Hip DAA Closure Techniques

Not Applicable

• Conditions: Total Hip Replacement; Wound Complication
• Interventions: Procedure: wound closure subcuticular running stitch using 3-0 monocryl suture without skin adhesive; Procedure: wound closure subcuticular running stitch using 3-0 monocryl suture with two layers of skin adhesive

• Registration Number: NCT06006572
• Lead Sponsor: Rothman Institute Orthopaedics

Brief Summary

This study aims to analyze the difference in rates of wound complications using two different closure techniques in Direct anterior approach for primary total hip replacement.

Detailed Description

The use of the direct anterior approach (DAA) for primary total hip arthroplasty (THA) has been increasingly popular but there has been a reported increased risk of wound complications compared with a posterior approach. Wound complications can lead to increased length of stay, reoperation procedures (i.e., irrigation and debridement), patient dissatisfaction, extra visits, readmissions, increased risk of periprosthetic joint infection and overall increased costs.

Study Timeline

• Study Start: 2023-03-01
• Status Verified: 2023-08
• Study First Submitted: 2023-08-17
• Study First Submitted QC: 2023-08-17
• Last Update Submitted: 2023-08-17
• Study First Posted: 2023-08-23
• Last Update Posted: 2023-08-23
• Primary Completion: 2024-10-30
• Study Completion: 2024-10-30

Recruitment & Eligibility

• Status: ENROLLING_BY_INVITATION
• Sex: All
• Target Recruitment: 172

Inclusion Criteria

• Patients older than 18 years old that will undergo THA via DAA

Exclusion Criteria

• Previous hip arthroplasty surgeries or scars
• THA secondary to oncologic or traumatic etiologies
• BMI ≥ 40
• uncontrolled diabetes (measured by a Hgb A1c above 8)
• reported allergy to skin adhesive

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
wound closure subcuticular running stitch using 3-0 monocryl suture without skin adhesive	wound closure subcuticular running stitch using 3-0 monocryl suture without skin adhesive	After surgery, the closure technique utilized by the surgeons will be wound closure subcuticular running stitch using 3-0 monocryl suture without skin adhesive
wound closure subcuticular running stitch using 3-0 monocryl suture with two layers of skin adhesive	wound closure subcuticular running stitch using 3-0 monocryl suture with two layers of skin adhesive	After surgery, the closure technique utilized by the surgeons will be wound closure subcuticular running stitch using 3-0 monocryl suture with two layers of skin adhesive

Primary Outcome Measures

Name	Time	Method
Participant satisfaction	90 days	assessed using the POSAS (patient and observer scar assessment scale) questionnaire
Wound complications	90 days	Assessed using photographic documentation of the wound

Trial Locations

Locations (1)

Rothman Orthopaedic Institute; 🇺🇸 Philadelphia, Pennsylvania, United States