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Trial registered on ANZCTR
Registration number
ACTRN12619001447145p
Ethics application status
Submitted, not yet approved
Date submitted
19/09/2019
Date registered
18/10/2019
Date last updated
24/07/2020
Date data sharing statement initially provided
18/10/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Screw versus no screw fixation on cup stability in Total Hip Replacement
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Scientific title
Screw versus no screw fixation on 2-year Total Hip Arthroplasty cup stability: a randomised clinical trial
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Secondary ID [1]
299355
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None
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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:
Osteoarthritis
314506
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Condition category
Condition code
Musculoskeletal
312855
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0
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Osteoarthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Screw fixation of a press fit uncemented cup by one of 2 experienced orthopaedic surgeons (> 15 years) at a single private hospital. This intervention will be delivered once at time of primary hip arthroplasty. This surgery generally takes 60-90 minutes to perform.
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Intervention code [1]
315622
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Treatment: Surgery
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Comparator / control treatment
Screwless fixation of a press fit uncemented cup by one of 2 experienced orthopaedic surgeons (> 15 years) at a single private hospital. This intervention will be delivered once at time of primary hip arthroplasty.
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Control group
Active
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Outcomes
Primary outcome [1]
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cup stability via radiostereometric analysis
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Assessment method [1]
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Timepoint [1]
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1 week, 3, 12 and 24 months post-operative
24 months is the primary timepoint
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Secondary outcome [1]
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Hip Pain via Numerical Rating score (0-10)
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Assessment method [1]
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Timepoint [1]
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preoperative, 3, 12 and 24 months.
2 years post-operative is the primary timepoint
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Secondary outcome [2]
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Hip function via Oxford hip score (0-48 best)
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Assessment method [2]
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Timepoint [2]
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preoperative, 3, 12 and 24 months.
2 Years post-operative is the primary timepoint
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Eligibility
Key inclusion criteria
1. consenting male and female patients
2. aged 50 to 75-years
3. degenerative native hip-joint pathology
4. adequate acetabular and femoral bone stock for uncemented fixation
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Minimum age
50
Years
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Maximum age
75
Years
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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
1. local hip joint infection or significant systemic disease
2. affected by neuromuscular or sensory pathology
3. immunosuppressed
4. morbidly obese (BMI higher than 40)
5. unable to comply with the postoperative follow-up investigations to be inducted into the study
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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
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Withdrawn
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Reason for early stopping/withdrawal
Lack of funding/staff/facilities
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Date of first participant enrolment
Anticipated
2/12/2019
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Actual
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Date of last participant enrolment
Anticipated
30/06/2020
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Actual
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Date of last data collection
Anticipated
30/06/2022
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment outside Australia
Country [1]
21875
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Sweden
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State/province [1]
21875
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Gruppo Bioimpianti Srl
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Address [1]
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Via Liguria, 28, 20068 Bettola-Zeloforamagno MI, Italy
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Country [1]
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Italy
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Primary sponsor type
Commercial sector/Industry
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Name
Gruppo Bioimpianti Srl
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Address
Via Liguria, 28, 20068 Bettola-Zeloforamagno MI, Italy
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Country
Italy
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
304011
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
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Ramsay Health Care
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Ethics committee address [1]
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Hollywood Private Hospital Nedlands WA 6009
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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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18/09/2019
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Approval date [1]
304376
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Ethics approval number [1]
304376
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Summary
Brief summary
Primary fixation of the acetabular cup in total hip arthroplasty is vital for long-term stability. In cementless press-fit cups, this initial stability is achieved by the press-fit fixation. Additional primary fixation may be obtained by the use of extra screws. However, the value of additional screw fixation of press-fit acetabular cup implants on implant survival is questioned. We investigate if screw fixation is necessary when a GB DMD uncemented cup purposefully designed to enhance osseointegration is implanted. The specific objectives of this project are to i) evaluate the migration profile of the GB DMD uncemented acetabular Cup at 3 months, 1 and 2 years ii) compare quality of stability (using radiostereometric analysis) and clinical outcomes with screw verses no screw fixation at 2 years
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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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Prof Riaz Khan
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Address
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The Joint Studio
1/85 Monash Ave Nedlands WA 6009
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Country
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Australia
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Phone
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+61 89386 3933
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Samantha Haebich
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Address
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The Joint Studio
1/85 Monash Ave Nedlands WA 6009
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Country
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Australia
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Phone
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+61 864609781
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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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Riaz Khan
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Address
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The Joint Studio
1/85 Monash Ave Nedlands WA 6009
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Country
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Australia
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Phone
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+61 89386 3933
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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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