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CTRI Number  CTRI/2024/02/063386 [Registered on: 29/02/2024] Trial Registered Prospectively
Last Modified On: 24/02/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Retrospective 
Study Design  Other 
Public Title of Study   Evaluation of Removed Tissues in Total Hip and Knee Replacement Surgeries  
Scientific Title of Study   Examination of primary total hip and knee arthroplasty tissues  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Arunava Kumar Bhuyan 
Designation  Junior Resident 
Affiliation  Kasturba Medical College, MAHE, Manipal 
Address  Department of Orthopaedics Room number 4 OPD complex, Kasturba Hospital, Manipal

Udupi
KARNATAKA
576104
India 
Phone  8811026188  
Fax    
Email  arunavabhuyan@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Kiran K V Acharya 
Designation  Prof and HOU 
Affiliation  Kasturba Medical College, MAHE, Manipal 
Address  Department of Orthopaedics Room number 4 OPD complex, Kasturba Hospital, Manipal

Udupi
KARNATAKA
576104
India 
Phone    
Fax    
Email  Kiran.acharya@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Kiran K V Acharya 
Designation  Professor and Unit Head 
Affiliation  Kasturba Medical College, MAHE, Manipal 
Address  Department of Orthopaedics Room number 4 OPD complex, Kasturba Hospital, Manipal

Udupi
KARNATAKA
576104
India 
Phone    
Fax    
Email  Kiran.acharya@manipal.edu  
 
Source of Monetary or Material Support  
Kasturba Hospital, Manipal.  
 
Primary Sponsor  
Name  Dr Arunava Kumar Bhuyan 
Address  Room number 4 Kasturba Hospital OPD Complex Manipal - 576104 
Type of Sponsor  Other [Self funded] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Shyamsunder Bhat  Department of Orthopaedics, KMCH MAHE Manipal  Room no 4, Kasturba Hospital OPD Complex, Manipal
Udupi
KARNATAKA 
9480486075

shyambhat.n@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee - 2 (Student Research)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M169||Osteoarthritis of hip, unspecified, (2) ICD-10 Condition: M179||Osteoarthritis of knee, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  No known hip/knee pathology/infection preop apart from diagnosis. 
 
ExclusionCriteria 
Details  Revision arthroplasty surgeries 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
Histological and microbiological sample reports routinely sent intraoperatively  Histological and microbiological sample reports routinely sent intraoperatively 
 
Secondary Outcome  
Outcome  TimePoints 
Significance of sending these routine investigations  End of study 
If not significant, overall economic burden of the same  End of study 
 
Target Sample Size   Total Sample Size="1394"
Sample Size from India="1394" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/03/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  15/03/2024 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary    Permission shall be taken from Medical Superintendent of KH and Orthopedic Surgeons in the Department of Orthopaedics, KMC Manipal to use the medical records of their patients. All demographic data collected shall be kept anonymous. Samples will be selected from hospital records and selection of samples will be done based on above mentioned inclusion and exclusion criteria. Patient data will be collected from EMR and MRD. Pre-operative tests reports and intra operative histopathological and microbiological test results will be collected. Patient records will be utilized to analyse whether the patient underwent any change in antibiotic therapy based on microbiological reports and the course of the patients follow up and progress will be followed for atleast 1 year through hospital records in EMR to ascertain the outcome of the post operative period and whether the patient developed PJI at any time post op. A negative intraoperative culture report with post operative PJI will be considered as a insignificant result. The total number of insignificant studies will be multiplied by the mean cost of the microbiologcal analysis(over the past 10 years) to obain the approximate financial burden of microbiological analysis to the patients over the past 10 years in Kasturba Hospital. Histological reports will be analysed and grouped whether they were concordant (similar),  discordant (different but not warranting change in treatment plan) or discrepant (different and warranting change in treatment plan) as compared to the preoperative clinicoradiological diagnosis of the Orthopedic surgeon. Every concordant match will be considered as a non-significant result and the total non-significant results will be tabulated and multiplied by the mean cost of histological analysis (over the past 10 years) to obtain the approximate financial burden of histological analysis to the patients over the past 10 years in Kasturba Hospital. All these data collected will be tabulated in excel 
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