Effect of Capsular Repair on the Outcomes of Direct Anterior Total Hip Arthroplasty.
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Bezmialem Vakif University
- Enrollment
- 160
- Primary Endpoint
- Pelvis magnetic resonance ımages(MRI) evaluation of patients who underwent direct anterior total hip arthroplasty
Study Overview
Brief Summary
Total hip arthroplasty is a successful surgical procedure performed as a last-line treatment in primary and secondary coxarthrosis.
Recently, the direct anterior approach (DAA) has gained popularity by maintaining abduction force and reducing dislocation rates.
Soft tissue stability in the anterior is increased by adding capsule repair with the preservation of the posterior structures in the DAA.
The degradation of the biological structure of the capsule due to degenerative changes in the end stage coxarthrosis questions the effectiveness of the capsule repair. therefore, the effect of capsule repair on stability is still controversial.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Sequential
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Elective unilateral or bilateral primary total hip arthroplasty
- •Direct anterior surgical approach
- •18 years of age or older
- •Avascular necrosis of the hip
Exclusion Criteria
- •Rheumatoid arthritis of the hip
- •Revision hip arthroplasty
- •Younger than 18 years of age
- •Crowe type 3 and 4 coxarthrosis
Arms & Interventions
Group A
Direct anterior hip arthroplasty with capsule repair.
Intervention: Capsule repair (Procedure)
Group B
Surgery that the surgeon will not perform capsule repair after performing an initial capsulectomy during total hip arthroplasty
Intervention: capsulectomy (Procedure)
Outcomes
Primary Outcomes
Pelvis magnetic resonance ımages(MRI) evaluation of patients who underwent direct anterior total hip arthroplasty
Time Frame: one year
The new capsule mass will be evaluated by an independent radiologist. adiologist will evaluate the volume of the new capsule structure in cubic millimeter
Secondary Outcomes
No secondary outcomes reported
Investigators
Murat Sarikas
Recident of orthopaedic surgery
Bezmialem Vakif University