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Trial registered on ANZCTR
Registration number
ACTRN12612000873820
Ethics application status
Approved
Date submitted
15/08/2012
Date registered
17/08/2012
Date last updated
19/09/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Non-guided hip injections are a safe and accurate method of treatment for patients undergoing hip arthroscopy due to Femeroacetabular Impingement (FAI)
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Scientific title
To evaluate the efficacy of the anterior approach for blind intra-articular hip injections in patients undergoing hip arthroscopy due to Femoroacetabular Impingement (FAI)
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Secondary ID [1]
281029
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Nil
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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:
(Femoroacetabular Impingement)
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Condition category
Condition code
Musculoskeletal
287488
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0
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Other muscular and skeletal disorders
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Surgery
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0
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Other surgery
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment group will have a 19G spinal needle inserted into the anterior hip joint and followed by an air arthrogram (10ml of air inserted through needle). This air will enable the braking of the suction seal of the joint to enable traction, without which the surgery cannot commence. The position of the needle would then be verified by fluoroscopy. This process will take approximately 3-4 minutes and will be immediately followed by the commencement of the patient's scheduled hip arthroscopy surgery.
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Intervention code [1]
285489
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Treatment: Other
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Comparator / control treatment
Nil control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To validate the anterior hip injection technique without imaging guidance by showing it to be safe and yield high accuracy. Clinical assessment for all patients shall be made on enrollment, and at
7 days and 12 weeks post surgery. The clinical assessment will be according to the investigators physical exam, assessing (and measuring) patient's range of motion, mechanical symptoms,
pain and full neuro-vascular status. Possible side effects attributed to needle placement (sensation disturbance) will be monitored closely.
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Assessment method [1]
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Timepoint [1]
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7 days, 12 weeks
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Secondary outcome [1]
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Nil
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Assessment method [1]
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Timepoint [1]
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Nil
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Eligibility
Key inclusion criteria
Male or female patients aged between 18-50
healthy patients undergoing hip arthroscopy due to FAI
No previous total hip replacement surgery
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Minimum age
18
Years
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Maximum age
50
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
a) Patients with relative or proven dysplastic hip joints determined by CE angle and/or extreme version abnormalities as measured on apical CT/MR cuts and pelvic XR.
b) patients with an artificial joint (Total hip replacement)
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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)
Patients who have elected to undergo a hip arthroscopy procedure due to labral or cartilage pathologies resulting from Femoroacetabular impingement. Patients meeting the primary inclusion criteria and whom agree to enroll in the study would constitute the study population.
Full verbal and written information regarding the trial and treatment. Screening forms completed along with demographic data and clinical examination and baseline outcome measures documented.
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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
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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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
5/04/2012
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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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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Dr David Young
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Address [1]
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33 The Avenue
Windsor 3181 VIC
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Dr David Young
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Address
33 The Avenue
Windsor 3181 VIC
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr Brett Moreira
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Address [1]
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33 The Avenue
WIndsor 3181 VIC
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Avenue Hospital Ethics Committee
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Ethics committee address [1]
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The Avenue Hospital 40 The Avenue Windsor VIC 3181
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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24/02/2012
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Approval date [1]
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05/04/2012
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Ethics approval number [1]
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Trial 131
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Summary
Brief summary
Lately, a new method for intraarticular hip injection has been increasingly considered, and is believed to be very accurate, eliminating the need for imaging assistance (which enables the surgeon to apply the treatment in an outpatient environment). This blind method of injection will be assessed by: 1. Injecting small amount of air into the hip prior to hip arthroscopy surgery in the operating theatre, in the same technique as it is performed on a regular basis, but via a different approach (anterior versus lateral) and initially with no image assistance. The location of the needle will then be assessed using fluoroscopy. 2. Injecting small amount of Methylene Blue into the hip prior to total hip replacement surgery, verifying its location and injection accuracy later during the same operation. Our hypothesis is that anterior hip injection technique, without imaging guidance, would yield high accuracy rates. Hip injections able to be performed without imaging will also lead to less expense for the patient and community with a reduction in burden on imaging services.
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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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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Brett Moreira
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Address
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33 The Avenue
Windsor 3181 VIC
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Country
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Australia
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Phone
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+61 402344463
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Fax
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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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Dr Brett Moreira
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Address
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33 The Avenue
Windsor 3181 VIC
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Country
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Australia
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Phone
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+61 402344463
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Fax
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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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