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NCT07337642NARecruiting

Comparing Collared and Collarless Femoral Stems in Primary Total Hip Arthroplasty

Medstar Health Research Institute

Start Date

12/3/2025

Completion Date

12/31/2027

Summary

This is a prospective randomized control trial comparing two collared and collarless femoral implants used in primary total hip arthroplasty. The specific aims of this trial are to: SA1: Prospectively assess clinical outcomes in patients undergoing primary total hip arthroplasty with a collared versus collarless femoral stem of the same design. SA2: Evaluate serial radiographs to quantify differences in subsidence between collared and collarless implant groups. SA3: Report and compare incidence rates of intraoperative and postoperative periprosthetic fractures and aseptic loosening following primary total hip arthroplasty with use of either a collared or collarless stem. Hypothesis: The addition of a collar to the same designed triple-taper primary hip stem will lead to a reduction in subsidence and incidence of perioperative and periprosthetic femur fractures.

Eligibility Criteria

Age Range: 18 years to 99 years

Inclusion Criteria: * Adults (≥ 18 years old) scheduled for primary, uncemented THA using a cementless femoral stem * Diagnosis of primary osteoarthritis or other non-inflammatory degenerative joint disease. * Ability and willingness to comply with study procedures and follow-up schedule. * Ability to provide written informed consent Exclusion Criteria: * Patients not indicated for a cementless THA * Prior surgery on the ipsilateral hip (e.g., prior THA, internal fixation, osteotomy) * Use of cemented or hybrid femoral components. * Revision THA or conversion THA * Active or prior infection of the hip joint. * Severe osteoporosis (T-score ≤ -2.5) or known metabolic bone disease. * Inability to complete follow-up or anticipated relocation out of the area.

Interventions

OTHER

Collarless Femoral Stem

OTHER

Collared Femoral Stem

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Conditions

Primary Total Hip Arthroplasty

Locations

MedStar Georgetown University Hospital

Washington D.C., District of Columbia 20007

United States