The purpose of this study is to evaluate the survivorship (revision rates) and patient reported outcomes (PROMs) following implantation of the Insignia hip stem in patients undergoing cementless total hip replacement surgery compared to currently available stems used for the same type of surgery. It is hypothesised the 2-year survivorship of the Insignia stem is noninferior to the benchmark survivorship of similar stems used in the same type of surgery.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
313
The Insignia hip stem prosthesis will be used in cementless total hip replacement surgery (THA). The surgery typically takes approximately two hours. All study participants will receive the Insignia hip stem and compatible components. Experienced Orthopaedic Surgeons trained in THA will perform the surgeries as per the standard surgical technique guide for this prosthesis.
St John of God Subiaco Hospital
Subiaco, Western Australia, Australia
RECRUITINGImplant survivorship
Implant survivorship using cumulative percent revision (CPR) of the Insignia hip stem, for any reason.
Time frame: 2 years post-operatively
Oxford Hip Score
Performance of the Insignia hip stem using Oxford Hip Score (OHS) in the intervention group
Time frame: Pre-operatively and 6 months, 12 months and 2 years post-operatively
Hip Disability and Osteoarthritis Outcome Score (HOOS-12).
Function, pain and satisfaction in the intervention group using the Hip Disability and Osteoarthritis Outcome Score mid-version (HOOS-12). This is a composite measure.
Time frame: Pre-operatively and 6 months, 12 months and 2 years post-operatively
EQ-5D-5L
Function, pain and satisfaction in the intervention group using EQ-5D-5L domains and EQ (Visual analogue scale) VAS. This is a composite measure.
Time frame: Pre-operatively and 6 months, 12 months and 2 years post-operatively
Hip and lower back pain VAS
Hip and lower back pain in the intervention group using a VAS. This is a composite measure.
Time frame: Pre-operatively and 6 months, 12 months and 2 years post-operatively
Forgotten Joint Score (FJS)
Function, pain and satisfaction in the intervention group using Forgotten Joint Score (FJS). This is a composite measure.
Time frame: Pre-operatively and 6 months, 12 months and 2 years post-operatively
Complications
Post-operative complications when the Insignia Hip Stem is used in THA in the intervention group..
Time frame: Collected as they arise post-operatively. Reported as number within 6 months, 12 months and 2 years post-operatively.
Mortality
Mortality in the intervention group
Time frame: 1 and 2 years post-operatively
CPR for stem loosening
CPR of the Insignia Hip Stem for stem loosening in the intervention group
Time frame: 2 years post-operatively
Femoral fracture
Insignia Hip Stem device-related femoral fracture in the intervention group
Time frame: 2 years post-operatively
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