ClinicalTrials.gg
Active, not recruitingNCT06792539PHRUpdated May 1, 2026

Evaluate the Safety and Effectiveness of the Polymotion Hip Resurfacing (PHR) System Compared to Total Hip Arthroplasty

An interventional study of Polymotion Hip Resurfacing (PHR) System in Osteoarthritis of the Hip, Degenerative Joint Disease of Hip and Dysplasia; Hip, sponsored by JointMedica Inc.. Active, not recruiting at 9 sites in 2 countries. Open to participants aged 21 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-05-01.

Sponsored by JointMedica Inc. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
238
Allocation
Not applicable
Ages
21 Years to 65 Years
Sex
All
01

Study summary

The goal of this clinical trial is to evaluate the safety and effectiveness of the Polymotion Hip Resurfacing (PHR) System compared to total hip arthroplasty, for adults who require hip resurfacing arthroplasty due to 1) non-inflammatory arthritis (degenerative joint disease) such as osteoarthritis, traumatic arthritis, or 2) mild dysplasia/developmental dislocation of the hip (DDH) up to Crowe Grade 1.

Read the detailed description

The PHR® System is a single-use device consisting of a Cobalt Chromium, bone-cemented femoral head component, and a cementless acetabular component comprising of a Vitamin E polyethylene (Vit E-XPE) bearing with a titanium coating.

The PHR® System is intended for patients who, due to their relatively younger age (under 65) and increased activity level, may not be suitable for traditional total hip arthroplasty due to an increased possibility of requiring future ipsilateral hip joint revision.

Hip Resurfacing Arthroplasty (HRA) is a surgery that has been developed as an alternative to Total Hip Arthroplasty (THA), especially for younger, more active patients. Studies done on past designs of HRA demonstrate the following noteworthy benefits of the HRA procedure when compared with THA: bone conservation, improved gait, higher activity levels, lower rates of dislocations, reduced thigh pain, and reduced alteration in leg length. Hip resurfacing restores the natural shape of the joint meaning better stability, longevity, and higher levels of activity than a traditional hip replacement.

In Total Hip Replacement, the femoral head and neck (ball joint of the hip) is removed and replaced by a long, stemmed device. The procedure is highly successful; however, in some cases the replacement hip joint has the potential to wear out much more quickly in younger, more active patients, leading to revision surgery being required. With the PHR® procedure, your surgeon removes less bone from the femoral head of the femur and retains the femoral neck. The femoral head is shaped to accept a low-wear metal cap. This spherical cap closely matches your anatomy, reducing the risk of dislocation, and offering a broad range of movement and excellent stability. The acetabular socket (cup joint of the hip) is then fitted with a corresponding polyethylene component, significantly reducing potential reactions to metal ions associated with historic Metal-on-Metal hip resurfacing devices.

A comprehensive range of sizes is offered to address the needs of most patients. Both components are designed to be implanted, to achieve reconstructive and functional replacement of the hip joint. The PHR® System is intended to offer the traditional benefits of hip resurfacing over total hip arthroplasties, such as bone conservation and restoration of natural biomechanics, without a metal-on-metal articulating surface.

02

Conditions studied

  • Osteoarthritis of the Hip
  • Degenerative Joint Disease of Hip
  • Dysplasia; Hip

Keywords

  • hip resurfacing
  • Osteoarthritis of the Hip
  • deterioration of hip cartilage
  • Polymotion
03

In context

Osteoarthritis, Hip

641 studies on the registry are indexed under Osteoarthritis, Hip; 120 are open to participants now.

This study's enrollment of 238 is above the median of 90 across 457 interventional studies indexed under Osteoarthritis, Hip.

Browse Osteoarthritis, Hip studies →

Lead sponsor

JointMedica Inc. is the lead sponsor of 3 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
21 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

In order to be eligible to participate in this study, subjects must meet all of the following criteria:

  1. Requires primary hip resurfacing arthroplasty due to:

    1. non-inflammatory arthritis (degenerative joint disease) such as osteoarthritis, traumatic arthritis, or
    2. mild dysplasia/developmental dislocation of the hip (DDH) up to Crowe Grade 1.
  2. Harris Hip Score \< 70 points.
  3. Skeletally mature, age ≥21 and \<65 years.
  4. Physically and mentally able and willing to comply with the Protocol, including the ability to read and complete required forms and willing and able to adhere to the scheduled follow-up visits and requirements of the Protocol.

Subjects who meet any of the following criteria will be excluded from participating in this study:

  1. Inadequate bone stock or bone quality to support the device based on a Canal-Bone Ratio (CBR-7) of >0.45.0F
  2. Severe osteopenia, a medical history or increased risk of severe osteoporosis or severe osteopenia, a history of fragility fracture, and other conditions that lead to increased bone resorption
  3. Osteonecrosis or avascular necrosis (AVN)
  4. Multiple cysts of the femoral head (> 1cm) or cysts crossing the head-neck junction
  5. Metabolic disorders which may impair bone formation (e.g., osteomalacia, osteogenesis imperfecta, parathyroid disease, rickets, etc.)
  6. Severe femoral head deformities that will prevent fixation of the prosthetic resurfacing femoral head
  7. Inflammatory arthritis such as rheumatoid arthritis (RA)
  8. Severe proximal femoral rotational deformity in whom appropriate combined anteversion of femoral-acetabular construct is unachievable
  9. Severe acetabular dysplasia/development dislocation of the hip, defined as Crowe Grade ≥ 2
  10. Previous surgical intervention on index hip (e.g., treatment of hip fracture, arthroscopy)
  11. Severe medical comorbidities, including:

    1. severe cardiopulmonary disease,
    2. congestive heart failure,
    3. severe liver or kidney dysfunction,
    4. end-stage renal disease,
    5. severe uncontrolled diabetes,
    6. history of IV drug use,
    7. history of hypercoagulable state or pulmonary embolism,
    8. severe lumbar spinal stenosis,
    9. vascular insufficiency, muscular atrophy, or neuromuscular disease severe enough to compromise implant stability or post-operative recovery,
    10. neuropathic arthropathy (Charcot joint),
    11. or other immunodeficiency disorders, e.g., diseases such as Acquired Immune Deficiency Syndrome (AIDS) or post-organ transplant and on high doses of .
  12. Incompetent or deficient soft tissue surrounding the joint (e.g., hip abductor muscle deficiency)
  13. > 40
  14. Active or suspected infection in or around the hip joint
  15. Known or suspected metal sensitivity (e.g., jewelry) or allergy to any implant materials
  16. Pregnant or plan to become pregnant during the study duration
  17. Current smoker
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
238 participants (actual)

Study arms

  • Experimental
    Polymotion Hip Resurfacing (PHR) System

    The investigational device, Polymotion Hip Resurfacing System ("Polymotion" or "PHR"), is a metal-onpolyethylene hip resurfacing device consisting of a metallic femoral component and an acetabular component made of Vitamin E HXLPE with a titanium coating on its bone-contacting surface. Both components are designed to be permanently implanted, to achieve reconstructive and functional replacement of the hip joint. The PHR System is intended to offer the traditional benefits of hip resurfacing over total hip arthroplasty, such as bone conservation and restoration of natural biomechanics, without a metal-on-metal articulating surface.

    Device: Polymotion Hip Resurfacing (PHR) System

Interventions

  • DevicePolymotion Hip Resurfacing (PHR) System

    Surgical

06

What researchers measure

Primary outcomes

  1. The primary objective of this study is to evaluate the safety and clinical effectiveness of the Polymotion Hip Resurfacing System.

    The proportion of Polymotion subjects achieving Month-24 composite clinical success (CCS) will be compared to a propensity-score matched total hip arthroplasty control group collected from Rush University Medical Center, with the goal of demonstrating non-inferiority. Composite clinical success will be analyzed via Harris Hip Scores measuring pain, activity, and function, absence of device subsidence, progressive radiolucencies, osteolysis or migration through radiographic assessment, and the absence of serious safety events (secondary surgical interventions for the index hip or serious device-related adverse events).

    Time frame: 24 months

Secondary outcomes

  1. Harris Hip Score, and sub-scores of HHS for pain and function

    The Harris Hip Score is used to measure pain severity, function, and absence of deformity. Each hip joint is scored on nine parameters, generating a total score representing the severity of the condition. The lower the score the better. The minimum score for each hip is 0 and the maximum is 53, giving a range for the total score of 0 to 106.

    Time frame: 24 months

  2. SUSHI-University of California Los Angeles (UCLA) Activity Scores

    The SUSHI-UCLA Activity Score is a 10-item assessment of physical activity level to assess patients overall state, pain and limitations of their hip.

    Time frame: 24 months

  3. Hip Disability and Osteoarthritis Outcome Score, Joint Replacement (HOOS JR), and sub-scores of HOOS JR for pain and function

    The HOOS JR Survey is a short form of the HOOS that assesses patient pain (2 items), and functions of daily living (4 items).

    Time frame: 24 months

  4. Forgotten Joint Score

    The Forgotten Joint Score consists of 12 questions, scored on a 0-100 scale, intended to determine a patient's ability to "forget" about their affected joint after surgery or treatment.

    Time frame: 24 months

  5. SF-12

    The SF-12 is a health-related quality-of-life questionnaire consisting of twelve questions that measure eight health domains to assess physical and mental health.

    Time frame: 24 months

  6. Radiographic success

    Absence of migration, subsidence, and osteyloysis

    Time frame: 24 months

07

Study locations

9 sites
  • Florida Medical Clinic Orlando Health
    Tampa, Florida 33613, United States
  • Rush University Medical Center
    Chicago, Illinois 60612, United States
  • Sinai Hospital / LifeBridge Health
    Baltimore, Maryland 21215, United States
  • NYU Longone
    New York, New York 10003, United States
  • Joint Implant Surgeons
    New Albany, Ohio 43054, United States
  • Oregon Health & Science University
    Portland, Oregon 97239, United States
  • Midlands Orthopaedics & Neurosurgery
    Columbia, South Carolina 29210, United States
  • Hampton Road Orthopaedics
    Newport News, Virginia 23606, United States
  • Orthopaedic and Physiotherapy Associates
    Paget, Trevelyan DV04, Bermuda
08

References and documents

Publications

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  • Treacy RBC, Holland JP, Daniel J, Ziaee H, McMinn DJW. Preliminary report of clinical experience with metal-on-highly-crosslinked-polyethylene hip resurfacing. Bone Joint Res. 2019 Nov 2;8(10):443-450. doi: 10.1302/2046-3758.810.BJR-2019-0060.R1. eCollection 2019 Oct. PubMed 31728182 ↗
  • Cadossi M, Tedesco G, Sambri A, Mazzotti A, Giannini S. Hip Resurfacing Implants. Orthopedics. 2015 Aug;38(8):504-9. doi: 10.3928/01477447-20150804-07. PubMed 26270748 ↗
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Related links

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06792539
Lead sponsor
JointMedica Inc.
Responsible party
Sponsor
First posted
Jan 24, 2025
Start date
Jan 22, 2025
Primary completion
Apr 2028 (estimated)
Completion
Jun 2028 (estimated)
Last update
May 1, 2026

Study contacts

Michael Mont, MD
principal investigator · Principal Investigator

Oversight

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

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