- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06631638
EMPHASYS Cup Positioning in THA With Non-Invasive Navigation (Velys Hip Navigation (VHN))
Planned vs. Actual Acetabular Cup Position in Total Hip Arthroplasty With Non-Invasive Navigation
The purpose of this research is to gather clinical and radiographic (X-ray) information about EMPHASYS™ acetabular shell (also called a hip 'cup') placement in total hip replacement surgery using a non-invasive surgical navigation system called VELYS™ hip navigation system with CUPTIMIZE™ Advanced Hip-Spine Analysis software.
Data collected in this study will be compared with data collected from implantations using different cup positioning instrumentation and techniques to assess performance.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Samantha Flamand
- Phone Number: 610-241-3260
- Email: SFlamand@its.jnj.com
Study Locations
-
-
Florida
-
Gainesville, Florida, United States, 32607
- Recruiting
- Florida Orthopaedic Institute
-
-
North Carolina
-
Gastonia, North Carolina, United States, 28054
- Recruiting
- Carolina Orthopaedic and Sports Medicine Center
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- All hip replacement component devices are to be used according to the approved indications.
- The subject is undergoing a standard of care primary uncemented hip replacement with the EMPHASYS cup and a CORAIL, EMPHASYS or ACTIS stem via the posterolateral, anterolateral, or direct lateral approach with the subject in the lateral decubitus position.
- The subject is a candidate for implantation utilizing the VELYS Hip Navigation system with CUPTIMIZE advanced
- Individuals who are able to speak, read, and comprehend the Informed Participant Consent Document and willing and able to provide consent for participation in the study and have authorized the transfer of his/her information to DePuy Synthes.
- Individuals who are willing and able to complete follow-up as specified by the study protocol.
- Individuals who are willing and able to complete the Subject Hip Outcomes questionnaires (i.e., FJS-12, EQ-5D-5L and Hip Evaluation) as specified by the study protocol.
- Individuals who are not bedridden per the discretion of the investigator.
- Individuals who are a minimum age of 21 years at the time of consent
Exclusion Criteria:
- Active local or systemic infection.
- Loss of musculature, neuromuscular compromise or vascular deficiency in the affected limb rendering the procedure unjustified.
- Poor bone quality, such as osteoporosis, where, in the surgeon's opinion, there could be considerable migration of the prosthesis or a significant chance of fracture of the femoral shaft and/or the lack of adequate bone to support the implant(s).
- Charcot's or Paget's disease.
- The Subject is a woman who is pregnant or lactating.
- Subject had a contralateral amputation.
- Previous partial hip replacement in affected hip.
- Subject has participated in a clinical investigation with an investigational product (drug or device) in the last three months.
- Contralateral hip was replaced less than 6 months prior to surgery date.
- Subject is currently involved in any personal injury litigation, medical-legal or worker's compensation claims.
- Subject was diagnosed and is taking prescription medications to treat a muscular disorder that limits mobility due to severe stiffness and pain such as fibromyalgia or polymyalgia.
- Subject has a medical condition with less than 2 years of life expectancy.
- Subject, in the opinion of the Investigator, is a drug or alcohol abuser or has a psychological disorder that could affect their ability to complete subject reported questionnaires or be compliant with follow-up requirements.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Other: EMPHASYS Cup with VHN
EMPHASYS Cup with Non-Invasive Navigation
|
Total Hip Replacement with EMPHASYS Acetabular shell and Non-Invasive Navigation
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Composite endpoint: Acetabular Cup Position Success at 6 Weeks
Time Frame: 6 Weeks
|
For an individual cup position to be considered successful, the cup's placement must satisfy all of the following criteria at 6 weeks: Inclination Success: within 10 degrees of the planned inclination via the surgeon-defined preoperative plan and version Success: within 10 degrees of the planned version via the surgeon-defined preoperative plan.
|
6 Weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Harris Hip Score
Time Frame: 12 weeks
|
Functional and health status as measured with the Harris Hip Score.
This is a validated scoring system of the hip that has a result range of 0-100; the higher the score, the better the patient outcome.
|
12 weeks
|
|
EQ-5D-5L
Time Frame: 12 weeks
|
EuroQol 5D 3L questionnaire is a standardized instrument for use as a measure of health outcome that is designed for completion by the subject.
|
12 weeks
|
|
Forgotten Joint Score
Time Frame: 6 weeks
|
Functional and health status as measured with the Forgotten Joint Score (FJS-12).
This is a validated score that assesses patient outcomes.
The result range is 0-100 where a higher score mean a more favorable result.
|
6 weeks
|
|
Leg Length Discrepancy
Time Frame: Immediately after the Surgical Procedure
|
Leg Length discrepancy compared to surgeon target based on pre-operative planning
|
Immediately after the Surgical Procedure
|
|
Complication Rates
Time Frame: 30 days
|
30-day Complication Rate
|
30 days
|
|
Complication Rates
Time Frame: 90 days
|
90-day Complication Rate
|
90 days
|
|
Inclination Success
Time Frame: 6 weeks
|
Inclination Success: within 10 degrees of the planned inclination via the surgeon-defined preoperative plan.
|
6 weeks
|
|
Version Success
Time Frame: 6 weeks
|
Version Success: within 10 degrees of the planned version via the surgeon-defined preoperative plan.
|
6 weeks
|
|
Final Intraoperative Inclination
Time Frame: 12 weeks
|
Number of participants with final intraoperative inclination will be reported.
|
12 weeks
|
|
Final Intraoperative Version
Time Frame: 12 weeks
|
Number of participants with final intraoperative version will be reported.
|
12 weeks
|
|
Radiographic Outcomes
Time Frame: 12 weeks
|
High quality antero-posterior and lateral radiographs of the operative hip will be obtained during the same intervals as for the clinical evaluations.
Views include the Standing AP Hip, Standing AP Pelvis, and Lateral (Modified Lauenstein) Hip.
Preoperatively an additional three views will be taken including Lateral flex-seated, Lateral Standing and Standing AP Pelvis.
|
12 weeks
|
|
Operating Room Times
Time Frame: Immediately after the Surgical Procedure
|
Evaluate various operating room times such as anesthesia, fluoroscopy and surgical times.
|
Immediately after the Surgical Procedure
|
Collaborators and Investigators
Sponsor
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 (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Bone Diseases
- Musculoskeletal Diseases
- Pathologic Processes
- Arthritis
- Joint Diseases
- Rheumatic Diseases
- Connective Tissue Diseases
- Autoimmune Diseases
- Immune System Diseases
- Necrosis
- Osteonecrosis
- Pathological Conditions, Signs and Symptoms
- Skin and Connective Tissue Diseases
- Osteoarthritis
- Arthritis, Rheumatoid
- Femur Head Necrosis
Other Study ID Numbers
- DSJ202006 (DePuy Orthopaedics)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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