10000 Participants Needed

Joint Surgery for Osteoarthritis

DF
AR
Overseen ByAnnalise R McInelly, MPH
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Spokane Joint Replacement Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to gather information from patients before and after total joint replacement surgery, focusing on both short- and long-term outcomes. Researchers seek to understand patient feelings and function post-surgery by using surveys that measure pain, movement, and satisfaction. Those scheduled for total joint replacement in the knee or hip might be suitable for this trial. As a Phase 4 trial, this study examines how the already FDA-approved treatment benefits more patients, offering a chance to contribute to valuable research on long-term outcomes.

Do I need to stop my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial team or your doctor.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that hip replacement surgery (THA) is generally safe for patients. One study found no serious problems except for one person who needed another surgery. After two years, 97.7% of the implants were still functioning well. The chance of dying within 90 days after the surgery was 1.1%. These results suggest that hip replacement is well-tolerated with a low risk of serious issues.

Similarly, knee replacement surgery (TKA) has a strong safety record. Studies indicate that about 90% of patients experience excellent or good outcomes. In the long term, patients who undergo knee replacement surgery tend to live longer than those who do not treat their knee arthritis. Another study found that the chance of dying within 45 days of surgery was low, at 0.20% in recent years.

Overall, both hip and knee replacement surgeries have demonstrated safety, with low rates of serious problems and high patient satisfaction.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it aims to capture a detailed picture of both short- and long-term outcomes for total joint surgeries, specifically for knees and hips. Unlike current treatment options that focus on immediate post-surgery recovery, this registry offers a comprehensive approach to understanding how patients fare over time, potentially highlighting areas for improvement in these common procedures. By tracking diverse patient experiences, the trial could uncover insights that lead to enhanced surgical techniques or aftercare strategies, ultimately aiming to improve quality of life for those undergoing joint replacement.

What evidence suggests that this trial's treatments could be effective for joint arthroplasty?

This trial will compare Total Hip Arthroplasty and Total Knee Arthroplasty. Studies have shown that hip replacement surgery successfully improves hip function and reduces pain. Research indicates that all surgical methods for hip replacement are safe and effective, with many patients experiencing long-term benefits. Knee replacement surgery also yields strong results, enhancing knee symptoms and physical function over time. Specifically, one study found that 78% of knee replacement patients reported good outcomes, including symptom improvement and satisfaction, one year after surgery. While most patients benefit from these surgeries, a small percentage may not see significant improvement.36789

Are You a Good Fit for This Trial?

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Preoperative Assessment

Collection of preoperative information and baseline patient-reported outcomes measures (PROMs)

1-2 weeks
1 visit (in-person)

Surgery and Immediate Postoperative Care

Patients undergo total joint arthroplasty and receive immediate postoperative care

1 week
Hospital stay

Postoperative Follow-up

Collection of postoperative information and patient-reported outcomes measures (PROMs) at various intervals

5 years
Multiple visits at 6 weeks, 6 months, 1 year, 2 years, and 5 years

What Are the Treatments Tested in This Trial?

Interventions

  • Total Hip Arthroplasty
  • Total Knee Arthroplasty

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Group I: Registry KneeExperimental Treatment1 Intervention
Group II: Registry HipExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Spokane Joint Replacement Center

Lead Sponsor

Trials
6
Recruited
10,300+

Citations

Systematic review of the clinical effectiveness for long-term ...

Objectives: Total hip arthroplasty (THA) is highly successful but national registries indicate that average age has lowered and that younger patients are at ...

Outcomes of Primary Total Hip Arthroplasty Using Custom ...

The mean intraoperative fracture rate was 3.23% (95% CI: 1.35-5.11), and the mean postoperative leg length discrepancy was 4.25 mm (95% CI: 1.57-6.93). The mean ...

Evaluation of Comparative Efficacy and Safety of Surgical ...

This systematic review and meta-analysis evaluates the efficacy and safety associated with different surgical approaches for total hip ...

Does Surgical Approach Impact Outcomes in Primary Total ...

Recommendation: Based on data spanning several years, it appears that all surgical approaches for total hip arthroplasty (THA) are safe and ...

Epidemiology of total hip arthroplasty - BioMed Central

Our data demonstrated a 69.50% increase in patients receiving THA and a 28.50% increase in rTHA from the years 2006 to 2014. The data ...

6.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/40519409/

Safety and Functional Outcomes Following Total Hip ...

No serious adverse events were observed apart from the isolated revision case. At two years, implant survivorship was 97.7%, with a single ...

Safety and Functional Outcomes Following Total Hip ...

In our study, the mean preoperative HHS was 9.19 ± 9.52, which consistently improved to 89.61 ± 3.57 by the two-year follow-up, indicating ...

Safety and outcomes of bikini-incision DAA for hip ...

Conclusion. This study demonstrates that the bikini incision DAA for THA using large acetabular cups (≥56 mm) is a safe and effective procedure ...

Adverse Outcomes in Hip Arthroplasty: Long-Term Trends

Ninety-day mortality was 1.1% after primary total hip arthroplasty and 2.6% after revision total hip arthroplasty in that study. Using 2003 hospital discharge ...