NCT01106560已完成不适用
A Single Centre Prospective Randomised Controlled Clinical Trial Comparing Total Hip Arthroplasty Performed Either Through a Posterior Approach or a Direct Anterior Approach
适应症
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Compare gait kinematics and the return to normalization of gait in patients that have undergone a THA via the direct anterior approach vs. the posterior approach
研究概览
简要总结
This is a single-centre, randomised, prospective clinical follow-up study to evaluate clinical outcome and gait analysis after total hip arthroplasty using the standard postero-lateral approach or the minimally invasive anterior approach.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Males and females aged 18-75 years at time of surgery.
- •Those presenting with primary or secondary osteoarthritis and/or rheumatoid arthritis of the hip.
- •Those deemed capable of giving informed consent, understanding the aims of the study and expressing willingness to comply with the post-operative review programme.
- •Patients who signed the study consent form prior to surgery.
排除标准
- •Pregnant women or women who plan to conceive in the future.
- •Those whose prospects for a recovery to independent mobility would be compromised by known coexistent, medical problems.
- •Those already treated by with a Total Hip Replacement (THR) (i.e. requiring a revision hip replacement).
- •Those with co-existent ipsilateral knee disease or back problems
- •Muscle contracture around the hip joint
- •Individuals who have undergone organ transplant.
- •Those with a known co-existent medical condition where death is anticipated within five years due to the pre-existing medical condition.
- •Individuals who have had a THR on the contra-lateral side within the 6 months.
- •Individuals who have undergone a THR on the contralateral side and whose outcome is considered unsatisfactory or not good. An unsatisfactory or poor result is defined as achieving a total UCLA score (including activity) < 16 points.
- •Individuals requiring bilateral hip replacement.
- •Individuals whose body mass index (BMI; kg/m2) >
- •Individuals with active or suspected infection or sepsis.
- •Individuals with renal failure and/or renal insufficiency.
- •Patients with severe forms of developmental dysplasia of the hip (DDH): Crowe types II, III, IV.
结局指标
主要结局
Compare gait kinematics and the return to normalization of gait in patients that have undergone a THA via the direct anterior approach vs. the posterior approach
时间窗: on average up to 6 weeks
次要结局
- Clinical assessment of patient using the Harris Hip Score(pre-op and 6 weeks, 6 months, 1 year after surgery)
- Assessment of the improvement in quality of life and joint movement using the EuroQol-5D Score(pre-op, 1 year post-op)
- Assessment of patient's level of activity using the UCLA score(pre-op and 6 weeks, 6 months, 1 year after surgery)
- Radiological evaluation to assess the fixation and stability of femoral and acetabular components(pre-op and 6 weeks, 6 months, 1 year after surgery)
- Strength Testing(6 weeks, 6 months and 1y after surgery)
- MRI evaluation(preop-1y after surgery)
- Assessment of gait kinematics(6 weeks, 12 weeks and 6 months)
研究者
研究点 (2)
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