Gait Analysis and Clinical Outcomes of Anterior and Lateral Approach Total Hip Arthroplasty. A Prospective Randomized Study.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- hemoglobin drop
研究概览
简要总结
The goal of this Prospective Randomized Study is to confirm presence or absence of differences in gait mechanics in direct anterior and lateral approaches for total hip arthroplasty. and to compare the clinical outcomes of both approaches.
The main questions it aims to answer are:
if the anterior approach to the hip is faster recovery than lateral approach? if the anterior approach to the hip has better gait mechanics than lateral approach?
Participants will:
undergo one of the two approaches for total hip arthroplasty. All patients will be followed up at 2 weeks, 6 weeks, 3 months and 18 months. gait analysis will be done at 6wks, 3m, and 18months.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Basic Science
- 盲法
- Double (Care Provider, Investigator)
入排标准
- 年龄范围
- 20 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with primary osteoarthritis or osteonecrosis of the hip who consented for treatment with a total hip arthroplasty (THA) through an anterior or lateral approach.
- •Age between 20 - 60 years of age.
- •The participant had to be independent and physically active, which characterized as having the capacity to carry out daily tasks, ascend two flights of stairs, and able to walk for 15 minutes.
排除标准
- •Patients with bilateral hip affection.
- •Body mass index (BMI) greater than
- •Diagnosis other than primary osteoarthritis or osteonecrosis.
- •Prior hip or spine surgery.
- •chronic uncontrolled comorbidities, psychological disorders.
- •American Society of Anaesthesiologists score (ASA) higher than 2
- •chronic neurological deficits that influence gait.
- •any limb length discrepancy more than 1 cm.
- •Any postoperative complication that will lead to delay in weight bearing.
结局指标
主要结局
hemoglobin drop
时间窗: postoperative day one
hemoglobin drop level between pre and postoperative.
hospital stays
时间窗: immediately after the procedure
by ''Day'' as the unit, no special description. postoperative stay days from operation day to discharge day.
surgery time
时间窗: intraoperative time starting from skin incision to skin closure
by ''Minute'' as the unit, no special description.
pain score
时间窗: 2 weeks 6 weeks 3 months 18 months
using visual analogue scale (VAS) from 0-10 the more scale the worst the pain
Harris hip score
时间窗: 2 weeks 6 weeks 3 months 18 months
for measuring hip function from 0-100 the more the score the better hip function
次要结局
- gait analysis(at 6 weeks, 3 months, 18 months)