This study is intended to gather medium (0-5 years) and long-term (6-10 years) information regarding the performance and safety of the commercially available Ceramax™ Ceramic on Ceramic Total Hip System. This is a two-phased study consisting of a clinical follow-up phase and a clinical outcomes phase. In Phase One (0-5 years), diagnostic, demographic and operative information will be gathered for each subject enrolled in this study. In addition, Harris Hip Evaluations, subjective evaluations and radiographs will be completed annually. In Phase Two (6 - 10 years), a subjective outcomes questionnaire and a SF-12 Health Survey will be mailed to subjects annually.
This is a prospective, non-randomized study of the 28mm Ceramic on Ceramic (COC) device. This study will follow each subject through 10 years postoperatively and will consist of: 1. a clinical follow-up phase and 2. a clinical outcomes phase. Radiographic and clinical follow-up exams will take place at six-weeks, six-months and then annually through year 5 for each subject. For years 6 - 10, a communication will be sent to each subject in order to collect survivorship and general health information. This communication will ask whether the COC device is still in vivo and, if not, when the revision surgery took place, why, and which components were removed, if applicable. In addition, subjects will be asked to complete a SF-12 Health Survey at each 6 to 10-year follow-up interval. A self-addressed, stamped envelope will be provided to facilitate information return and privacy.
Study Type
OBSERVATIONAL
Enrollment
185
28mm Ceramic-on-ceramic Acetabular Cup System
Joint Surgeons of Sacremento
Sacramento, California, United States
Colorado Joint Replacement
Denver, Colorado, United States
Unnamed facility
Fort Collins, Colorado, United States
Florida University
Gainesville, Florida, United States
FOI Florida Orthopaedic Institute
Tampa, Florida, United States
New England Baptist Hospital
Boston, Massachusetts, United States
Tufts - New England Medical Center
Boston, Massachusetts, United States
Duke University
Durham, North Carolina, United States
OrthoCarolina
Winston-Salem, North Carolina, United States
Cardinal Orthopaedic Institute
Columbus, Ohio, United States
...and 3 more locations
Survivorship
The primary outcome measure is that the 10-year Kaplan-Meier survivorship estimate of the COC 28mm implanted hips will be a minimum of 90% (as recommended by National Institute of Clinical Excellence \[NICE\]). Based on an anticipated margin of error (ie. one-half the width of the confidence interval) of 7%, the lower 95% confidence interval will be no worse than 83%.
Time frame: 10 years
Harris Hip Score
At five years, the Harris Hip Score must be \> 80 points or higher and the Harris Hip pain assessment must be mild or no pain.
Time frame: 5 years
Radiographic
At 5 years, secondary radiographic outcome measures will include: * No radiolucencies \>2mm in any zone in any post-operative interval; * No acetabular cup migration \>4mm; * No change in cup inclination angle \>4 degrees when compared to immediate post-operative angle; and * No osteolysis.
Time frame: 5 years
Survivorship
At 5 years, the secondary outcome measure will include no components removed for any reason.
Time frame: 5 years
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