- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05593146
A Randomized Controlled Study Evaluating Modified Cup Anteversion Placement in Prevention of Postoperative Dislocation in Patients Undergoing Acetabular Tumor Resection and Reconstruction
A Multi-center, Double-blinded, Randomized Controlled Study Comparing Modified Cup Anteversion vs Conventional Cup Anteversion Placement in Prevention of Postoperative Dislocation in Patients Undergoing Acetabular Tumor Resection and Reconstruction
The purpose of this clinical study is to investigate whether patients who receive modified anteversion angle (( α-15°)±10°) of the acetabular cup have a lower risk of dislocation within one year after surgery, compared to patients who receive conventional anteversion angle ( α±10°) of the acetabular cup.
The hypothesis is that patients with placement of the modified (( α-15°)±10°) anteversion angle of the acetabular component will have decreased risk of dislocation 1 year after surgery compared to patients with conventional anteversion angle ( α±10°) placement.
PS: α refers to the preoperative anteversion angle of the affected hip. α equals to the anteversion angle of the contralateral limb if it cannot be accurately measured on the affected limb. A standard error within 10° is accepted
Study Overview
Status
Conditions
Detailed Description
Hip dislocation is a common complication in patients who undergo reconstruction surgery after periacetabular tumor resection and most of these cases are anterior dislocations. Studies suggest that this type of dislocation may be closely related to the position and anteversion angle of the acetabular component. Therefore, properly reducing the anteversion angle of the acetabular cup during reconstruction might effectively prevent possible collisions between the cup and the femoral component, thereby reducing the potential risk of dislocation. Based on this theory, we aim to investigate whether patients who receive modified anteversion angle (( α-15°)±10°) of the acetabular cup have a lower risk of dislocation within one year after surgery, compared to patients who receive conventional anteversion angle ( α±10°) of the acetabular cup.
PS: α refers to the preoperative anteversion angle of the affected hip. α equals to the anteversion angle of the contralateral limb if it cannot be accurately measured on the affected size. A standard error within 10° is accepted.
Study Type
Enrollment (Estimated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Hao Qu, MD
- Phone Number: 13666615399
- Email: email@zju.edu.cn
Study Contact Backup
- Name: Nong Lin, MD
- Phone Number: 13958195545
- Email: ldoctor@yeah.net
Study Locations
-
-
Zhejiang
-
Ningbo, Zhejiang, China, 311200
- Recruiting
- Ningbo No.6 Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age above 16 years old, gender is not limited.
- Tumor involving periacetabulum, femoral head, femoral neck or proximal femur
- Patients require 3D-printed hemipelvic endoprosthetic reconstruction following periacetabular tumor resection
- The subject has an estimated survival period of at least one year or more.
- The subjects with informed consent
Exclusion Criteria:
- The patient used to conduct surgery on his/her hip joint
- The patient's current surgery aimed for hip revision for implant failure or infection
- The patient didn't conduct hip endoprosthetic reconstruction
- Patients with congenital defects in the gluteal muscle group, neurological function or pelvic tilt deformity severe enough to affect functional activity
- Patients cannot self-assess postoperative function after surgery
- According to the judgment of the investigator/supervisor, there may be difficulties in completing postoperative follow-up
- Subjects have participated in similar research projects
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: modified anteversion angle placement (( α-15°)±10°) of the acetabular component
α refers to the anatomical preoperative anteversion angle of the affected hip.
α equals to the anteversion angle of the contralateral limb if it cannot be accurately measured on the affected limb.
A standard error within 10° is accepted
|
Preoperative examination was conducted to determine a safe surgical margin in all patients. A 3D printed osteotomy guide combined with a 3D printed prosthesis pre- designed anteversion angle is assembled for reconstruction after tumor resection. Once completed, intraoperative X-ray fluoroscopy was applied to evaluate the anteversion angle of the acetabular component. If the anteversion angle doesn't meet the predetermined criteria, it needs to be adjusted until it does. |
Placebo Comparator: conventional anteversion angle placement ( α±10°) of the acetabular component
α refers to the anatomical preoperative anteversion angle of the affected hip.
α equals to the anteversion angle of the contralateral limb if it cannot be accurately measured on the affected limb.
A standard error within 10° is accepted
|
Preoperative examination was conducted to determine a safe surgical margin in all patients. A 3D printed osteotomy guide combined with a 3D printed prosthesis with predesigned anteversion angle is assembled for reconstruction following tumor resection. Once completed, intraoperative X-ray fluoroscopy was applied to evaluate the anteversion angle of the acetabular component. If the anteversion angle doesn't meet the predetermined criteria, it needs to be adjusted until it does. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The endpoint for patient participation will dislocate
Time Frame: followed for 1 years postoperatively for study end points
|
postoperative hip dislocation
|
followed for 1 years postoperatively for study end points
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
MSTS score
Time Frame: followed 1 month, 3 months, 6 months, 9 months and 1 year postoperatively for study endpoints
|
The Musculoskeletal Tumor Society (MSTS) scoring system is a validated and well-accepted functional scoring system used in orthopaedic oncology research
|
followed 1 month, 3 months, 6 months, 9 months and 1 year postoperatively for study endpoints
|
TESS score
Time Frame: followed 1 month, 3 months, 6 months, 9 months and 1 year postoperatively for study endpoints
|
Toronto Extremity Salvage Score (TESS) is a physical disability measure developed specifically for patients undergoing surgery for extremity tumours
|
followed 1 month, 3 months, 6 months, 9 months and 1 year postoperatively for study endpoints
|
Henderson's failure mode
Time Frame: followed 1 month, 3 months, 6 months, 9 months and 1 year postoperatively for study endpoints
|
1: soft tissue failure; 2: aseptic loosening; 3: structural failure; 4: periprosthetic infection; 5: tumor progression
|
followed 1 month, 3 months, 6 months, 9 months and 1 year postoperatively for study endpoints
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2022_QH1020
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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