Direct Anterior Total Hip Arthroplasty (THA), in Versus Outpatients : A Prospective Monocentric Study in Rennes University Hospital.

Terminated

• Conditions: Direct Anterior Total Hip Arthroplasty
• Interventions: Procedure: Direct Anterior Total Hip Arthroplasty

• Registration Number: NCT03667339
• Lead Sponsor: Rennes University Hospital

Brief Summary

The main objective is to show that cumulative length of stay over the first 45 post operative days (i.e. : primary length of stay and readmission) is significantly lower in the outpatients group than in the inpatients group

Detailed Description

Not available

Study Timeline

• Study Start: 2018-03-27
• Primary Completion: 2018-05-10
• Study Completion: 2018-05-10
• Study First Submitted: 2018-09-10
• Study First Submitted QC: 2018-09-11
• Study First Posted: 2018-09-12
• Status Verified: 2023-04
• Last Update Submitted: 2023-04-11
• Last Update Posted: 2023-04-13

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 1

Inclusion Criteria

• Unilateral primary total hip arthroplasty for hip osteoarthritis, primary or secondary osteoarthritis (dysplasia or post-traumatic) or osteonecrosis
• Good enough understanding of outpatient management and patient adherence to post-operative instructions
• Sufficient patient complicance to medical orders
• Living and hygiene conditions, at least, equivalent to the ones the hospital provides
• To be of age
• Non opposition to the protocole participation

Outpatients group :

• Patient schedulded to undergo outpatient THA

Inpatients group :

• Patient schedulded to undergo inpatient THA because of not fiting the following items :

• Less than an hour distance of a Health Center that provides appropriate care with regard to the surgery
• Rapid access to a phone
• Designated driver and caretaker available (at least the first night after discharge from the hospital) after the procedure Or turning down outpatient THA

Exclusion Criteria

• Anaesthetic point of view :

  • ASA physical status ≥ 3 and : unstabilize disease with appropriate treatment or lack of preoperative mutual agreement between anesthesiologist and surgeon or not inconsiderable interaction between the operation and the disease or its treatment
  • Pre-operative Hb < 12 (♀) < 13 (♂) g/L (NB : no Hb control before discharge except if excessive blood loss ; Hb < 10g/L contraindicates outpatient surgery)
  • Opioid chronic pre-operative therapy or opioid addiction

• Surgical point of view :

  • Ambulatory pre-operative status requiring use of two crutches or walking frame / distance walked < 30 m
  • THA procedure for femoral neck fracture requiring
  • Additional operative technic needed

• Adult safeguarding.

Exclusion criteria applies to all in and outpatients.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
outpatients group	Direct Anterior Total Hip Arthroplasty	Patient schedulded to undergo outpatient Direct Anterior Total Hip Arthroplasty
inpatients group	Direct Anterior Total Hip Arthroplasty	Patient schedulded to undergo inpatient Direct Anterior Total Hip Arthroplasty

Primary Outcome Measures

Name	Time	Method
Cumulative lenght of stay	45 days before surgery	Cumulative lenght of stay ( ie : the sum of the days of hospitalization corresponding to the initial hospitalization and readmissions if there are any)

Trial Locations

Locations (1)

CHU de Rennes; 🇫🇷 Rennes, France