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NCT Number: NCT02851992

A Prospective Study to Evaluate Long-term Clinical Outcomes of the GTS Cementless Femoral Stem

This is a multicenter, non-controlled, prospective study. 303 subjects (GTS standard and lateralized) have been recruited. Study will be conducted in centers across Europe.

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This study is active but is not currently recruiting participants.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

The objective of this prospective clinical study is to obtain multi-center, long-term (10-year) clinical data on the new GTS® femoral stem in its standard and lateralized versions as part of Post Market Surveillance requirements.

The initial study assessment period will be 12 years; 24 months recruitment and the follow-up clinical reviews for all patients will be at 3 months, 1 year, 2 years, 3 years, 5 years, 7 years and 10 years.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Patients inclusion criteria for this evaluation are be in accordance with the indications of the GTS® stem and specifically

  • Primary osteoarthritis or secondary coxarthritis
  • Inflammation of the hip: rheumatoid arthritis, etc.
  • Femoral neck fracture
  • Avascular necroses of the femoral head
  • Sequelae from previous operations on the hip, osteotomies, etc.
  • Congenital hip dysplasia

Additional inclusion criteria include:

  • 18 years of age or older
  • Subjects willing to return for follow-up evaluations
  • Subjects who read, understood study information and provided an informed written consent (specific local regulatory requirements)

Exclusion criteria

Exclusion criteria

are in accordance with absolute and relative contraindications for use for GTS® stem

Absolute contraindications include:

  • Local or systemic infections.
  • Severe muscular, neurological or vascular deficiencies of the extremity involved
  • Bone destruction or poor bone quality that is likely to affect implant stability(Paget's disease, osteoporosis, etc.)
  • Concomitant disease likely to affect implant function
  • Allergy to any of the components of the implant
  • Patients weighing more than 110 kg

Additional exclusion criteria:

  • Subjects unable to co-operate with and complete the study
  • Dementia and/or inability to understand and follow instructions
  • Neurological conditions affecting movement
  • Patient over 18 under law supervision

Treatment and study plan

GTS cementless stem

Device

Total Hip Arthroplasty

Primary outcomes

  1. Mean Harris Hip Score

    Time frame: pre-operatively and 2 years post-operatively

    Harris Hip Score (HHS) tests will be carried out pre-operatively and at each follow-up period.

    The HHS covers four domains: pain (one item, 0-44 points), function and functional activities (seven items, 0-47 points), absence of deformity (one item, 0-4 points) and range of motion (one item, 0-5 points). To obtain a final score, the points are summed. The minimum and maximum values of the scale are 0-100, with a higher score indicating a better outcome. The outcome score can be categorized as Excellent: 90-100; Good: 80-90; Fair: 70-80; Poor: < 70.

Secondary outcomes

  1. Stability, Incidence of Radiolucencies Around the Prosthesis and Bone Remodeling

    Time frame: 1 year post-operatively

    The presence or absence of the following femoral radiographic findings were reported: subsidence of the stem, stem radiolucencies, calcar resorption, heterotopic ossification.

  2. Patient Satisfaction

    Time frame: pre-operatively and 2 years post-operatively

    EQ-5D quality of life score will be taken at every follow-up clinic and by postal questionnaire when patients are not attending a clinic.

    The EQ-5D is a standardized instrument widely used to measure health status. The questionnaire includes 5 questions referring to mobility, self-care, daily activities, pain/discomfort and anxiety/depression. Each question can be answered in five ways, indicating no, slight, moderate, severe problems or inability to complete the task. Scores will be within the range of 0-1 with 1 corresponding to perfect health.

  3. Adverse Events/Complications

    Time frame: until 2 years post-operatively

    The number of revisions/removals, device-related SAE's and deaths are listed.

  4. Survivorship

    Time frame: at 2 years post-op

    Survival of the implant based on the removal or intended removal of the device. The percentage of patients that still have the implant 2 years post-operative is presented here.

Sponsors and collaborators

Lead sponsor

Zimmer Biomet

Industry

Registry information

Important dates

Study start
2012
Primary completion
2020
Study completion
2028
First posted
Aug 2, 2016
Registry last updated
Dec 1, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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