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NCT Number: NCT06631638

EMPHASYS Cup Positioning in THA With Non-Invasive Navigation (Velys Hip Navigation (VHN))

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.

Recruiting

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Key information

Who can participate

Healthy volunteers accepted: No

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

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.

Treatment and study plan

EMPHASYS Cup with VHN

Device

Total Hip Replacement with EMPHASYS Acetabular shell and Non-Invasive Navigation

Primary outcomes

  1. 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.

Secondary outcomes

  1. Inclination Success

    Time frame: 6 weeks

    Inclination Success: within 10 degrees of the planned inclination via the surgeon-defined preoperative plan.

  2. Version Success

    Time frame: 6 weeks

    Version Success: within 10 degrees of the planned version via the surgeon-defined preoperative plan.

  3. Final Intraoperative Inclination

    Time frame: 12 weeks

    Number of participants with final intraoperative inclination will be reported.

  4. Final Intraoperative Version

    Time frame: 12 weeks

    Number of participants with final intraoperative version will be reported.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. Operating Room Times

    Time frame: Immediately after the Surgical Procedure

    Evaluate various operating room times such as anesthesia, fluoroscopy and surgical times.

  10. Leg Length Discrepancy

    Time frame: Immediately after the Surgical Procedure

    Leg Length discrepancy compared to surgeon target based on pre-operative planning

  11. Complication Rates

    Time frame: 30 days

    30-day Complication Rate

  12. Complication Rates

    Time frame: 90 days

    90-day Complication Rate

Study contacts

Contact information is provided by the study sponsor or research team.

Samantha Flamand

CONTACT

[email protected]

610-241-3260

Sponsors and collaborators

Lead sponsor

DePuy Orthopaedics

Industry

Registry information

Official study title

Planned vs. Actual Acetabular Cup Position in Total Hip Arthroplasty With Non-Invasive Navigation

Important dates

Study start
2025
Primary completion
2027
Study completion
2027
First posted
Oct 8, 2024
Registry last updated
Jul 6, 2026

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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