Revision Hip replacement surgery Musculoskeletal Diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 50-80 2. First revision of cemented THR 3. Acetabular defects suitable for Impaction grafting
Exclusion criteria
Exclusion criteria: 1. Previous surgery for inflammatory arthritis of the hip 2. Renal transplant or significant renal impairment 3. Immunosuppressive condition or recent high dose steroids 4. Known or suspected ipsilateral hip infection 5. Neurological disease limiting rehabilitation e.g. Parkinson?s 6. Psychosocial disorders likely to limit rehabilitation 7. Geographical factors making follow up impractical 8. Other condition severely limiting life expectancy 9. Dementia or other condition affecting ability to give consent 10. Revision for periprosthetic fracture or dislocation 11. Facility for intraoperative exclusion (e.g. periprosthetic fracture, uncontained defect, suspected sepsis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Migration and inducible movement of cemented acetabular components impacted. Each patient will be evaluated using standard weight bearing and non-weight bearing RSA radiographs at time of discharge, at six weeks, three months, six months, one year and two years after surgery. In addition, each patient will receive one repeat examination for clinical precision estimate in accordance with RSA guidelines. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Joint function, assessed using the Oxford Hip Score before surgery and again 12 months after surgery 2. General health,assessed using the Euroquol 5D score before surgery, 12 months after surgery and 24 months after surgery 3. Assessment of a hip arthroplasty via plain x-ray - radiolucency before surgery, just after surgery, then again at 12 months and 24 months | — |
Countries
United Kingdom