Collared versus collarless femoral stems for primary total hip replacement
Official title: Comparing Collared and Collarless Femoral Stems in Total Hip Arthroplasty
Run by Medstar Health Research Institute · NCT07337642 · Data updated 2026-11-12
This trial will test whether adding a collar to a femoral stem reduces sinking (subsidence) and lowers fracture risk in adults having an uncemented total hip replacement for osteoarthritis.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 99 Years |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Medstar Health Research Institute Academic / other |
| Locations | 1 site (Washington D.C., District of Columbia) |
| Status | Recruiting |
| Started | December 3, 2025 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2027 |
| Registry record updated | January 13, 2026 |
| Trial ID | NCT07337642 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 or older scheduled for a primary, uncemented total hip arthroplasty for non-inflammatory degenerative joint disease who can give informed consent and complete follow-up are ideal candidates.
✕Probably not a fit
Patients who need cemented or hybrid components, have prior surgery on the same hip, active or prior hip infection, severe osteoporosis, revision/conversion THA, or cannot complete follow-up are unlikely to benefit from this comparison.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective, randomized comparison of two femoral stem options—one with a collar and one without—that share the same triple-taper design, used in primary uncemented total hip arthroplasty. Participants are adults with non-inflammatory degenerative hip disease who are randomized to receive either the collared or collarless stem, with serial clinical assessments and radiographs scheduled after surgery. The study will quantify subsidence on serial radiographs and record intraoperative and postoperative periprosthetic fractures and aseptic loosening rates. Results will compare clinical outcomes and radiographic behavior between the two implant groups at prespecified follow-up intervals.
Why it matters
Potential benefit: If successful, the collared design could reduce implant sinking and fracture risk, improving early stability and potentially prolonging implant survival.
How similar studies have gone: Biomechanical and observational studies have suggested collars may reduce subsidence and certain fracture risks, but high-quality randomized data comparing identical stem designs with and without collars are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adults (≥ 18 years old) scheduled for primary, uncemented THA using a cementless femoral stem * Diagnosis of primary osteoarthritis or other non-inflammatory degenerative joint disease. * Ability and willingness to comply with study procedures and follow-up schedule. * Ability to provide written informed consent Exclusion Criteria: * Patients not indicated for a cementless THA * Prior surgery on the ipsilateral hip (e.g., prior THA, internal fixation, osteotomy) * Use of cemented or hybrid femoral components. * Revision THA or conversion THA * Active or prior infection of the hip joint. * Severe osteoporosis (T-score ≤ -2.5) or known metabolic bone disease. * Inability to complete follow-up or anticipated relocation out of the area.
Where it's running
-
MedStar Georgetown University Hospital
Washington D.C., District of Columbia, United States Recruiting
Study contacts
- Study coordinator: Miles Hollimon, B.S.
- Email: miles.hollimon@medstar.net
- Phone: (202) 444-8766
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Dual-mobility vs unipolar cups for primary total hip replacement via direct anterior approach
This trial tests whether using a dual-mobility cup in primary total hip arthroplasty with a direct anterior approach reduces dislocation risk compared with a unipolar cup.
-
Rotating hinge vs condylar constrained knee implants in revision knee replacement
This study tests whether rotating hinge knee implants perform similarly to condylar constrained implants when used to revise knee replacements in adults.
-
Patient and caregiver perspectives on bladder instillations for urinary symptoms
This project talks with adults who have neurogenic bladder and their caregivers to see what they prefer and experience with bladder instillations of Lactobacillus, gentamicin, or both.
-
Virtual reality cognitive behavioral therapy for chronic cancer pain
This project tests whether a virtual reality program that delivers cognitive behavioral therapy can help adults with chronic cancer pain feel less pain than a two-dimensional tablet program.
-
Intravesical Lactobacillus crispatus for urinary health in people with neurogenic bladder
This study will test whether putting Lactobacillus crispatus into the bladder can help reduce urinary symptoms and urinary tract infections in adults with neurogenic lower urinary tract dysfunction who use intermittent catheters.
-
Preemptive rimegepant for predictable trigger-induced migraine in adults
This study will test whether taking a 75 mg dose of rimegepant before a known trigger can prevent migraine attacks in adults who reliably get trigger-induced migraines.
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.