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Trial registered on ANZCTR
Registration number
ACTRN12618001714279
Ethics application status
Approved
Date submitted
2/10/2018
Date registered
17/10/2018
Date last updated
17/10/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Is robotic arm assisted total hip replacement more bone preserving than conventional hip replacements and hip resurfacing?
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Scientific title
Is robotic arm assisted total hip replacement more bone preserving than conventional hip replacements and hip resurfacing?
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Secondary ID [1]
296226
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Nil Known
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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:
Total Hip Replacement
309864
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Hip Osteoarthritis
309865
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Condition category
Condition code
Surgery
308659
308659
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0
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Surgical techniques
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Musculoskeletal
308760
308760
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0
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Osteoarthritis
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Patient will undergo robotic total hip replacement as per normal practice. No additional intervention will take place. This is typically 60-90min procedure. The bone reamings will be collected and the dry weight will be measured after the patient has left the theatre.
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Intervention code [1]
312554
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Not applicable
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Comparator / control treatment
Comparison group will be from Brennan et al (6) study
Brennan et al (6) compared dry bone weight of acetabular reaming of conventional THA vs Hip resurfacing. They found no statistically significant difference between both groups. Our study uses the same trident series acetabular component as Brennan et al. We plan to use their study as our comparison group.
6. Brennan SA, Harty JA, Gormley C, O'Rourke SK. Comparison of acetabular reamings during hip resurfacing versus uncemented total hip arthroplasty. J Orthop Surg (Hong Kong). 2009;17(1):42-6.
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Control group
Historical
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Outcomes
Primary outcome [1]
307616
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Measurement of dry bone weight of acetabular bone reamings from robotic arm assisted total hip replacement.
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Assessment method [1]
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Timepoint [1]
307616
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Dry bone weight will be measured on the same day after the theatre list is complete and patients have left the operating theatre.
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Secondary outcome [1]
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Complications during this series. This will include fractures and implant failures. Patients will be followed up for one year. X-rays will be taken day 1 post operatively, 6 weeks and 1 year.
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Assessment method [1]
352428
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Timepoint [1]
352428
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1 year post operative
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Eligibility
Key inclusion criteria
-Undergoing Robotic Arm Assisted Total Hip Replacement (THR)
-Primary THR for Osteoarthritis
-Uncemented Trident Cup
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Minimum age
40
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
- Having Cemented THR
- Having conventional THR
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
Brennan et al (Brennan SA, Harty JA, Gormley C, O'Rourke SK. Comparison of acetabular reamings during hip resurfacing versus uncemented total hip arthroplasty. J Orthop Surg (Hong Kong). 2009;17(1):42-6.) compared dry bone weight of acetabular reaming of conventional THA vs Hip resurfacing. They found no statistically significant difference between both groups. Our study uses the same trident series acetabular component as Brennan et al. We plan to use their study as our comparison group. We have an estimate for our baseline (conventional hip replacement): Mean = 12.76g, Standard deviation = 5.17g, N = 62. With a two-tailed test: Consider it possible that Robotic may be either higher or lower than Conventional. Assuming a medium effect size difference between Robotic and Conventional, then we would recruit N = 64 patients. We will be preparing the bone reamings in a similar way as Brennan et al (6) have done in their paper. Patient consent will be obtained from all patients. The study does not interfere with current surgery practice and flow.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/11/2018
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Actual
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Date of last participant enrolment
Anticipated
1/02/2019
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Actual
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Date of last data collection
Anticipated
1/04/2020
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Actual
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Sample size
Target
64
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
12054
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Joondalup Health Campus - Joondalup
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Recruitment postcode(s) [1]
24211
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6027 - Joondalup
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Funding & Sponsors
Funding source category [1]
300825
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Self funded/Unfunded
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Name [1]
300825
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Nil
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Address [1]
300825
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Nil
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Country [1]
300825
0
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Primary sponsor type
Individual
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Name
Arash Taheri
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Address
Joondalup Orthopaedic Group
Suite 5, Ground Floor
Joondalup Private Hospital, 60 Shenton Ave
Joondalup WA 6027, Australia
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Country
Australia
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Secondary sponsor category [1]
300372
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None
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Name [1]
300372
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nil
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Address [1]
300372
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nil
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Country [1]
300372
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
301593
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Hollywood Private Hospital Research Ethics Committee
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Ethics committee address [1]
301593
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Hollywood Private Hospital Monash Ave Nedlands Perth WA 6009
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Ethics committee country [1]
301593
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Australia
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Date submitted for ethics approval [1]
301593
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07/01/2018
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Approval date [1]
301593
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31/05/2018
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Ethics approval number [1]
301593
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HPH435
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Summary
Brief summary
Primary total hip arthroplasty (THA) is an increasingly common procedure with 400331 procedures in Australia during 2016. This is 94.4% higher than the numbers undertaken in 2003. Literature suggests a revision rates ranging from 4% to 33% in this young population compared to 7%-15% for older patients. Loss of bone stock during primary THA may adversely affect subsequent revision THA. The purpose of this study was to compare preservation of acetabular bone stock between conventional THA and Hip resurfacing vs. robotic MAKO THA. We hypothesize that the robotic system would allow more precise reaming, leading to greater preservation of bone stock.
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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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Mr Arash Taheri
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Address
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Joondalup Orthopaedic Group
Suite 5, Ground Floor
Joondalup Private Hospital, 60 Shenton Ave
Joondalup WA 6027, Australia
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Country
87498
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Australia
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Phone
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+61 8 9300 1800
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Fax
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Email
87498
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[email protected]
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Contact person for public queries
Name
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Rajitha Gunaratne
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Address
87499
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Joondalup Orthopaedic Group
Suite 5, Ground Floor
Joondalup Private Hospital, 60 Shenton Ave
Joondalup WA 6027, Australia
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Country
87499
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Australia
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Phone
87499
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+61 0410990265
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Fax
87499
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Email
87499
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[email protected]
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Contact person for scientific queries
Name
87500
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Rajitha Gunaratne
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Address
87500
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Joondalup Orthopaedic Group
Suite 5, Ground Floor
Joondalup Private Hospital, 60 Shenton Ave
Joondalup WA 6027, Australia
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Country
87500
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Australia
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Phone
87500
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+61 0410990265
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Fax
87500
0
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Email
87500
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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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