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The study was prematurely terminated by S+N due to business reasons. After an extensive review of all ongoing studies with the focus on which studies are still required for regulatory obligations S+N took the decision to close the REDAPT 15 study.
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A Retrospective-Prospective Study of REDAPT Revision Femoral System Modular Stem is a post-market, retrospective-prospective, multi-center, single arm, consecutive series study design to provide data on the post market performance and safety of the study device. The study will collect retrospective data from medical records review and prospective data from observations data at 5 and 10 postoperatively clinical visits. There will also be a 7.5 year telephone follow up contact to assess for device status and adverse events.
The primary purpose of this study is to demonstrate the REDAPT™ Revision Femoral System modular stem cumulative revision rate at 5 years.
The secondary purpose of this study is to provide 10 years of safety and performance data on the REDAPT™ Revision Femoral System modular stem in terms of Standard of Care Radiographic Assessment, Harris Hip Sore (if obtained prior to implant), adverse event assessment, whole blood metal ion level assessment for Cobalt and Chromium (only performed if subject if symptomatic with pain, swelling, and/or functional limitation related to the device and/ implant procedure as assessed by the Principal Investigator (PI), and Metal artifact reduction sequence (MARS) magnetic resonance imaging (MRI) or Computed Tomography (CT) will be obtained if metal ion levels of Cobalt and/or Chromium > 7parts per billion (ppb) 140 subjects have been enrolled in the study at 5 clinical study sites around the world. A Clinical Study Report (CSR) will be completed at years 5 and 10.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| REDAPT Revision Femoral System modular stem | Device | Medical record review for retrospective information and observational prospective data collection of standard of care items at 5 years and 10 years post operatively plus a 7.5 year post op telephone call to assess stem status and adverse events. |
| Measure | Description | Time Frame |
|---|---|---|
| Modular stem revision | Listing of stem implant status at 5 years to analyze stem survival rate | 5 years post operatively |
| Measure | Description | Time Frame |
|---|---|---|
| Revision of any component for any reason | revision for any reason | 5 year post operative |
| Radiographic assessments | radiographic measurements to assess linear radiolucencies and subsidence to assess safety and potential changeover time |
| Measure | Description | Time Frame |
|---|---|---|
| Whole blood metal ion level assessment for cobalt and chromium | performed for subject if symptomatic with pain, swelling, and/or functional limitation related to the device and/ implant procedure as assessed by the Principal Investigator (PI) | through study completion, an average of 10 years |
| MARS MRI or CT images acquired pending outcome of whole blood metal ion level assessment |
Inclusion Criteria:
Retrospective Limited Data Collection/Enrollment Phase:
• Subject has undergone revision hip arthroplasty with the REDAPT™ Revision Femoral System modular stem with implantation from 2012 to the date of Institutional Review Board (IRB)/Ethics Committee (EC) approval ofthe original version 1.0 protocol at the study site.
Retrospective Expanded Data Collection & Prospective Follow-Up Phase:
Exclusion Criteria:Retrospective Limited Data Collection/Enrollment Phase:
• Not applicable
Retrospective Expanded Data Collection & Prospective Follow-Up Phase:
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Subject has undergone revision hip arthroplasty with the REDAPT™ Revision Femoral System modular stem with implantation from 2012 to the date of Institutional Review Board (IRB)/Ethics Committee (EC) approval of this protocol at the study site.
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| Name | Affiliation | Role |
|---|---|---|
| Rachel Jahnke | Smith & Nephew, Inc. | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Baptist Health Louisville Orthopedic | Louisville | Kentucky | 40207 | United States | ||
| Detroit Receiving Hospital |
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| follow-up to 10 years as per standard of care |
| Harris Hip Score | Clinical evaluation to score and assess changes over time from baseline through 10 year post. | collect retrospectively from medical record preoperative and if done preoperatively at 1 year, 5 year and 10 year follow up visits |
| Adverse Events | Adverse events will be collected to monitor the safety, retrospectively from medical record review starting with operative date through end of study | through study completion, an average of 10 years |
Metal artifact reduction sequence (MARS) magnetic resonance imaging (MRI) or Computed Tomography (CT) will be obtained if metal ion levels of Cobalt and/or Chromium > 7parts per billion (ppb) |
| based on results of outcome 6, through study completion, an average of 10 years |
| Detroit |
| Michigan |
| 48201 |
| United States |
| The Oregon Health & Science University | Portland | Oregon | 97239-3098 | United States |
| ZNA Campus Middelheim, Antwerpe | Antwerp | Belgium |
| CHU De Quebec- Hôpital Saint-François d'Assise | Québec | Quebec | G1L 3L5 | Canada |