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The aim of this register is to determine the Accolade/Accolade II stem and Trident/Tritanium cup survivorship over years.
This is a prospective international multicentre surveillance register. The aim of this register is to determine the Accolade/Accolade II stem and Trident/Tritanium cup survivorship over years. All institutions willing to participate to the register, able to recruit at least 20 patients (up to 100 patients)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Accolade stem | Active Comparator | All patients in a participating centre matching all of the inclusion criteria and none of the exclusion criteria and who receive the Accolade or Accolade II stem and Trident/Tritanium cup with X3 liner. |
|
| Accolade II stem | Active Comparator | All patients in a participating centre matching all of the inclusion criteria and none of the exclusion criteria and who receive the Accolade or Accolade II stem and Trident/Tritanium cup with X3 liner. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Accolade stem | Device | Total hip replacement |
| |
| Accolade II stem |
| Measure | Description | Time Frame |
|---|---|---|
| Survivorship of the Device | Survivorship shown in Kaplan Meier survival curves (statistic used to estimate the survival function from lifetime data). | 10 years Follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Investigation of Clinical Performance and Patient Outcome With Modified Harris Hip Score (HHS) Patient Questionnaire | Scores can range from 0 to 100 with 0 being the worst and 100 being the best score. A score of 80-100 is considered good-excellent and a score of less than or equal to 79 is considered fair-poor. 90-100 = excellent 80-89 = good 70-79 = fair 0-69 = poor | pre-operative, 1, 3, 5, 7 and 10 years follow-up |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Stefan Bolder, MD | Amphia Zieknhuis Breda | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ziekenhuis Netwerk Antwerpen | Antwerp | Belgium | ||||
| St. Antonius Ziekenhuis |
Of the 472 participants enrolled, 49 cases were censored and excluded from the final analysis. 23 cases did not have a study device implanted, 4 cases did not have their surgery performed, 1 case voluntarily withdrew, 1 case had surgery performed after enrolment window, and 20 cases had inclusion/exclusion criteria violations. Of the remaining 423 participants, there were no bilateral cases.
There were 472 participants that were enrolled into the study between January 2012 and February 2015.
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| ID | Title | Description |
|---|---|---|
| FG000 | Accolade Stem | All patients in a participating centre matching all of the inclusion criteria and none of the exclusion criteria and who receive the Accolade or Accolade II stem and Trident/Tritanium cup with X3 liner. Accolade stem: Total hip replacement Trident/Tritanium cup: Total hip replacement |
| FG001 | Accolade II Stem | All patients in a participating centre matching all of the inclusion criteria and none of the exclusion criteria and who receive the Accolade or Accolade II stem and Trident/Tritanium cup with X3 liner. Accolade II stem: Total hip replacement Trident/Tritanium cup: Total hip replacement |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | Accolade Stem | All patients in a participating centre matching all of the inclusion criteria and none of the exclusion criteria and who receive the Accolade or Accolade II stem and Trident/Tritanium cup with X3 liner. Accolade stem: Total hip replacement Trident/Tritanium cup: Total hip replacement |
| BG001 |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Survivorship of the Device | Survivorship shown in Kaplan Meier survival curves (statistic used to estimate the survival function from lifetime data). | Outcome value for the 10-year post-operative timepoint is provided. | Posted | Number | 95% Confidence Interval | percentage of participants not revised | 10 years Follow-up |
|
The study period during which AEs must be reported is defined as the period from the initiation of any study procedures to end of the study treatment follow-up. The start of study procedures is considered to be the date of consent. Adverse events were collected pre-operatively after enrolment and prior to surgery, intra-operatively, and over the 10-year post-operative time period up until the point of study termination.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Accolade Stem | All patients in a participating centre matching all of the inclusion criteria and none of the exclusion criteria and who receive the Accolade or Accolade II stem and Trident/Tritanium cup with X3 liner. Accolade stem: Total hip replacement Trident/Tritanium cup: Total hip replacement |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Acetabular Insert Crack / Fracture - Operative Site | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Musculoskeletal | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
Registry-based study Modified HHS scores reported as unable to collect physical measurements in-person due to COVID-19 pandemic.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Kevin Barga, Director, Clinical Affairs | Stryker Orthopaedics | 201-831-5000 | kevin.barga@stryker.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP_ICF | Yes | Yes | Yes | Study Protocol, Statistical Analysis Plan, and Informed Consent Form | Aug 30, 2013 | Jul 10, 2025 | Prot_SAP_ICF_000.pdf |
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| Device |
Total hip replacement |
|
| Trident/Tritanium cup | Device | Total hip replacement |
|
| Investigation of Clinical Performance and Patient Outcome With Oxford Hip Score Patient Questionnaire | Outcome instrument which contains 12 questions on activities of daily living that assess function and residual pain in patients undergoing total hip replacement (THR) surgery, each scored from 0-4 (worst to best), giving a final score with a total range of 0-48. A final score of 0 to 19 indicates severe hip arthritis, 20-29 indicates moderate to severe symptoms, 30-39 indicates mild to moderate symptoms, and 40 to 48 indicates satisfactory joint function. | pre-operative, 1, 3, 5, 7 and 10 years follow-up |
| Investigation of Clinical Performance and Patient Outcome With EuroQuol-5 Dimension (EQ-5D) Patient Questionnaire | The EQ-5D is a subject-completed questionnaire designed to assess subject health state values. The EQ-5D consists of 2 areas: the EQ visual analogue scale (EQ VAS) and the EQ-5D descriptive system, time trade-off (TTO). The EQ VAS collects health state values using a 20 cm visual analogue scale with the endpoints labeled best imaginable health state at the top and worst imaginable health state at the bottom, having numeric values of 100 to 0 respectively. The EQ-5D Time Trade-off (TTO) descriptive system comprises the following five dimensions: mobility, self-care, usual activities, pain/comfort and anxiety/depression. Each dimension has three levels: no problems, some problems and extreme problems. The TTO index values on a scale between -1(low) and 1(high) show the average health status according to the 5 dimensions. A low score shows worse health, and a high score shows better health. | pre-operative, 1, 3, 5, 7 and 10 years follow-up |
| Nieuwegein |
| Utrecht |
| Netherlands |
| Amphia Ziekenhuis | Breda | Netherlands |
| Maatschap Orthopaedie Ikazia | Rotterdam | Netherlands |
| Orbis Medisch Concern | Sittard | Netherlands |
| Rijnstate Arnhem | Zevenaar | Netherlands |
| Skånevård Kryh Division Kirurgi och Ortopedkliniken Hässleholm | Hässleholm | Sweden |
| Harrogate and District NHS Foundation Trust | Harrogate | United Kingdom |
| Withdrawal by Subject |
|
| Revision/Removal of Study Device |
|
| Accolade II Stem |
All patients in a participating centre matching all of the inclusion criteria and none of the exclusion criteria and who receive the Accolade or Accolade II stem and Trident/Tritanium cup with X3 liner. Accolade II stem: Total hip replacement Trident/Tritanium cup: Total hip replacement |
| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race and Ethnicity Not Collected | Race and Ethnicity were not collected from any participant. | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
All patients in a participating centre matching all of the inclusion criteria and none of the exclusion criteria and who receive the Accolade or Accolade II stem and Trident/Tritanium cup with X3 liner.
Accolade II stem: Total hip replacement
Trident/Tritanium cup: Total hip replacement
|
|
|
| Secondary | Investigation of Clinical Performance and Patient Outcome With Modified Harris Hip Score (HHS) Patient Questionnaire | Scores can range from 0 to 100 with 0 being the worst and 100 being the best score. A score of 80-100 is considered good-excellent and a score of less than or equal to 79 is considered fair-poor. 90-100 = excellent 80-89 = good 70-79 = fair 0-69 = poor | Outcome values for the modified HHS provided at pre-operative and all post-operative timepoints. | Posted | Mean | Standard Deviation | units on a scale | pre-operative, 1, 3, 5, 7 and 10 years follow-up |
|
|
|
| Secondary | Investigation of Clinical Performance and Patient Outcome With Oxford Hip Score Patient Questionnaire | Outcome instrument which contains 12 questions on activities of daily living that assess function and residual pain in patients undergoing total hip replacement (THR) surgery, each scored from 0-4 (worst to best), giving a final score with a total range of 0-48. A final score of 0 to 19 indicates severe hip arthritis, 20-29 indicates moderate to severe symptoms, 30-39 indicates mild to moderate symptoms, and 40 to 48 indicates satisfactory joint function. | OHS values provided for pre-operative and all post-operative follow up timepoints. | Posted | Mean | Standard Deviation | units on a scale | pre-operative, 1, 3, 5, 7 and 10 years follow-up |
|
|
|
| Secondary | Investigation of Clinical Performance and Patient Outcome With EuroQuol-5 Dimension (EQ-5D) Patient Questionnaire | The EQ-5D is a subject-completed questionnaire designed to assess subject health state values. The EQ-5D consists of 2 areas: the EQ visual analogue scale (EQ VAS) and the EQ-5D descriptive system, time trade-off (TTO). The EQ VAS collects health state values using a 20 cm visual analogue scale with the endpoints labeled best imaginable health state at the top and worst imaginable health state at the bottom, having numeric values of 100 to 0 respectively. The EQ-5D Time Trade-off (TTO) descriptive system comprises the following five dimensions: mobility, self-care, usual activities, pain/comfort and anxiety/depression. Each dimension has three levels: no problems, some problems and extreme problems. The TTO index values on a scale between -1(low) and 1(high) show the average health status according to the 5 dimensions. A low score shows worse health, and a high score shows better health. | EQ-5D values are provided for the VAS and TTO scores at the preoperative and all postoperative follow up timepoints. | Posted | Mean | Standard Deviation | units on a scale | pre-operative, 1, 3, 5, 7 and 10 years follow-up |
|
|
|
| 18 |
| 289 |
| 92 |
| 289 |
| 36 |
| 289 |
| EG001 | Accolade II Stem | All patients in a participating centre matching all of the inclusion criteria and none of the exclusion criteria and who receive the Accolade or Accolade II stem and Trident/Tritanium cup with X3 liner. Accolade II stem: Total hip replacement Trident/Tritanium cup: Total hip replacement | 8 | 134 | 56 | 134 | 41 | 134 |
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| Dislocation - Operative Site | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Excessive Hip Pain - Operative Site | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Femoral Component Loosening - Operative Site | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Femoral Component Subsidence - Operative Site | Surgical and medical procedures | MedDRA (Unspecified) | Non-systematic Assessment |
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| Femoral Crack / Fracture - Operative Site | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Superficial Wound Infection - Operative Site | Infections and infestations | MedDRA (Unspecified) | Non-systematic Assessment |
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| Superficial Wound Infection - Operative Site | Skin and subcutaneous tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Tendonitis - Operative Site | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Wound Hematoma - Operative Site | Injury, poisoning and procedural complications | MedDRA (Unspecified) | Non-systematic Assessment |
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| Wound Related - Operative Site | Infections and infestations | MedDRA (Unspecified) | Non-systematic Assessment |
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| Wound Related - Operative Site | Skin and subcutaneous tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Osteolysis - Operative Site | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Pseudotumour - Operative Site | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (Unspecified) | Non-systematic Assessment |
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| Other - Operative Site | Infections and infestations | MedDRA (Unspecified) | Non-systematic Assessment | Fever and red spot near wound |
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| Other - Operative Site | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment | Migration of loose cerclage |
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| Impingement - Operative Site | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Other - Operative Site | Injury, poisoning and procedural complications | MedDRA (Unspecified) | Non-systematic Assessment | Insufficient gluteus re-attachment |
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| Operative Site - Other | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment | Swollen calf |
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| Bronchopulmonary / Respiratory - Systemic | Respiratory, thoracic and mediastinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Carcinoma / Cancer - Systemic | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (Unspecified) | Non-systematic Assessment |
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| Cardiovascular - Systemic | Cardiac disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Cardiovascular - Systemic | Vascular disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Dermatological - Systemic | Skin and subcutaneous tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Deep Vein Thrombosis (DVT) - Systemic | Vascular disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Gastrointestinal / Digestive - Systemic | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Genitourinary / Urogenital - Systemic | Renal and urinary disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Musculoskeletal - Systemic | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Musculoskeletal - Systemic | Nervous system disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Neurosensory / Neurological - Systemic | Nervous system disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Neurosensory / Neurological - Systemic | Vascular disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Pulmonary Embolism - Systemic | Vascular disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Thrombophlebitis - Systemic | Vascular disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Trauma - Systemic | Injury, poisoning and procedural complications | MedDRA (Unspecified) | Non-systematic Assessment |
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| Death, Cause Unknown - Systemic | General disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Abdominal Pain - Systemic | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Infection, Non-operative site - Systemic | Infections and infestations | MedDRA (Unspecified) | Non-systematic Assessment |
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| Necrotizing Fascitis, Non-operative site - Systemic | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Haematoma, Non-operative site - Systemic | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Epistaxis, Non-operative site - Systemic | Injury, poisoning and procedural complications | MedDRA (Unspecified) | Non-systematic Assessment |
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| Wound Related, Non-operative site - Systemic | Injury, poisoning and procedural complications | MedDRA (Unspecified) | Non-systematic Assessment | Complication associated with a wound from separate non-related surgery |
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| Giant Cell Artheritis - Systemic | Vascular disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Bearing Wear, Non-operative Side - Systemic | Product Issues | MedDRA (Unspecified) | Non-systematic Assessment |
|
| Gynaecological - Systemic | Reproductive system and breast disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
The PI may publish after study completion and prior multi-center publication, provided Sponsor reviews materials at least 15 working days before submission. Reasonable comments will be incorporated. Sponsor may request a delay of up to 1 month to protect proprietary information. For multi-center trials, site-specific publications cannot occur before the first multi-center publication unless otherwise agreed
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