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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
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Trial registered on ANZCTR
Registration number
ACTRN12611001015932
Ethics application status
Approved
Date submitted
19/09/2011
Date registered
21/09/2011
Date last updated
22/09/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
Bone mineral density of the distal femur after Total Knee Arthroplasty
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Scientific title
A comparison of bone mineral density of the distal femur following Duracon versus Interax total knee replacement in individuals with primary osteoarthrosis of the knee
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Secondary ID [1]
263068
0
Nil
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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:
Knee osteoarthritis
270805
0
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Osteopenia near knee arthroplasty implant
270833
0
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Risk of fractures near knee arthroplasty implant
270834
0
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Condition category
Condition code
Musculoskeletal
270998
270998
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0
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Osteoarthritis
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Surgery
271014
271014
0
0
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Surgical techniques
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Musculoskeletal
271015
271015
0
0
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Osteoporosis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The uncemented Duracon femoral implant has porous-coated ingrowth surface and two small fixation pegs designed to penetrate centrally into the most distal part of the medial and lateral femoral condyles. Operative surgery technique (femoral cut by guide, and insertion without cement) is the same as for the Interax prosthesis, and operation time (implant procedure) approximately 1.5 hours, as for the Interax implant. The implant is expected to be in place for at least 10-20 years after primary operation.
NB: The Duracon prosthesis has a metalbacked patella component whereas the Interax prosthesis has a cemented polyethylene patella component.
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Intervention code [1]
269420
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Treatment: Devices
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Intervention code [2]
269433
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Treatment: Surgery
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Comparator / control treatment
The Interax femoral implant is hydroxyapatite (HA) coated with a relatively large pore size, cast mesh ingrowth surface and a central anterior placed 20 mm long fixation peg.
Operative surgery technique (femoral cut by guide, and insertion without cement) is the same as for the Duracon prosthesis, and operation time (implant procedure) approximately 1.5 hours, as for the Duracon implant. The implant is expected to be in place for at least 10-20 years after primary operation.
NB: The Duracon prosthesis has a metalbacked patella component whereas the Interax prosthesis has a cemented polyethylene patella component.
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Control group
Active
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Outcomes
Primary outcome [1]
279661
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Bone mineral density (BMD) adjacent to the implant. A Norland XR-46, Norland Corp. Fort Atkinson, Wis DEXA scanner was used.
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Assessment method [1]
279661
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Timepoint [1]
279661
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Postoperatively (within 2 weeks), 3, 6 12 and 24 months postoperatively.
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Primary outcome [2]
279674
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Bone mineral concentration (BMC) in the distal tibiae. A Norland XR-46, Norland Corp. Fort Atkinson, Wis DEXA scanner was used
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Assessment method [2]
279674
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Timepoint [2]
279674
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Postoperatively (within 2 weeks), 3, 6 12 and 24 months postoperatively.
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Secondary outcome [1]
294152
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HSS knee society knee score.
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Assessment method [1]
294152
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Timepoint [1]
294152
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Preoperatively, 12 and 24 months postoperatively
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Eligibility
Key inclusion criteria
Primary osteoarthrosis of the knee
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Minimum age
59
Years
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Maximum age
90
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
1. Consuming steroid drugs (above 5mg per day).
2. Not able to participate (coorporate) due to bad mental status.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Randomization using sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Block randomization with 4 patients in each group.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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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
1/05/2000
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
36
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
3851
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Denmark
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State/province [1]
3851
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Copenhagen
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Funding & Sponsors
Funding source category [1]
269893
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Hospital
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Name [1]
269893
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Rigshospitalet, Copenhagen University Hospital, orthop. dept.
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Address [1]
269893
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Blegdamsvej 3 2100 Copenhagen OE
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Country [1]
269893
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Denmark
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Primary sponsor type
Hospital
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Name
Rigshospitalet, Copenhagen University Hospital, orthop. dept.
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Address
Blegdamsvej 3
2100 Copenhagen OE
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Country
Denmark
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Secondary sponsor category [1]
268906
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None
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Name [1]
268906
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Address [1]
268906
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Country [1]
268906
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
271864
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The Ethical Committee of Copenhagen and Frederiksberg
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Ethics committee address [1]
271864
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Sjaellandsgade 40 2200 Copenhagen N
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Ethics committee country [1]
271864
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Denmark
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Date submitted for ethics approval [1]
271864
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01/11/1999
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Approval date [1]
271864
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04/01/2000
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Ethics approval number [1]
271864
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(KF) 01-261/99:
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Summary
Brief summary
Decreased periproshetic bone mineral density (BMD) after total knee arthroplasty (TKA) is well described in the literature. However, it has been predicted from Finite Element Analyse (FEM) studies that altered design of the femoral implant may have an impact on long term periprosthetic bone lose. In a randomized prospective study we followed 25 patients operated on with either a Duracon or Interax TKA to evaluate periprosthetic differences in BMD using DEXA.
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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
33182
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Address
33182
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Country
33182
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Phone
33182
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Fax
33182
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Email
33182
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Contact person for public queries
Name
16429
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Matthias Therbo
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Address
16429
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Rigshospitalet, Copenhagen Universty Hospital, orthop. dept. 2162, 2100 Copenhagen OE
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Country
16429
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Denmark
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Phone
16429
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+45 35452360
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Fax
16429
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Email
16429
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[email protected]
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Contact person for scientific queries
Name
7357
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Matthias Therbo
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Address
7357
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Rigshospitalet, Copenhagen Universty Hospital, orthop. dept. 2162, 21oo Copenhagen OE
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Country
7357
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Denmark
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Phone
7357
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+45 35452360
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Fax
7357
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Email
7357
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
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