Pre-Op Total Hip Arthroplasty Modelling: Individualized Care, Improved Outcomes

Status: Recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Replacing diseased hip joints with prosthetic implants in a procedure called total hip arthroplasty (THA) is associated with high rates of patient satisfaction, pain relief, and functional improvement when the implant is appropriately placed. Incorrect implant size or placement may lead to a breadth of negative outcomes, which could result in the need for implant revision. It is difficult to assess the precise orientation of patient hips on the operating table, with one study revealing that only 26% of acetabular cups placed without technological assistance are correctly positioned. Using computer navigation as a guide to achieve optimal implant alignment may improve successful placement rates. The additional incorporation of real-time modeling software may further help realize higher rates of successful implant placement. This study, therefore, aims to investigate a computer navigation system coupled with real-time modeling software to establish the benefit of such technology in the operating room, and further improve positive patient outcomes following THA. We hypothesize that including technological assistance in THAs will yield better patient outcomes compared to surgeries performed freehand.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 40
Healthy Volunteers: f
View:

• osteoarthritis of the hip requiring primary THA

• 40 years of age or older

• BMI \<40 kg/m2

• able to provide informed consent, able and willing to do study assessments and follow instructions

Locations
Other Locations
Canada
London Health Sciences Centre
RECRUITING
London
Contact Information
Primary
Brent Lanting
Brent.Lanting@lhsc.on.ca
519-663-3335
Backup
Lyndsay Somerville
Lyndsay.Somerville@lhsc.on.ca
519-685-8500
Time Frame
Start Date: 2022-08-01
Estimated Completion Date: 2025-11-30
Participants
Target number of participants: 80
Treatments
Experimental: Prospective Computer-Navigated Cohort
Patients in this arm will receive standard patient of care implants but navigation software will be used to plan optimal acetabular cup placement.
Active_comparator: Cross-sectional Standard of Care Cohort
Patients in this arm will receive standard of care implants and undergo standard of care procedure for total hip arthroplasty.
Related Therapeutic Areas
Sponsors
Leads: London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's

This content was sourced from clinicaltrials.gov