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Active, not recruitingNCT04092634Updated Jun 26, 2025

Dual Mobility in "High Risk" Patients

A Phase 4 interventional study of Dual mobility implant and Traditional, Single-bearing hip implant in Dislocation, Hip, sponsored by Rush University Medical Center. Active, not recruiting at 4 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-06-26.

Sponsored by Rush University Medical Center · Phase 4, Interventional, and Prevention

From the registry’s dates

  • Registered 1 year 10 months after the study started (first participant enrolled Nov 2017, registered Sep 2019).
Phase
Phase 4
Study type
Interventional
Enrollment
412
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The aim of this study is to compare clinical outcomes of patients considered to be high risk for prosthetic dislocation undergoing primary total hip arthroplasty (THA) with the use of a dual mobility bearing versus a conventional, single bearing design.

Read the detailed description

This study aims to compare the clinical outcomes of patients considered to be at high risk for prosthetic dislocation undergoing primary total hip arthroplasty (THA) with the use of a dual mobility bearing versus a conventional, single-bearing design.

We hypothesize that in primary THA patients considered to be at high risk for prosthetic dislocation, the use of dual-mobility components will be associated with a lower dislocation rate in the first year following the index procedure. We do not anticipate a difference. In other clinical outcome measures or functional outcome scores between the two cohorts.

Study Design: Randomized controlled trial with two groups: THA with dual mobility.

44 components vs THA with single-bearing designs

02

Conditions studied

  • Dislocation, Hip

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03

In context

Hip Dislocation

107 studies on the registry are indexed under Hip Dislocation; 36 are open to participants now.

This study's planned enrollment of 412 is above the median of 86 across 64 interventional studies indexed under Hip Dislocation.

Browse Hip Dislocation studies →

Lead sponsor

Rush University Medical Center is the lead sponsor of 397 studies on the registry; 61 are open to participants now.

Of its 32 completed or terminated interventional studies of FDA-regulated products, 26 (81%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Primary THA for a diagnosis of osteoarthritis or inflammatory arthritis in the setting of a history of prior lumbar or lumbosacral fusion performed at least 6 months prior to their THA. In addition, patients considered high-risk for potential prosthetic dislocation will be included based on the presence of one or more of the following: neuromuscular disorder (e.g. cerebral palsy, Parkinson's disease, history of a stroke), dementia or cognitive impairment, substance or alcohol abuse (>10 drinks per week), acute displaced femoral neck fracture, age > 75 years, inflammatory arthritis, and increased preoperative range of motion (calculated as described by Krenzel et al.: combined flexion, adduction, internal rotation > 115 degrees).

Exclusion criteria

Exclusion Criteria:

  • Less than 18 years of age
  • Revision THA
  • spinopelvic fusion that is more recent than 6 months prior to THA
  • isolated cervical or thoracic fusion
  • intent to undergo a revision spinopelvic fusion within one year of their index THA
  • a history of prior infection in the affected hip
  • a history of prior open surgery on the affected hip (i.e. prior proximal femur fracture or osteotomy)
  • or a preoperative diagnosis of post-traumatic arthritis, avascular necrosis, or fracture
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Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
412 participants (estimated)

Study arms

  • Experimental
    Dual mobility

    Patients in this group will receive a dual mobility hip implant

    Device: Dual mobility implant

  • Active comparator
    Single bearing, traditional hip implant

    Patients in this group will receive a traditional, single-bearing hip implant.

    Device: Traditional, Single-bearing hip implant

Interventions

  • DeviceDual mobility implant

    Patients that are eligible and consent to the study will be randomized to receive either a dual mobility implant or a traditional single-bearing hip implant. This group is for the dual mobility implant

  • DeviceTraditional, Single-bearing hip implant

    Patients that are eligible and consent to the study will be randomized to receive either a dual mobility implant or a traditional single-bearing hip implant. This group is for the dual mobility implant

06

What researchers measure

Primary outcomes

  1. Hip Dislocation

    The rate of prosthetic dislocation between the two cohorts

    Time frame: 6 weeks following their index surgical procedure.

  2. Hip Dislocation

    The rate of prosthetic dislocation between the two cohorts

    Time frame: 1 year following their index surgical procedure.

  3. Hip Dislocation

    The rate of prosthetic dislocation between the two cohorts

    Time frame: 2 years following their index surgical procedure.

  4. Hip Dislocation

    The rate of prosthetic dislocation between the two cohorts

    Time frame: 5 years following their index surgical procedure.

  5. Hip Dislocation

    The rate of prosthetic dislocation between the two cohorts

    Time frame: 10 years following their index surgical procedure.

Secondary outcomes

  1. Complications

    Any peri- or postoperative complications will be recorded component loosening, occurrence of intraprosthetic dislocation, infection, periprosthetic fractures, revision rates

    Time frame: Complications will be assess up to 10 years following their index surgical procedure

  2. Radiographic signs of loosening and proper component placement.

    Routine radiographs (AP Pelvis, frogleg lateral, and cross-table lateral radiographs) will be obtained at follow-up visits and assessed for cup placement, anteversion, radiographic signs of loosening, and component migration. These radiographs will be assess for the presence of loosening in a yes/no format

    Time frame: 6 weeks following their index surgical procedure.

  3. Radiographic signs of loosening and proper component placement.

    Routine radiographs (AP Pelvis, frogleg lateral, and cross-table lateral radiographs) will be obtained at follow-up visits and assessed for cup placement, anteversion, radiographic signs of loosening, and component migration. These radiographs will be assess for the presence of loosening in a yes/no format

    Time frame: 1 year following their index surgical procedure.

  4. Radiographic signs of loosening and proper component placement.

    Routine radiographs (AP Pelvis, frogleg lateral, and cross-table lateral radiographs) will be obtained at follow-up visits and assessed for cup placement, anteversion, radiographic signs of loosening, and component migration. These radiographs will be assess for the presence of loosening in a yes/no format

    Time frame: 2 years following their index surgical procedure.

  5. Radiographic signs of loosening and proper component placement.

    Routine radiographs (AP Pelvis, frogleg lateral, and cross-table lateral radiographs) will be obtained at follow-up visits and assessed for cup placement, anteversion, radiographic signs of loosening, and component migration. These radiographs will be assess for the presence of loosening in a yes/no format

    Time frame: 5 years following their index surgical procedure.

  6. Radiographic signs of loosening and proper component placement.

    Routine radiographs (AP Pelvis, frogleg lateral, and cross-table lateral radiographs) will be obtained at follow-up visits and assessed for cup placement, anteversion, radiographic signs of loosening, and component migration. These radiographs will be assess for the presence of loosening in a yes/no format

    Time frame: 10 years following their index surgical procedure.

07

Study locations

4 sites
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2017 to primary completion in Jun 2025, 91 months.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 11, 2019
First posted
Sep 17, 2019
StartActual
Nov 1, 2017
Primary completionActual
Jun 1, 2025
CompletionEst.
Feb 1, 2035
Last update
Jun 26, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04092634
Collaborators
New York University, Rothman Institute Orthopaedics, Keck School of Medicine of USC
Responsible party
Sponsor
First posted
Sep 17, 2019
Start date
Nov 1, 2017
Primary completion
Jun 1, 2025
Completion
Feb 1, 2035 (estimated)
Last update
Jun 26, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

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