Exactech Hip Systems Post-Market Clinical Follow-up (PMCF)

Study Overview
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Brief Summary
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A Post-Market Domestic (US) and International Data Collection to Assess Exactech Hip Systems

Detailed Description
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Patient outcomes data is important for assessing the post-market safety and effectiveness of orthopedic medical devices. The purpose of this study is to collect clinical and patient outcomes and survivorship data for patients who have received or will receive an Exactech Hip System for total hip arthroplasty (THA) prosthesis manufactured or distributed by Exactech Inc (Gainesville, Florida, USA).

Official Title
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TM-2023-017318 Exactech Hip Systems PMCF: A Post-Market Domestic (US) and International Data Collection to Assess Exactech Hip Systems

Conditions
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Hip Arthroplasty, Total

Intervention / Treatment
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* Device: Exactech Hip Systems


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Cohort 1: Subjects who agree to participate in the study that have not had surgery prior to being enrolled in the study. Skeletally mature (18 years of age or older). The subject is willing and able to provide written informed consent for participation in the study. Subject is to receive an Exactech Hip System THA for any approved indication for use. The hip replacement will be performed by the investigator or a surgeon sub- investigator. The devices will be used according to the approved indications. Cohort 2: Subjects who agree to participate in the study that have undergone surgery prior to enrollment in the study. Data for these subjects will be collected from the subject's medical record for the time-period prior to enrollment in the study containing data pertaining to the preoperative time period and index surgery (retrospective data) and from the patient after they are enrolled in the study during the post-operative time- period (prospectively). Skeletally mature (18 years of age or older). The subject is willing and able to provide written informed consent for participation in the study. Subject received an Exactech Hip System THA for any approved indication for use. The hip replacement was performed by the investigator or a surgeon sub-investigator. The devices are/were used according to the approved indications. Special consideration should be taken to ensure that these subjects meet all inclusion criteria, none of the exclusion criteria, and have a minimum of the following pre- operative, operative, and applicable postoperative data available in the subject's medical records, related to the Exactech Hip System prosthesis manufactured or distributed by Exactech Inc (Gainesville, Florida, USA). Prior to inclusion in the study, the following details must be available for data submission: Pre-Operative: Demographic Data Gender Age at surgery Height/Weight Indication for surgery Prior Injuries/Surgeries on index hip Comorbidities Operative: Date of Surgery Type of Surgery (Primary / Revision) All component product information, including catalogue reference numbers. Adverse Event Information, if applicable Cohort 3: Note: No prospective data may be collected from a subject if they are enrolled under this cohort unless the subject is willing and able to provide written informed consent for participation in the study, in which case they should be part of Cohort 2. Skeletally mature (18 years of age or older). The subject is willing and able to provide written informed consent for participation in the study. Subject received an Exactech Hip System THA for any approved indication for use. The hip replacement was performed by the investigator or a surgeon sub-investigator. The devices are/were used according to the approved indications. Special consideration should be taken to ensure that these subjects meet all inclusion criteria, none of the exclusion criteria, and have a minimum of the following pre- operative, operative, and applicable postoperative data available in the subject's medical records, related to the Exactech Hip System prosthesis manufactured or distributed by Exactech Inc (Gainesville, Florida, USA). Prior to inclusion in the study, the following details must be available for data submission: Pre-Operative: Demographic Data Gender Age at surgery Height/Weight Indication for surgery Prior Injuries/Surgeries on index hip Comorbidities Operative: Date of Surgery Type of Surgery (Primary / Revision) All component product information, including catalogue reference numbers. Adverse Event Information, if applicable Exclusion Criteria: Patient was <18 years of age at time of surgery Patient does not meet the indicated population for use criteria for this device. Patient is pregnant Patient is a prisoner Patient has a physical or mental condition that would invalidate the results Patient is contraindicated for the surgery (e.g., metal allergy)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Prospective Subjects<br>Enrolled in the study pre-surgery. Subjects who agree to participate in the study that have not had surgery prior to being enrolled in the study. | Device: Exactech Hip Systems<br>* The Exactech Hip System comprises a fixed-bearing hip joint prostheses used in treating human hip joint diseases as part of THA. These prostheses include a combination of the components and are available in a range of sizes to accommodate varying anatomical requirements.<br>|
| Retrospective to Prospective<br>Subjects enrolled in the study post- surgery then continue to participate in the study prospectively. Subjects who agree to participate in the study that have undergone surgery prior to enrollment in the study. Data for these subjects will collected from the subject's medical record for the time period prior to enrollment in the study containing data pertaining to the index surgery (retrospective data) and from the patient after they are enrolled in the study during the post-operative time period (prospectively). | Device: Exactech Hip Systems<br>* The Exactech Hip System comprises a fixed-bearing hip joint prostheses used in treating human hip joint diseases as part of THA. These prostheses include a combination of the components and are available in a range of sizes to accommodate varying anatomical requirements.<br>|
| Retrospective Only Subjects<br>Subjects enrolled in the study post-study surgery with no intent to continue as prospective subjects. Patient's clinical record includes a signed HIPAA waiver allowing for the use of clinical record data for the purpose of clinical research outside of the operating institution. | Device: Exactech Hip Systems<br>* The Exactech Hip System comprises a fixed-bearing hip joint prostheses used in treating human hip joint diseases as part of THA. These prostheses include a combination of the components and are available in a range of sizes to accommodate varying anatomical requirements.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Harris Hip Score | Harris Hip Score (HHS) - validated outcome score. Scores range from 0 (worse disability) to 100 (less disability). The HHS will be collected throughout the duration of the implanted device according to standard of care. | Preoperative | 
| Harris Hip Score | Harris Hip Score (HHS) - validated outcome score. Scores range from 0 (worse disability) to 100 (less disability). The HHS will be collected throughout the duration of the implanted device according to standard of care. | 4-6 week Post-op; per standard of care | 
| Harris Hip Score | Harris Hip Score (HHS) - validated outcome score. Scores range from 0 (worse disability) to 100 (less disability). The HHS will be collected throughout the duration of the implanted device according to standard of care. | 3-6 month Post-op; per standard of care | 
| Harris Hip Score | Harris Hip Score (HHS) - validated outcome score. Scores range from 0 (worse disability) to 100 (less disability). The HHS will be collected throughout the duration of the implanted device according to standard of care. | Annually up to 10 years; per standard of care | 
| Oxford Hip Score | Oxford Hip Score (OHS) - validate outcome score. Scores range from score 0 (most severe symptoms, to 48 (least symptoms). The OHS will be collected throughout the duration of the implanted device according to standard of care. | Preoperative | 
| Oxford Hip Score | Oxford Hip Score (OHS) - validate outcome score. Scores range from score 0 (most severe symptoms, to 48 (least symptoms). The OHS will be collected throughout the duration of the implanted device according to standard of care. | 4-6 week Post-op; per standard of care | 
| Oxford Hip Score | Oxford Hip Score (OHS) - validate outcome score. Scores range from score 0 (most severe symptoms, to 48 (least symptoms). The OHS will be collected throughout the duration of the implanted device according to standard of care. | 3-6 month Post-op; per standard of care | 
| Oxford Hip Score | Oxford Hip Score (OHS) - validate outcome score. Scores range from score 0 (most severe symptoms, to 48 (least symptoms). The OHS will be collected throughout the duration of the implanted device according to standard of care. | Annually up to 10 years; per standard of care |