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ROBODOC® Clinical Trials: Long-Term Follow-Up

A Follow-Up Study of Subjects Enrolled in the Pin-Based (IDE G920035) and Pinless (IDE G000071) ROBODOC® Surgical System Clinical Trial

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT01831219
Enrollment
118
Registered
2013-04-15
Start date
2013-04-30
Completion date
2016-01-31
Last updated
2017-01-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Osteoarthritis

Keywords

osteoarthritis, arthroplasty, hip arthroplasty

Brief summary

This is a follow-up study looking at the and long-term results of two methods of preparing the thigh bone to receive an implant during hip replacement surgery. For one group of patients in the original study, the surgeon used a cutting tool called a broach and a special hammer on patients who had standard hip replacement operations. For the other patients, the surgeon used a surgical robot which was equipped with a cutting tool, like a drill, to prepare the thigh bone. The purpose of this study is to collect additional information confirming that the surgical robot is safe and effective when used as recommended. Only patients who were enrolled in the original clinical trials are eligible for this study.

Detailed description

A. Description This study is a follow-up study looking at mid- and long-term outcomes for participants in the IDE G920035 and IDE G000071 Clinical Trials. The IDE G920035 was a randomized, controlled trial with a 1:1 ROBODOC:control randomization. The IDE G000071 was a randomized, controlled trial with a 3:1 ROBODOC:control randomization. B. Selection Criteria Only subjects who were originally enrolled in the IDE G920035 and IDE G000071 Clinical Trials are eligible to participate in this study. Subjects selected for this study will have completed a minimum of the 3 month follow-up requirements of the IDE G920035 and IDE G000071 Clinical Trials. Enrolled subjects must be willing to give a relevant medical history, undergo a focused physical examination of their operative hip(s), have an AP and lateral x-ray taken of their operative hip(s) and complete the Harris Hip Score, SF-12, UCLA Activity Score, VAS pain self-assessment, and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaires. The study subject may be reimbursed for reasonable travel expenses associated with their participation in the study. All requests for reimbursement must be pre-approved by Curexo Technology Corporation. C. Data Collection Subjects participating in this study will be asked to visit the study site to undergo a physical examination of their operative hip(s). During this visit, they will be asked to give a relevant medical history, have AP and lateral radiographs taken of their operative hip(s), and complete the Harris Hip Score, SF-12, UCLA Activity Score, VAS pain self-assessment, and WOMAC questionnaires. If the subject has obtained AP and lateral radiographs within the last year, these can be used instead of requiring them to obtain new radiographs specifically for this study. If the subject is unable or unwilling to come in for the examination, they will be asked to fill out the Harris Hip Score, SF-12, UCLA Activity Score, VAS pain self-assessment, and WOMAC questionnaires via mail or over the phone with the Study Nurse/Coordinator. Additionally, they will be asked to obtain current AP and lateral radiographs taken of their operative hip(s) with their current orthopaedic surgeon to be transferred to the study site. D. Blinding An independent radiologist or orthopaedic surgeon, experienced in reading hip x-rays, who is blinded to the original randomly assigned study group, will read the follow-up x-rays taken on subjects enrolled in this study. E. Randomization There will be no further randomization of subjects in this study. Prior subject records will determine the original study group (ROBODOC or manual control) to which the subject was randomly assigned in IDE G920035 or IDE G000071. F. Baseline Measurements No baseline measurements will be collected for this follow-up study. G. Power and Sample Size The sample size will be determined by the number of qualifying subjects from the IDE G920035 and IDE G000071 Clinical Trials who can be located and who agree to participate in this follow-up study. We anticipate approximately 20 patients from IDE G920035 and 30 patients from IDE G000071 to agree to study participation. This sample size will provide 82% power (α = 0.05, 2-tailed) to detect a 20% (5 versus 2.5, pooled SD = 3.0) difference between the ROBODOC and control groups on the VAS at the last available follow-up.

Interventions

None listed

Sponsors

Curexo Technology Corporation
Lead SponsorINDUSTRY

Study design

Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Subjects included in this study will have completed the follow-up requirements of the IDE G920035 or the IDE G000071 Clinical Trial; * Subjects must be willing to give a relevant medical history, undergo a focused physical examination of their operative hip(s) and have an AP and lateral x-ray taken of their operative hip(s); * Subjects must be willing to complete the Harris Hip Score, SF-12, WOMAC, UCLA Activity Score, and VAS pain self-assessment questionnaires; and * Subjects must be willing to sign an informed consent document.

Exclusion criteria

* There are no

Design outcomes

Primary

MeasureTime frameDescription
Western Ontario and McMaster Universities Osteoarthritis Index2 monthsThe Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) will be used to measure clinical outcome. The WOMAC total score ranges 96 (best) to 0 (worst). The WOMAC pain score ranges 0-20, the stiffness score ranges 0-8, and functional limitation score ranges 0-68.
Presence of Osteolysis14 monthsPresence of osteolysis determined by looking at patient x-rays as described by Gruen et al and Johnson et al.

Secondary

MeasureTime frameDescription
Health Status Questionnaire-122 monthsThe Health Status Questionnaire-12 (HSQ-12) will be used to measure clinical outcome. HSQ-12 total score ranges from 0 (worst) to 800 (best).
Visual Analog Pain Score2 monthsThe Visual Analog Scale pain questionnaire will be used to measure clinical outcome. The pain VAS is a continuous scale which range from 0 (no pain) to 100 \[100-mm scale\] (worst imaginable pain ).
UCLA Activity Score2 monthsThe UCLA Activity Score will be used to measure clinical outcome. The UCLA Activity Score ranges 10 (best) to 0 (worst).
Harris Hip Score2 monthsThe Harris Hip Score will be measured to determine clinical outcome. The Harris Hip total score ranges 100 (best) to 0 (worst) and it is computed by the sum of the pain score (0-44 points), function (, 0-47 points), absence of deformity (4 points), and range of motion (5 points).

Other

MeasureTime frameDescription
Number of Operated Hips That Required Revision/ReoperationAt follow-up visit (7-20 years post-operatively)Implant survivorship will be determined from the medical history CRF by comparing the percentage of ROBODOC and manual control subjects who have required revision or re-operation THA procedures on the hip in question since their original study procedure which took place 7-20 years previously.

Countries

United States

Participant flow

Participants by arm

ArmCount
ROBODOC
The ROBODOC group received total hip arthroplasty using the ROBODOC Surgical system for preparation of the femoral canal for a femoral stem implant.
73
Conventional
The conventional group received total hip arthroplasty using the conventional manual tools including a broach to prepare the femoral cavity for femoral stem replacement.
45
Total118

Baseline characteristics

CharacteristicConventionalROBODOCTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
45 Participants73 Participants118 Participants
Age, Categorical
Between 18 and 65 years
0 Participants0 Participants0 Participants
Age, Continuous72.8 years
STANDARD_DEVIATION 7.6
74.2 years
STANDARD_DEVIATION 8.2
73.5 years
STANDARD_DEVIATION 7.7
Gender
Female
NA ParticipantsNA ParticipantsNA Participants
Gender
Male
NA ParticipantsNA ParticipantsNA Participants
Region of Enrollment
United States
45 participants73 participants118 participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
0 / 400 / 21
serious
Total, serious adverse events
0 / 400 / 21

Outcome results

Primary

Presence of Osteolysis

Presence of osteolysis determined by looking at patient x-rays as described by Gruen et al and Johnson et al.

Time frame: 14 months

ArmMeasureValue (NUMBER)
ROBODOCPresence of Osteolysis2 Hips
ConventionalPresence of Osteolysis2 Hips
Primary

Western Ontario and McMaster Universities Osteoarthritis Index

The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) will be used to measure clinical outcome. The WOMAC total score ranges 96 (best) to 0 (worst). The WOMAC pain score ranges 0-20, the stiffness score ranges 0-8, and functional limitation score ranges 0-68.

Time frame: 2 months

ArmMeasureValue (MEAN)Dispersion
ROBODOCWestern Ontario and McMaster Universities Osteoarthritis Index8.44 units on a scaleStandard Deviation 11.48
ConventionalWestern Ontario and McMaster Universities Osteoarthritis Index11.32 units on a scaleStandard Deviation 11.92
Secondary

Harris Hip Score

The Harris Hip Score will be measured to determine clinical outcome. The Harris Hip total score ranges 100 (best) to 0 (worst) and it is computed by the sum of the pain score (0-44 points), function (, 0-47 points), absence of deformity (4 points), and range of motion (5 points).

Time frame: 2 months

ArmMeasureValue (MEAN)Dispersion
ROBODOCHarris Hip Score93.49 units on a scaleStandard Deviation 8.77
ConventionalHarris Hip Score89.5 units on a scaleStandard Deviation 12.03
Secondary

Health Status Questionnaire-12

The Health Status Questionnaire-12 (HSQ-12) will be used to measure clinical outcome. HSQ-12 total score ranges from 0 (worst) to 800 (best).

Time frame: 2 months

ArmMeasureValue (MEAN)Dispersion
ROBODOCHealth Status Questionnaire-12683.52 units on a scaleStandard Deviation 113.09
ConventionalHealth Status Questionnaire-12637.16 units on a scaleStandard Deviation 104.53
Secondary

UCLA Activity Score

The UCLA Activity Score will be used to measure clinical outcome. The UCLA Activity Score ranges 10 (best) to 0 (worst).

Time frame: 2 months

ArmMeasureValue (MEAN)Dispersion
ROBODOCUCLA Activity Score6.09 units on a scaleStandard Deviation 8.44
ConventionalUCLA Activity Score5.71 units on a scaleStandard Deviation 1.45
Secondary

Visual Analog Pain Score

The Visual Analog Scale pain questionnaire will be used to measure clinical outcome. The pain VAS is a continuous scale which range from 0 (no pain) to 100 \[100-mm scale\] (worst imaginable pain ).

Time frame: 2 months

ArmMeasureValue (MEAN)Dispersion
ROBODOCVisual Analog Pain Score4.69 units on a scaleStandard Deviation 10.15
ConventionalVisual Analog Pain Score6.42 units on a scaleStandard Deviation 10.89
Other Pre-specified

Number of Operated Hips That Required Revision/Reoperation

Implant survivorship will be determined from the medical history CRF by comparing the percentage of ROBODOC and manual control subjects who have required revision or re-operation THA procedures on the hip in question since their original study procedure which took place 7-20 years previously.

Time frame: At follow-up visit (7-20 years post-operatively)

ArmMeasureValue (NUMBER)
ROBODOCNumber of Operated Hips That Required Revision/Reoperation1 Hips
ConventionalNumber of Operated Hips That Required Revision/Reoperation1 Hips

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026