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Trial registered on ANZCTR
Registration number
ACTRN12625000667415
Ethics application status
Approved
Date submitted
19/04/2025
Date registered
24/06/2025
Date last updated
24/06/2025
Date data sharing statement initially provided
24/06/2025
Type of registration
Retrospectively registered
Titles & IDs
Public title
Use of the Porous Cups with Trabecular Metal Augments in Revision Hip Arthroplasty
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Scientific title
Porous Cementless Cups Combined with Trabecular Metal Augments in Revision Hip Arthroplasty: Mid-Term Outcomes
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Secondary ID [1]
314193
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Revision Hip Arthroplasty
337162
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Acetabular Defect
337163
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Aseptic Loosening
337164
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Condition category
Condition code
Musculoskeletal
333580
333580
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0
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Osteoarthritis
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This study is a retrospective analysis of prospectively collected clinical and radiological data from a departmental registry of patients who underwent revision total hip arthroplasty due to aseptic loosening and severe acetabular bone loss
The registry was maintained prospectively and included clinical cases of patients consecutively operated on in the 2nd Department of Large Joint Arthroplasty at the N.N. Priorov Center from 2016 to 2022. Porous acetabular components combined with trabecular metal augments were used.
Clinical and radiographic data were collected from the time of surgery and during standardized follow-up visits at 3 months, 1 year, 2 years, and 5 years. When in-person follow-up was not possible, remote assessment was conducted via telephone and review of submitted radiographs. Outcomes collected included Harris Hip Score (HHS), VAS, WOMAC, complications, implant survivorship, and radiological signs of loosening. The maximum follow-up duration was 9 years, with a mean follow-up of 4.9 years.
The current analysis of the dates was initiated in 2025 to evaluate mid-term outcomes (clinical scores, radiological assessment, complications, and implant survival).
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Intervention code [1]
330856
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Survivorship of implants
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Assessment method [1]
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Implant survivorship was determined based on institutional registry data, including documentation of any re-revision surgeries. Radiological assessments were performed during follow-up visits or via submitted radiographs to identify signs of loosening or failure. In cases where in-person visits were not possible, patients were interviewed by telephone using a standardized departmental protocol to identify any complications or additional surgeries. Survivorship analysis was performed using the Kaplan-Meier method.
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Timepoint [1]
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Data from patients who underwent revision total hip arthroplasty between 2016 and 2022 were included in the study. Follow-up assessments were conducted at fixed timepoints relative to surgery: at 3 months, 1 year, 2 years, 5 years after revision hip arthroplasty. Additional follow-up assessments were conducted up to 9 years post-implantation, with the most recent data collected in 2025. When in-person visits were not feasible, follow-up was completed via telephone interviews and radiographs submitted by patients. The mean follow-up duration of 4.9 years (±1.78), ranging from a minimum of 2.6 years to a maximum of 9 years
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Primary outcome [2]
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Functional Outcome
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Assessment method [2]
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Visual Analogue Scale (VAS)
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Timepoint [2]
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Preoperative scores were collected prior to revision surgery and compared with postoperative scores assessed at standardized timepoints: 3 months, 1 year, 2 years, and 5 years after surgery. However, for the purposes of statistical analysis, the most recent follow-up data available for each patient—up to 2025—were used. These final assessments were obtained either during in-person visits or via remote follow-up, and included clinical scores VAS.
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Primary outcome [3]
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Functional Outcome
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Assessment method [3]
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Harris Hip Score (HHS)
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Timepoint [3]
341157
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Preoperative scores were collected prior to revision surgery and compared with postoperative scores assessed at standardized timepoints: 3 months, 1 year, 2 years, and 5 years after surgery. However, for the purposes of statistical analysis, the most recent follow-up data available for each patient—up to 2025—were used. These final assessments were obtained either during in-person visits or via remote follow-up, and included clinical scores HHS.
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Secondary outcome [1]
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Functional Outcome
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Assessment method [1]
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Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
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Timepoint [1]
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Preoperative scores were collected prior to revision surgery and compared with postoperative scores assessed at standardized timepoints: 3 months, 1 year, 2 years, and 5 years after surgery. However, for the purposes of statistical analysis, the most recent follow-up data available for each patient—up to 2025—were used. These final assessments were obtained either during in-person visits or via remote follow-up, and included clinical scores WOMAC.
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Secondary outcome [2]
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Rate of postoperative complications: periprosthetic joint infection, dislocation, aseptic loosening, implant breakage, nerve injury, intraoperative arterial bleedion and re-revision surgery for any cause.
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Assessment method [2]
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Medical record review. No formal complication classification system was used. Complications were categorized descriptively based on clinical significance and management approach.
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Timepoint [2]
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Complications were assessed postoperatively at standardized timepoints: 3 months, 1 year, 2 years, and 5 years after revision surgery. Additional follow-up assessments were conducted up to 9 years post-implantation, with the most recent data collected in 2025. When in-person visits were not possible, follow-up was completed via telephone interview and submitted radiographs.
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Eligibility
Key inclusion criteria
Clinical cases of patients operated on in the 2nd Department of Large Joint Arthroplasty at the N.N. Priorov Center from 2016 to 2022, where porous acetabular components combined with trabecular metal augments were used.
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Minimum age
26
Years
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Maximum age
83
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Other cases of patients operated on in the 2nd Department of Large Joint Arthroplasty at the N.N. Priorov Center, where other constructions (cages, 3D components) or porous acetabular cups without trabecular metal augments were used.
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Study design
Purpose
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Duration
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Selection
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Timing
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
4/04/2025
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Date of last participant enrolment
Anticipated
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Actual
10/04/2025
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Date of last data collection
Anticipated
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Actual
15/04/2025
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Sample size
Target
69
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Accrual to date
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Final
69
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Recruitment outside Australia
Country [1]
26984
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Russian Federation
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State/province [1]
26984
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Valencia Catholic University Saint Vincent Martyr
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Address [1]
318712
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Country [1]
318712
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Spain
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Primary sponsor type
University
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Name
Valencia Catholic University Saint Vincent Martyr
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Address
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Country
Spain
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Secondary sponsor category [1]
321142
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Hospital
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Name [1]
321142
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Priorov National Medical Research Center of Traumatology and Orthopedics
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Address [1]
321142
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Country [1]
321142
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Russian Federation
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Ethics Committee at the Federal State Budgetary Institution "N.N. Priorov National Medical Research Center of Traumatology and Orthopedics" of the Ministry of Health of the Russian Federation,
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Ethics committee address [1]
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N.N. Priorov National Medical Research Center of Traumatology and Orthopedics, Ministry of Health of the Russian Federation, located at 10 Priorov Street, Moscow, phone: +7 (965) 631-69-42.
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Ethics committee country [1]
317317
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Russian Federation
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Date submitted for ethics approval [1]
317317
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25/03/2025
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Approval date [1]
317317
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04/04/2025
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Ethics approval number [1]
317317
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Summary
Brief summary
This study aims to evaluate the mid-term clinical and radiological outcomes of using porous acetabular components in combination with trabecular metal augments in patients undergoing revision hip replacement surgery. These patients had previously received hip implants that failed due to significant bone loss. The research focuses on assessing joint function, radiographic results, postoperative complications, and how long the new implants last (implant survivorship). In addition, the study explores whether different types of bone defects, classified by the Paprosky system, are associated with better or worse outcomes. The findings will help improve decision-making in complex hip revision surgeries involving major bone defects.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Egor Polevoi
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Address
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Valencia Catholic University Saint Vincent Martyr, 46001 Valencia, Spain, C/ de Quevedo, 2
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Country
140678
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Spain
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Phone
140678
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+34689817822
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Fax
140678
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Email
140678
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[email protected]
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Contact person for public queries
Name
140679
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Egor Polevoi
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Address
140679
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Valencia Catholic University Saint Vincent Martyr, 46001 Valencia, Spain, C/ de Quevedo, 2
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Country
140679
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Spain
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Phone
140679
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+34689817822
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Fax
140679
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Email
140679
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[email protected]
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Contact person for scientific queries
Name
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Egor Polevoi
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Address
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Valencia Catholic University Saint Vincent Martyr, 46001 Valencia, Spain, C/ de Quevedo, 2
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Country
140680
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Spain
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Phone
140680
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+34689817822
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Fax
140680
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Email
140680
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
Yes
Will there be any conditions when requesting access to individual participant data?
Persons/groups eligible to request access:
•
Researchers
Conditions for requesting access:
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Yes, conditions apply:
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Requires review on a case-by-case basis by the trial custodian, sponsor or data sharing committee
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Requires a scientifically sound proposal or protocol
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Requires a data sharing agreement between data requester and trial custodian or sponsor
What individual participant data might be shared?
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De-identified individual participant data:
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Published results
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Primary outcome(s)
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Safety data
What types of analyses could be done with individual participant data?
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Any type of analysis (i.e. no restrictions on data re-use)
When can requests for individual participant data be made (start and end dates)?
From:
After publication of main results
To:
No end date
Where can requests to access individual participant data be made, or data be obtained directly?
•
Email of trial custodian, sponsor or committee:
Data may be shared upon reasonable request via email of principal investigator:
[email protected]
Are there extra considerations when requesting access to individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Type
Citation
Link
Email
Other Details
Attachment
Ethical approval
Ethical Approval.pdf
Informed consent form
INFORMED CONSENT FORM FOR SURGICAL INTERVENTION.pdf
Study protocol
Study Plan.pdf
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF