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Trial registered on ANZCTR
Registration number
ACTRN12613000812796
Ethics application status
Approved
Date submitted
18/07/2013
Date registered
24/07/2013
Date last updated
24/07/2013
Type of registration
Retrospectively registered
Titles & IDs
Public title
Outcomes 7 to 10 years following total hip replacement
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Scientific title
Dislocation, osteolysis, polyethylene wear, acetabular component migration and other complications 7 to 10 years following randomisation to either a large 36 mm or standard 28 mm diameter metal on highly cross-linked polyethylene articulation in total hip replacement
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Secondary ID [1]
282857
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Nil known
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Universal Trial Number (UTN)
U1111-1145-7972
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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:
Dislocation of total hip replacement
289663
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Periprosthetic osteolysis
289664
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Polyethylene wear
289665
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Acetabular component migration
289666
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Revision or re-operation of total hip replacement
289667
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Condition category
Condition code
Musculoskeletal
289986
289986
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0
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Osteoarthritis
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Musculoskeletal
289987
289987
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The current study is a 7 to 10 year follow-up study of patients enrolled in the randomised controlled trial described in ACTRN12609000678291. Patients undergoing total hip replacement were randomised to receive either a large 36 mm articulation (intervention) or standard 28 mm articulation (control).
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Intervention code [1]
287548
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Treatment: Surgery
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Intervention code [2]
287550
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Treatment: Devices
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Comparator / control treatment
Patients who, 7-10 years previously, underwent total hip replacement with a standard 28 mm articulation
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Control group
Active
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Outcomes
Primary outcome [1]
290032
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% of patients with osteolytic lesions exceeding 1 cubic centimetre, as measured by CT
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Assessment method [1]
290032
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Timepoint [1]
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7-10 years following primary total hip replacement
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Secondary outcome [1]
303810
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Incidence of dislocation. Dislocation is measured initially through responses to a Hip Instability Questionnaire and Hospital Visit Questionnaire. Dislocations must then be confirmed radiologically.
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Assessment method [1]
303810
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Timepoint [1]
303810
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7 years following total hip replacement
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Secondary outcome [2]
303811
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Polyethylene wear, measured using PolyWare, a computer program which measures wear using plain radiographs
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Assessment method [2]
303811
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Timepoint [2]
303811
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7-10 years following total hip replacement
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Secondary outcome [3]
303812
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Acetabular component migration, measured using EBRA (Ein Bild Roentgen Analyse), a computer program which measures migration using plain radiographs
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Assessment method [3]
303812
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Timepoint [3]
303812
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7-10 years following total hip replacement
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Secondary outcome [4]
303813
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incidence of re-operation or revision of index total hip replacement
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Assessment method [4]
303813
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Timepoint [4]
303813
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7 years following total hip replacement
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Secondary outcome [5]
303814
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Other complications, such as infection, pain and loosening, as reported by patient
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Assessment method [5]
303814
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Timepoint [5]
303814
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7 years following total hip replacement
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Eligibility
Key inclusion criteria
Only patients involved in the RCT, ACTRN12609000678291, will be eligible for this study
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Minimum age
67
Years
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Maximum age
No limit
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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
Not previously enrolled in the RCT, ACTRN12609000678291
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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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
The sample size is the number of patients still alive and able to undergo follow-up 7-10 years following enrollment in the randomised controlled trial.
Confidence intervals will reflect the available sample size of each analysis.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
24/03/2010
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Actual
24/03/2010
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Date of last participant enrolment
Anticipated
15/06/2014
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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
300
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,SA,VIC
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Recruitment hospital [1]
1334
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The Royal Adelaide Hospital - Adelaide
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Recruitment hospital [2]
1335
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Royal North Shore Hospital - St Leonards
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Recruitment hospital [3]
1336
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St Vincent's Hospital (Melbourne) Ltd - Fitzroy
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Recruitment hospital [4]
1337
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St John of God Hospital, Ballarat - Ballarat
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Recruitment hospital [5]
1338
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Ballarat Health Services (Base Hospital) - Ballarat Central
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Recruitment hospital [6]
1339
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Maroondah Hospital - Ringwood East
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Recruitment hospital [7]
1340
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Barwon Health - Geelong Hospital campus - Geelong
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Recruitment hospital [8]
1341
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St Andrew's Hospital Inc - Adelaide
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Recruitment hospital [9]
1342
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Glenelg Community Hospital - Glenelg South
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Recruitment hospital [10]
1343
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Modbury Hospital - Modbury
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Recruitment hospital [11]
1344
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Whyalla Hospital - Whyalla
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Recruitment outside Australia
Country [1]
5226
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United Kingdom
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State/province [1]
5226
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England
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Country [2]
5227
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United Kingdom
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State/province [2]
5227
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Scotland
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Funding & Sponsors
Funding source category [1]
287631
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Government body
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Name [1]
287631
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National Health Medical Research Council (NHMRC)
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Address [1]
287631
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Level 1, 16 Marcus Clarke St Canberra ACT 2600
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Country [1]
287631
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Australia
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Funding source category [2]
287632
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Commercial sector/Industry
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Name [2]
287632
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Zimmer
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Address [2]
287632
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1800 W Center St Warsaw IN 46580
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Country [2]
287632
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United States of America
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Primary sponsor type
Individual
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Name
Prof Donald Howie
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Address
Department of Orthopaedics and Trauma,
Level 4 Bice Building,
Royal Adelaide Hospital
North Tce
Adelaide SA 5000
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Country
Australia
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Secondary sponsor category [1]
286377
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Individual
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Name [1]
286377
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Dr Oksana Holubowycz
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Address [1]
286377
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Department of Orthopaedics and Trauma,
Level 4 Bice Building,
Royal Adelaide Hospital,
North Tce
Adelaide SA 5000
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Country [1]
286377
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
289601
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Royal Adelaide Hospital Research Ethics Committee
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Ethics committee address [1]
289601
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Royal Adelaide Hospital North Tce Adelaide SA 5000
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Ethics committee country [1]
289601
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Australia
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Date submitted for ethics approval [1]
289601
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Approval date [1]
289601
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13/10/2009
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Ethics approval number [1]
289601
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RAH Protocol No. 090622
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Ethics committee name [2]
289602
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Northern Sydney Central Coast Health (NSCCH) Human Research Ethics Committee
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Ethics committee address [2]
289602
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Research Business Unit Level 2, Building 51, Royal North Shore Hospital Pacific Hwy St Leonards NSW 2065
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Ethics committee country [2]
289602
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Australia
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Date submitted for ethics approval [2]
289602
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Approval date [2]
289602
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13/12/2010
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Ethics approval number [2]
289602
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1011-413M(QA)
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Ethics committee name [3]
289603
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Ballarat Health Services & St John of God Hospital HREC
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Ethics committee address [3]
289603
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Ballarat Health Services Drummond St N Ballarat VIC 3350
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Ethics committee country [3]
289603
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Australia
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Date submitted for ethics approval [3]
289603
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Approval date [3]
289603
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25/05/2011
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Ethics approval number [3]
289603
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HREC/11/BHSSJOG/35
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Ethics committee name [4]
289604
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St Vincent's Hospital (Melbourne) Human Research Ethics Committee-D
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Ethics committee address [4]
289604
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Research Governance Unit St Vincent's Hospital Melbourne, Level 5, Aikenhead Bldg, 41 Victoria Pde Fitzroy VIC 3065
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Ethics committee country [4]
289604
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Australia
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Date submitted for ethics approval [4]
289604
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Approval date [4]
289604
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23/03/2012
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Ethics approval number [4]
289604
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St Vincent's: HREC-A 001/12; SERP HREC: HREC/12/SVHM/22
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Ethics committee name [5]
289605
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Eastern Health Research and Ethics Committee
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Ethics committee address [5]
289605
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5 Arnold St Box Hill VIC 3128
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Ethics committee country [5]
289605
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Australia
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Date submitted for ethics approval [5]
289605
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Approval date [5]
289605
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20/09/2012
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Ethics approval number [5]
289605
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HREC/12/SVHM/22 & Eastern Health Local Ref No: SERP25/1112
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Ethics committee name [6]
289606
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Barwon Health
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Ethics committee address [6]
289606
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Ryrie St Geelong VIC 3220
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Ethics committee country [6]
289606
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Australia
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Date submitted for ethics approval [6]
289606
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Approval date [6]
289606
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03/05/2012
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Ethics approval number [6]
289606
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HREC/12/SVHM/22; SSA Ref: SSA/12/VICBH/13; Barwon Health Ref: 12/30
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Summary
Brief summary
At 7-10 years after total hip replacement, this study will determine the incidence of bone loss around a primary total hip prosthesis with a metal head and polyethylene liner, as determined by CT, as well as the wear of the polyethylene and the movement of the acetabular cup, as determined by plain radiographs. The study will also examine the incidence of dislocation and other symptoms of hip instability, as well as the reasons for revision or re-operation. In addition, the study will show if there are any differences in these outcomes between prostheses with standard 28 mm and large 36 mm femoral heads.
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Trial website
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Trial related presentations / publications
Howie DW, Holubowycz OT, Middleton R, The Large Articulation Study Group. Large femoral heads decrease the incidence of dislocation after total hip arthroplasty. A randomized controlled trial. J Bone Joint Surg Am. 2012;94:1095-102.
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Public notes
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Contacts
Principal investigator
Name
41534
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Prof Donald Howie
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Address
41534
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Department of Orthopaedics and Trauma,
Level 4, Bice Building,
Royal Adelaide Hospital
North Tce
Adelaide SA 5000
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Country
41534
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Australia
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Phone
41534
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+61 8 8222 5563
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Fax
41534
0
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Email
41534
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[email protected]
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Contact person for public queries
Name
41535
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Oksana Holubowycz
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Address
41535
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Department of Orthopaedics and Trauma,
Level 4, Bice Building,
Royal Adelaide Hospital
North Tce
Adelaide SA 5000
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Country
41535
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Australia
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Phone
41535
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+61 8 8222 5760
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Fax
41535
0
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Email
41535
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[email protected]
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Contact person for scientific queries
Name
41536
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Oksana Holubowycz
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Address
41536
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Department of Orthopaedics and Trauma,
Level 4, Bice Building,
Royal Adelaide Hospital
North Tce
Adelaide SA 5000
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Country
41536
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Australia
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Phone
41536
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+61 8 8222 5760
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Fax
41536
0
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Email
41536
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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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