MedPath

Outcomes 8 Years After Minimal Invasive THA

Not Applicable
Completed
Conditions
Osteoarthritis, Hip
Registration Number
NCT03657953
Lead Sponsor
Technische Universität Dresden
Brief Summary

There exists only limited scientific evidence concerning medium- to long-term benefits concerning minimally invasive (MI) total hip arthroplasty (THA). The investigators examined in a randomized study design 157 patients 8 years after THA, which were performed via 3 different surgical approaches.

Detailed Description

In contrast to reported short-term advantages of minimally invasive (MI) total hip arthroplasty (THA) there exists only limited scientific evidence concerning medium- to long-term benefits.

The investigators therefore sought to answer the following questions: Is the functional medium-term outcome in THA patients with MI-anterior(MI-A) and MI-anterolateral (MI-AL) approach superior to those treated by direct lateral approach (DLA)? Is the level of life quality increased by MI-THA? Is patient satisfaction higher by MI-THA? Is the revision rate reduced by MI-THA?

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
157
Inclusion Criteria
  • clinical and radiologic signs of advanced hip joint Degeneration
  • Patients from age 18 to 75
Exclusion Criteria
  • osteoporosis and
  • osteomalacia,
  • preceding surgery or radiation therapy in the proximity of the affected hip joint,
  • progressive neoplasia,
  • preceding or manifest infection of the affected joint and its surrounding soft tissues,
  • rheumatoid arthritis,
  • hip dysplasia Hartofilakidis type 2 or 3,
  • non-compliance,
  • chronic neurological or psychiatric diseases,
  • ongoing pregnancy

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Physical function hip - Harris-Hip-Score (HHS)change from baseline (preoperative) at 8 years after THA

Harris-Hip-Score (worst=0, best=100)

Secondary Outcome Measures
NameTimeMethod
Physical function hip - WOMACchange from baseline (preoperative) at 8 years after THA

WOMAC Total Score (worst=0, best=100)

Satisfaction Levelat 8 years after THA

Satisfaction scale (worst=0, best=10)

Physical Activity Performance Test: walkingchange from baseline (preoperative) at 8 years after THA

25-meter walking time

Physical Activity Performance Test: stair climbingchange from baseline (preoperative) at 8 years after THA

5-step walking time

health related Quality of life - Indexchange from baseline (preoperative) at 8 years after THA

EuroQol in 5 dimensions (EQ-5D) Index (worst=0, best=1)

health related Quality of life - VASchange from baseline (preoperative) at 8 years after THA

EQ-Visual Analogue Scale (worst=0, best=100)

Physical Activitychange from baseline (preoperative) at 8 years after THA

University of California, Los Angeles (UCLA) Activity Scale (worst=1, best=10)

Revision rateat 8 years after THA

Revision rate using Kaplan-Meier-Survival Analysis

Trial Locations

Locations (1)

University Hospital Dresden, Orthopaedic Department

🇩🇪

Dresden, Germany

University Hospital Dresden, Orthopaedic Department
🇩🇪Dresden, Germany

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