Cementless One-stage Revision of the Chronic Infected Hip Arthroplasty (CORIHA)

This study is currently recruiting participants.
Verified March 2012 by University of Aarhus
Sponsor:
Information provided by (Responsible Party):
University of Aarhus
ClinicalTrials.gov Identifier:
NCT01015365
First received: November 6, 2009
Last updated: March 20, 2012
Last verified: March 2012

November 6, 2009
March 20, 2012
November 2009
April 2012   (final data collection date for primary outcome measure)
re-infection [ Time Frame: 2 years ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT01015365 on ClinicalTrials.gov Archive Site
Revision for other cause than infection [ Time Frame: 2 years ] [ Designated as safety issue: No ]
Same as current
 
 
 
Cementless One-stage Revision of the Chronic Infected Hip Arthroplasty
Cementless One-stage Revision in Fast-track Setting of the Chronic Infected Hip Arthroplasty

The investigators hypothesise that cementless one-stage exchange revision surgery can be performed in patients with chronically infected hip replacement with substantial benefits for the patients, in terms of fast rehabilitation, low re-revision rates and good long term results.

 
Interventional
 
Allocation: Non-Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
  • Infection
  • Hip Replacement Arthroplasty
Procedure: Cementless one-stage surgical revision
A Cementless one-stage surgical revision is to be performed for all included in the cohort.
Surgical revision
Surgical cementless One-stage revision of the chronic infected hip arthroplasty
Intervention: Procedure: Cementless one-stage surgical revision
 

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
100
April 2014
April 2012   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Patient with clinical signs of infection for more than 4 weeks, arising from total hip arthroplasty (primary and revision), resurfacing hip arthroplasty or hemi-hip arthroplasty
  • Informed oral and written consent given

Exclusion Criteria:

  • Life expectancy under 2 years
  • Cognitive dysfunction
  • Pre-operative unwillingness to receive blood
  • Intravenous drug abuse
  • Alcoholism
  • Immunocompromised patients
  • Patients receiving immunosuppressive medication
  • Ongoing systemic inflammatory disease
  • Poorly regulated diabetes mellitus
  • Renal failure (requiring dialysis)
  • Acute systemic inflammatory response syndrome with proven infection (sepsis)
  • Signs of coexisting active long-term local infection (i.e. endocarditis)
  • Previous two-stage revision of hip arthroplasty due to ipsilateral chronic infection (regardless of symptom free interval) or contralateral chronic infection (within the last 2 years).
  • < 6 weeks since last surgery of the affected hip
  • If definition of infection is not fulfilled: infection defined as Culture positive: ≥ 3 positive intraoperative cultures (tissue biopsies a.m. Kamme-Lindberg) Culture negative: < 3 positive intraoperative cultures (tissue biopsies a.m. Kamme-Lindberg) + Chronic fistula with history of previous or existing secretion or Positive cultures in pre-operatively joint fluid aspiration with other clinical signs of infection or Visual pus or purulent fluid during exchange procedure with clinical signs of infection
Both
18 Years and older
No
Contact: Jeppe Lange, M.D. +45 89 49 96 99 jeppe.lange@ki.au.dk
Contact: Kjeld Soballe, Prof. D.Msc. +45 89 49 74 29 kjeld@soballe.com
Denmark
 
NCT01015365
CORIHA
Yes
University of Aarhus
University of Aarhus
 
Study Chair: Kjeld Soballe, Prof. D.Msc. Lundbeckfoundation center for fast-track hip and knee surgery
Principal Investigator: Jeppe Lange, M.D. Lundbeckfoundation center for fast-track hip and knee surgery
University of Aarhus
March 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP