UoL Orthopaedic Retrievals Study, Version 1

  • Research type

    Research Study

  • Full title

    Assessment of Explanted Orthopaedic Implants of the Hip, Knee and Ankle

  • IRAS ID

    325089

  • Contact name

    Sophie Williams

  • Contact email

    S.D.Williams@leeds.ac.uk

  • Sponsor organisation

    University of Leeds

  • Duration of Study in the UK

    5 years, 0 months, 1 days

  • Research summary

    Over one million orthopaedic joint replacements are implanted into patients each year. Increasingly, these devices are being used in younger, more active patient populations which has led to increased and unprecedented demands for their function and longevity. To meet these demands, a number of technological advancements have been introduced into joint replacement technologies including advanced materials (e.g. hard-on-hard hip replacements) and new design features (e.g. rotating platform knee designs, dual mobility hip replacements). Such design changes and, indeed, all prostheses are subjected to rigorous pre-clinical testing. However, it is essential to continue monitoring the performance of these devices in-vivo to provide feedback, assess their predominant modes of implant failure and improve next-generation designs.

    One way to assess the clinical performance of joint replacements is through the analysis of explanted devices (i.e. implants which have been excised from a patient following device failure). Therefore, the aim of this study is to assess the performance of explanted hip, knee and ankle joint replacement devices with regards to wear and damage using a variety of non-destructive, laboratory-based methodologies.

    This research will expand the current understanding relating to how joint replacements function and fail in the body, and how various implant, surgical and/or patient factors may influence their performance. Knowledge generated through this research has the potential to inform next-generation implant designs, provide clinicians with enhanced operative guidelines (e.g. optimal implant placements) and assess the suitability of pre-clinical testing methodologies, which will ultimately benefit future joint replacement patients in the long-term.

  • REC name

    London - Bloomsbury Research Ethics Committee

  • REC reference

    24/PR/0385

  • Date of REC Opinion

    26 Apr 2024

  • REC opinion

    Favourable Opinion