Arthritis
Conditions
Keywords
total hip arthroplasty, Charnley stem, RSA, non-inflammatory arthritis
Brief summary
A randomised radiostereometric study comparing SmartSet HV and Palacos R acrylic bone cements.
Detailed description
The fixation of components in total hip arthroplasty has a significant effect on the long-term survival of the prostheses. Bone cement in total joint replacement acts as an anchoring medium for the prosthesis and provides a barrier to the ingress of wear debris into bone surfaces. However, there are significant differences in cement behaviour among differing types of cement. A clinical study based on the Norwegian Arthroplasty Register demonstrated that there is an increased rate of revision due to aseptic loosening of femoral components implanted with low-viscosity cement compared with that of high-viscosity. Studies have shown that high early migration for certain designs of femoral prosthesis can be a predictor for clinical loosening. RSA is a technique enabling calculation of the three-dimensional translational and rotational movements of the implant relative to the bone, and therefore provides an ideal technique to detect early micromotion of implants.
Interventions
Bone cement SmartSet® HV
Bone cement Palacos R
Sponsors
Study design
Eligibility
Inclusion criteria
* patients in need for total hip arthroplasty
Exclusion criteria
* patients with an existing condition such as malignancy, pregnancy, severe osteoporosis and disabling musculoskeletal problems (other than in the hips), * patients on corticosteroid treatment, * patients who had already participated in a clinical study with an investigational product in the last 6 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Distal migration of the charnley femoral stem | 2010 |
Secondary
| Measure | Time frame |
|---|---|
| Rotational movements of the charnley femoral stem | 2010 |