Prophylaxis of Deep Vein Thrombosis Following Total Hip Arthroplasty
Phase 4
Completed
- Conditions
- Femur Head NecrosisFemoral Neck FracturesOsteoarthritis, Hip
- Interventions
- Registration Number
- NCT02379663
- Lead Sponsor
- Samsung Medical Center
- Brief Summary
This prospective study compares an oral direct factor Xa inhibitor with LMWH for thromboprophylaxis in the patients undergoing THA.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 639
Inclusion Criteria
- Male or female without childbearing potential aged ≥20 years who were scheduled for elective primary THA
Exclusion Criteria
- recent history of active bleeding or VTE
- known genetic disorder associated with bleeding tendency or any condition related with an increased risk of bleeding
- persistent blood pressure of ≥160mmHg systolic and/or ≥100 mmHg diastolic at baseline
- myocardial infarction or cerebrovascular accident within three months of the scheduled surgery
- major surgery in the prior three months
- renal insufficiency with a creatinine clearance <60mL/min , hepatic failure combined with coagulopathy, or thrombocytopenia (platelets < 100,000/mm³), or planned indwelling epidural catheter for > 6 hours after the end of surgery
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Normal Saline Normal saline Normal Saline Oral direct Factor Xa inhibitor Rivaroxaban Rivaroxaban Low molecular weight heparin Enoxaparin Enoxaparin
- Primary Outcome Measures
Name Time Method Major wound complication 2 weeks hematoma : size, site woozing : frequency, amount, dressing change count infection : culture
- Secondary Outcome Measures
Name Time Method
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What is the molecular mechanism of action of Rivaroxaban in preventing deep vein thrombosis post-THA?
How does Rivaroxaban compare to Enoxaparin in terms of efficacy and safety for DVT prophylaxis after total hip arthroplasty?
What biomarkers are associated with response to factor Xa inhibitors like Rivaroxaban in orthopedic surgery patients?
What are the potential adverse events of Rivaroxaban versus Enoxaparin in post-THA thromboprophylaxis and how are they managed?
Are there combination therapies involving Rivaroxaban or Enoxaparin that improve outcomes for DVT prevention in patients with femoral neck fractures undergoing THA?