

    PMID: 11104839BACKGROUND
  • Kriegeskorte N, Mur M, Bandettini P. Representational similarity analysis - connecting the branches of systems neuroscience. Front Syst Neurosci. 2008 Nov 24;2:4. doi: 10.3389/neuro.06.004.2008. eCollection 2008.

    PMID: 19104670BACKGROUND

MeSH Terms

Conditions

Osteoarthritis, Hip

Condition Hierarchy (Ancestors)

OsteoarthritisArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic Diseases

Study Officials

  • Todd A Kelley, MD

    University of Cincinnati

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Kimberly A Hasselfeld

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Patients will undergo primary total hip athroplasties through a direct anterior surgical approach using press fit implants. Anesthesia will be either general anesthesia or spinal anesthesia.Multimodal analgesia and rapid recovery techniques are used for all procedures. Twenty-five (25) of these procedures will be performed using the KINCISE and 25 will be performed using traditional handheld mallets.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

July 1, 2021

First Posted

February 4, 2022

Study Start

September 9, 2021

Primary Completion

September 1, 2023

Study Completion

September 1, 2024

Last Updated

February 4, 2022

Record last verified: 2022-01

Data Sharing

IPD Sharing
Will not share

Locations