Status:

SUSPENDED

A Validated Necrosis Assay to Determine the Need for Revision Surgery in Metal-on-metal Total Hip Arthroplasty

Lead Sponsor:

OrthoCarolina Research Institute, Inc.

Collaborating Sponsors:

Charlotte Orthopedic Hospital

Conditions:

Arthritis, Failure of Total Hip

Eligibility:

All Genders

18+ years

Brief Summary

The purpose of the study is to develop a biomarker assay to be used as a diagnostic tool for adverse local tissue reaction, or tissue necrosis, in a metal on metal total hip replacement. A convenienc...

Detailed Description

Well-functioning MoM implants have shown an increase in serum cobalt and chromium (CoCr) ion levels from the metal debris generated from the implant wear.However, the current evidence suggests that me...

Eligibility Criteria

Inclusion

  • Patients presenting for a metal on metal hip revision who have cobalt and chromium metal ion levels tested within 6 months of the date of the planned revision surgery.
  • Patients presenting for a metal on poly hip revision
  • Revision hip patients must be greater than one year postoperative
  • The diagnosis at the time of the index, or primary, hip replacement was osteoarthritis.
  • Patients who have hip osteoarthritis but have not had a total hip surgery (control)

Exclusion

  • Patients presenting for a metal on metal hip revision who have cobalt and chromium metal ion levels tested \>6 months of the date of the planned revision
  • Patients with a total hip on the contralateral side.
  • Patients with a prior history of periprosthetic infection
  • Revision cases where the diagnosis at the time of the index, or primary, hip replacement was not osteoarthritis.
  • Prisoners
  • Patients not willing to consent for the proposed treatment
  • Patients with an altered mental status
  • Active, concurrent metastatic infection
  • Active, superficial infection
  • Patients presenting for a metal on poly hip revision to treat trunionosis

Key Trial Info

Start Date :

August 4 2014

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

December 31 2030

Estimated Enrollment :

174 Patients enrolled

Trial Details

Trial ID

NCT02208271

Start Date

August 4 2014

End Date

December 31 2030

Last Update

April 30 2025

Active Locations (1)

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OrthoCarolina

Charlotte, North Carolina, United States, 28207