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This study was originally designed to meet MDR commitments. MDR Approval was secured without this study. Therefore, this study does not fulfil its role as a regulatory body commitment.
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The objective of this study is to determine the long-term safety and effectiveness of the NANOS neck preserving stem in terms of radiographic and clinical performance as well as short-, mid- and long-term survivorship
The goal of this multicenter clinical observation is to validate short-, mid-, and long-term outcome (efficacy and safety) of the NANOS neck preserving hip stem.
Effectiveness Measures:
Safety evaluations:
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Total Hip Arthroplasty | Procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Long term survivorship of Nanos | Revision for any reason. Implant survivorship at 10 years post study procedure. A revision is a surgical procedure of the study hip where one or more of the study components are removed and replaced with new implants | 10 years |
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| Measure | Description | Time Frame |
|---|---|---|
| Intra- and peri-operative device-related adverse events (AE) and complications up to discharge | Any reported safety events or complications up to 10 years post study procedure | 10 years |
| Postoperative AE up to 10 years |
Inclusion Criteria:
Exclusion criteria:
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Clinic for Orthopedics
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| Name | Affiliation | Role |
|---|---|---|
| Turgay Efe, Dr.med | Phillips University Marburg, Germany | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Marburg, Orthopedics and Rheumatology | Marburg | 35043 | Germany | |||
| Medisch Centrum Alkmaar |
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| ID | Term |
|---|---|
| D019644 | Arthroplasty, Replacement, Hip |
| ID | Term |
|---|---|
| D019643 | Arthroplasty, Replacement |
| D001178 | Arthroplasty |
| D019637 | Orthopedic Procedures |
| D013514 | Surgical Procedures, Operative |
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Any reported safety events or complications up to 10 years post study procedure
| 10 years |
| Evaluation of function, range of motion and pain assessed by Harris Hip Score | Harris Hip Score is a joint specific score that consists of 10 items covering domains of pain (1 item, 0-44 points), function (7 items, 0-47 points), functional activities, absence of deformity (1 item, 0 or 4 points), and hip range of motion (2 items, 0-5 points). Scores range from 0 (worst) to 100 (best). HHS scores for each subject will further be categorized as follows: Excellent (90-100); Good (80-89); Fair (70-79); Poor (60-69) and; Very poor (<60). | 10 years |
| Evaluation of function, range of motion and pain as assessed by HOOS score | HOOS consists of 5 subscales: Pain, other Symptoms, Function in daily living (ADL), Function in sport and recreation (Sport/Rec) and hip related QOL. The last week is taken into consideration when answering the questions. Standardized answer options are given (5 Likert boxes) and each question gets a score from 0 to 4. A normalized score (100 indicating no symptoms and 0 indicating extreme symptoms) is calculated for each subscale. | 10 years |
| Evaluation of function, range of motion and pain as assessed by UCLA Activity Rating | UCLA Activity Score is a measure of physical activity levels in subjects undergoing total joint arthroplasty. The scale is from 1 - 10 with higher values indicating greater physical function. | 10 years |
| Radiographic changes as defined by resorption, radiolucent lines, osteolysis, hypo- and hypertrophy, implant migration or loosening | Any radiographic changes up to 10 years post study procedure | 10 years |
| Alkmaar |
| Netherlands |
| Samodzielny Publiczny Wojewodzki Spital | Piekary Śląskie | 41-940 | Poland |
| D019651 | Plastic Surgery Procedures |
| D019919 | Prosthesis Implantation |