Ceramic hip resurfacing vs total hip arthroplasty for hip OA
Official title: A Pragmatic, Multicenter, Patient-Blinded, Preference-Tolerant Randomized Clinical Trial Comparing Ceramic Hip Resurfacing With Total Hip Arthroplasty Using Activity Monitoring
Run by Danderyd Hospital · NCT07839403 · Data updated 2026-11-12
This trial tests whether ceramic hip resurfacing helps people with hip OA walk farther each day than a modern total hip replacement.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 220 (estimated) |
| Sponsor | Danderyd Hospital Academic / other |
| Locations | 1 site (Danderyd) |
| Status | Recruiting |
| Started | September 25, 2026 |
| Main results expected | December 31, 2031 |
| Study ends | December 31, 2039 |
| Registry record updated | September 24, 2026 |
| Trial ID | NCT07839403 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 and older with symptomatic hip osteoarthritis who are deemed suitable for either ceramic resurfacing or modern uncemented total hip arthroplasty by the surgeon.
✕Probably not a fit
Patients with BMI >40 kg/m2, severe deformities, poor bone quality, or other exclusion criteria may not experience the same mobility advantage.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
MOVE-HIP is a multicenter randomized study comparing ceramic-on-ceramic hip resurfacing with contemporary total hip arthroplasty in adults with symptomatic hip osteoarthritis who could receive either procedure. Participants are randomized 1:1 and kept blinded to allocation where feasible through 24 months, with objective activity measured by wearable devices during 7-day periods at 3, 12, and 24 months. The study also includes a separate observational cohort of eligible patients who decline randomization, analyzed separately. Primary outcome is the adjusted difference in mean daily walking distance between groups from 3 to 24 months; secondary outcomes include step count, patient-reported outcomes, radiographs, perioperative metrics, complications, implant survival, and health-economic outcomes, with long-term follow-up planned up to 10 years.
Why it matters
Potential benefit: If successful, the trial could identify which hip procedure supports greater real-world activity and mobility after surgery.
How similar studies have gone: Previous research in hip arthroplasty has explored activity outcomes, but this direct ceramic resurfacing vs modern THA comparison with wearable activity tracking is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adults aged 18 years or older. * Symptomatic hip osteoarthritis for which primary hip arthroplasty is indicated according to routine clinical practice. * Considered suitable for both ceramic hip resurfacing arthroplasty and uncemented total hip arthroplasty by the treating surgeon. * Ability and willingness to comply with study procedures, including patient-reported outcome measures, radiographs, registry linkage, and repeated wearable monitoring. * Provision of written informed consent. Exclusion Criteria: * Anatomical or pathological conditions that clearly preclude hip resurfacing arthroplasty or total hip arthroplasty, including severe deformity requiring non-standard implants or techniques. * Insufficient femoral head or acetabular bone quality, including large or multiple cysts, advanced femoral head necrosis, severe osteopenia, or osteoporosis where this would contraindicate hip resurfacing arthroplasty. * Body mass index greater than 40 kg/m\^2. * Requirement for specialized implants outside routine study procedures. * Medical comorbidity rendering the patient unfit for surgery. * Cognitive impairment, severe psychiatric disease, alcohol or substance abuse, language barrier, or other reason judged to prevent informed consent or compliance with follow-up. * Inability to complete patient-reported outcome measures or to participate in wearable monitoring.
Where it's running
-
Danderyd Hospital
Danderyd, Sweden Recruiting
Study contacts
- Principal investigator: Olof Sköldenberg, MD, PhD — Danderyd Hospital, Region Stockholm / Karolinska Institutet
- Study coordinator: Olof Sköldenberg, MD, PhD
- Email: olof.skoldenberg@ki.se
- Phone: +46 8 123 572 45
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.