Gait Analysis and Clinical Outcomes of Anterior and Lateral Approach Total Hip Arthroplasty. A Prospective Randomized Study.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hip Osteoarthritis
- Sponsor
- Ain Shams University
- Enrollment
- 34
- Locations
- 1
- Primary Endpoint
- hemoglobin drop
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •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.
Exclusion Criteria
- •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.
Outcomes
Primary Outcomes
hemoglobin drop
Time Frame: postoperative day one
hemoglobin drop level between pre and postoperative.
hospital stays
Time Frame: immediately after the procedure
by ''Day'' as the unit, no special description. postoperative stay days from operation day to discharge day.
surgery time
Time Frame: intraoperative time starting from skin incision to skin closure
by ''Minute'' as the unit, no special description.
pain score
Time Frame: 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
Time Frame: 2 weeks 6 weeks 3 months 18 months
for measuring hip function from 0-100 the more the score the better hip function
Secondary Outcomes
- gait analysis(at 6 weeks, 3 months, 18 months)