Hip Arthropathy
Conditions
Keywords
Total Hip Prosthesis Revision
Brief summary
This clinical study is conducted to collect data on hip arthroplasty with the SAGITTA EVL-R revision femoral stems manufactured by SERF. In order to reflect current practice, a comprehensive and continuous series of patients will be included. This study will confirm the performance and safety of the SAGITTA EVL R revision femoral stems within the framework of MDR 2017/745 and in relation to the recommendations of the MEDDEV guide 2.7.1. Rev 4 (Clinical Evaluation Guide), which provides for a systematic procedure to monitor clinical data in order to verify the claimed performance of medical devices.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient over 18 years old at the time of surgery, * Patient implanted with a SAGITTA EVL R revision femoral stem within its indications between 01/01/2016 and 31/12/2018, * Affiliated to French health insurance system
Exclusion criteria
* Patient who has not expressed consent for data collection and participation in the study, * Patient unable to understand the surgeon's instructions or to perform postoperative follow-up. * Patient with a contraindication to the use of the SAGITTA EVL R revision femoral stem * Patient implanted with a SAGITTA EVL R revision femoral stem outside its indication
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Survival Rate at Mid Term Follow-up | Between 4 to 7 years after surgery | Assess the survival rate, at least 4 year-follow-up, whatever the cause of revision. Cumulative survival rate expressed in percentage of implants not revised (remaining in place) using Kaplan Meier calculation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Survival Rates at Mid Term Follow-up (by Component) | At 4/6 years after surgery | Assess the survival rates at least, 4 year-follow-up, whatever the cause of revision, regarding each component of the prothesis |
| Survival Rates at Mid Term Follow-up (by Etiology) | At 4/6 years after surgery | Assess the survival rates at least, 4 year-follow-up, whatever the cause of revision, regarding etiology. Percentage of patients with implant in place dispatched following reason for implantation |
| Adverse Events | From per operative period to 4/6 years after surgery | List type and frequency of complications, investigated by clinical and radiological examination following investigator's usual practice |
| Oblivion of Prosthesis | At 4/6 years after surgery | Assess the degree of forgetfulness of the prosthesis using FJS-score (Forgotten Joint Score) : FJS stands for Forgotten Joint Score. The Forgotten Joint Score assessment consists of 12 questions and is scored on a 0-100 scale. The higher the score, the less the patient is aware of their affected joint when performing daily activities |
| Functional Improvement | At 4/6 years after surgery | Evaluate pain, walking, limping and activities of daily life using Harris Hip Score : The global Harris Hip Score consists of a 0 to 100 points scale (100 points is the better outcome) |
| Patient's Satisfaction | At 4/6 years after surgery | Assessed by the surgeon through questionary with a 5 item-scale : very satisfied / satisfied / neither satisfied - nor unsatisfied / unsatisfied / very unsatisfied |
Countries
France
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Per Protocol Population All patients implanted with a SAGITTA EVLR revision stem in CHU Rouen between 2016 and 2018 meeting inclusion/exclusion criteria | 42 |
| Per Protocol Population All patients implanted with a SAGITTA EVLR revision stem in CHU Rouen between 2016 and 2018 meeting inclusion/exclusion criteria | 42 |
| Total | 84 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Death | 30 |
| Overall Study | Revision | 2 |
Baseline characteristics
| Characteristic | Per Protocol Population |
|---|---|
| Age, Continuous | 80.4 years STANDARD_DEVIATION 8.24 |
| Sex: Female, Male Female | 18 Participants |
| Sex: Female, Male Male | 24 Participants |
| Weight | 72.8 kg STANDARD_DEVIATION 19 |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 30 / 42 |
| other Total, other adverse events | 1 / 42 |
| serious Total, serious adverse events | 4 / 42 |
Outcome results
Survival Rate at Mid Term Follow-up
Assess the survival rate, at least 4 year-follow-up, whatever the cause of revision. Cumulative survival rate expressed in percentage of implants not revised (remaining in place) using Kaplan Meier calculation.
Time frame: Between 4 to 7 years after surgery
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Per Protocol Population | Survival Rate at Mid Term Follow-up | 90.1 percentage of implant survival |
Adverse Events
List type and frequency of complications, investigated by clinical and radiological examination following investigator's usual practice
Time frame: From per operative period to 4/6 years after surgery
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Per Protocol Population | Adverse Events | Sepsis | 1 participants |
| Per Protocol Population | Adverse Events | Greater trochanter fracture | 1 participants |
| Per Protocol Population | Adverse Events | Posterior dislocation - vicious attitude of the hip | 1 participants |
| Per Protocol Population | Adverse Events | Femoral fracture | 1 participants |
| Per Protocol Population | Adverse Events | Fracture with greater trochanter displacement | 1 participants |
Functional Improvement
Evaluate pain, walking, limping and activities of daily life using Harris Hip Score : The global Harris Hip Score consists of a 0 to 100 points scale (100 points is the better outcome)
Time frame: At 4/6 years after surgery
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Per Protocol Population | Functional Improvement | 71.5 score on a scale | Standard Deviation 21.45 |
Oblivion of Prosthesis
Assess the degree of forgetfulness of the prosthesis using FJS-score (Forgotten Joint Score) : FJS stands for Forgotten Joint Score. The Forgotten Joint Score assessment consists of 12 questions and is scored on a 0-100 scale. The higher the score, the less the patient is aware of their affected joint when performing daily activities
Time frame: At 4/6 years after surgery
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Per Protocol Population | Oblivion of Prosthesis | 80.4 score on a scale | Standard Error 10.15 |
Patient's Satisfaction
Assessed by the surgeon through questionary with a 5 item-scale : very satisfied / satisfied / neither satisfied - nor unsatisfied / unsatisfied / very unsatisfied
Time frame: At 4/6 years after surgery
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Per Protocol Population | Patient's Satisfaction | Rather satisfied | 4 number of hips |
| Per Protocol Population | Patient's Satisfaction | Very satisfied | 4 number of hips |
| Per Protocol Population | Patient's Satisfaction | Neither satisfied nor unsatisfied | 2 number of hips |
| Per Protocol Population | Patient's Satisfaction | Rather unsatisfied | 0 number of hips |
| Per Protocol Population | Patient's Satisfaction | Very unsatisfied | 0 number of hips |
Survival Rates at Mid Term Follow-up (by Component)
Assess the survival rates at least, 4 year-follow-up, whatever the cause of revision, regarding each component of the prothesis
Time frame: At 4/6 years after surgery
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Per Protocol Population | Survival Rates at Mid Term Follow-up (by Component) | 100 percentage of implant survival |
Survival Rates at Mid Term Follow-up (by Etiology)
Assess the survival rates at least, 4 year-follow-up, whatever the cause of revision, regarding etiology. Percentage of patients with implant in place dispatched following reason for implantation
Time frame: At 4/6 years after surgery
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Per Protocol Population | Survival Rates at Mid Term Follow-up (by Etiology) | 80 percentage of implant |