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This is a prospective, randomized study comparing two different bone preparation techniques for insertion of a porous coated titanium cementless femoral stem. Patients receiving a bilateral total hip replacement are randomized to conventional broaching on one side and compaction on the other side.
Hypothesis: Compaction results in significantly less stem migration [evaluated by radiostereometric analysis (RSA)], less peri-prosthetic bone mineral density (BMD) loss [evaluated by dual energy x-ray absorptiometry (DEXA)], and a higher Harris hip score after two years.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Compaction | Experimental | Compaction technique for femoral bone preparation prior to cementless femoral stem insertion. |
|
| Broaching | Active Comparator | Broaching technique for femoral bone preparation prior to cementless femoral stem insertion. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bone preparation technique: compaction | Procedure |
|
| |
| Measure | Description | Time Frame |
|---|---|---|
| Radiostereometric analysis | Stem subsidence (change) at 5 and 10 years measured with radiostereometric analysis | 5 and 10 years follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Periprosthetic bone mineral density | Periprosthetic bone mineral density measured with Dual Energy X-ray Absorptiometry (DXA) | 5 years follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Questionnaire | Questionnaire of hip function | 5 years follow-up |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Søren Kold, MD | Northern Orthopaedic Division | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Northern Orthopaedic Division | Aalborg and Farsø | Aalborg | 8000 | Denmark |
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| ID | Term |
|---|---|
| D015207 | Osteoarthritis, Hip |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| Bone preparation technique: broaching |
| Procedure |
|
|
| D012216 |
| Rheumatic Diseases |