Clinical trial Recruiting at 5 sites Observational Ages 18 and up

Z1 Hip System post-market follow-up

Official title: Multicenter, Post-Market Clinical Follow-up Study of the Z1 Femoral Hip System

Run by Zimmer Biomet · NCT07104279 · Data updated 2026-11-12

This tests whether the Z1 Femoral Hip System is safe and helpful for adults having total or hemi hip replacement for osteoarthritis, femoral head/neck fractures, or avascular necrosis.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment300 (estimated)
SponsorZimmer Biomet
Industry-sponsored
Locations5 sites (Platte City, Missouri and 4 other locations)
StatusRecruiting
StartedOctober 13, 2025
Main results expectedAugust 2028
Study endsAugust 2031
Registry record updatedOctober 16, 2026
Trial IDNCT07104279 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18 years) who are candidates for primary total hip arthroplasty or hemiarthroplasty for osteoarthritis, acute femoral head/neck fracture, or avascular necrosis and who can provide informed consent and comply with follow-up are ideal.

Probably not a fit

Patients requiring revision arthroplasty, with active local or systemic infections, or with severe muscular, neural, or vascular diseases endangering the limb are excluded and unlikely to benefit from this enrollment.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational post-market follow-up enrolls adults who receive the Z1 Femoral Hip System during primary total or hemi hip arthroplasty and follows them through at least 2 years after implantation. The primary outcome is implant survival at 2 years, with recording of revisions, complications, and adverse events and documentation of their relation to the implant, instrumentation, or procedure. Secondary outcomes include patient-reported outcome measures to track pain, function, and quality of life over early to mid-term follow-up. Sites include orthopedic centers in Charlotte, NC and Portland, OR, and enrollment is limited to patients who meet the study's inclusion and exclusion criteria.

Why it matters

Potential benefit: If successful, this could confirm the Z1 system's early to mid-term safety and functional benefits, giving patients and surgeons more confidence in its use.

How similar studies have gone: Similar post-market and clinical studies of femoral hip systems have generally shown acceptable early to mid-term implant survival and improvements in patient-reported outcomes, though device-specific results vary.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patient is at least 18 years old and skeletally mature
* Patient is physically and mentally willing and able, in the Investigator's opinion at the time of enrollment, to be compliant with the protocol, including all scheduled study evaluations
* Patient, or the patient's legally authorized representative, is willing and able to participate in the Informed Consent process and provide their consent
* Independent of study participation, patient is a candidate and qualifies for primary total hip or hemi-arthroplasty based on physical exam and medical history including at least one of the following:

  * Advanced wear of the joint due to degenerative, post-traumatic or rheumatic diseases
  * Acute traumatic fracture of the femoral head or neck
  * Avascular necrosis (AVN) of the femoral head

Exclusion Criteria:

* Revision arthroplasty
* Acute, chronic, local, or systemic infection(s)
* Severe muscular, neural, or vascular diseases that endanger the limb(s) involved
* Lack of bony structures proximal or distal to the joint, so that good anchorage of the implant is unlikely or impossible
* Total or partial absence of the muscular or ligamentous apparatus
* Any concomitant diseases that can jeopardize the functioning and the success of the implant
* Allergy to the implanted material, especially to metal (e.g. cobalt, chromium, nickel, etc.)
* Local bone tumors and/or cysts
* Patient has any condition that would, in the Investigator's opinion, place the patient at undue risk or interfere with the study
* Any vulnerable subject:

  * a prisoner
  * a patient known to be pregnant
  * mentally incompetent or unable to understand what participation in the study entails
  * a known substance abuser

Where it's running

  • Mokan Orthopedic Research and Consulting
    Platte City, Missouri, United States
    Recruiting
  • OrthoCarolina/OrthoCarolina Research Institute
    Charlotte, North Carolina, United States
    Recruiting
  • Cleveland Clinic
    Cleveland, Ohio, United States
    Recruiting
  • Orthopedic & Fracture Specialists
    Portland, Oregon, United States
    Recruiting
  • Anderson Orthopaedic/Anderson Orthopaedic Research Institute
    Alexandria, Virginia, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.