Direct Anterior Approach of the Hip and Variations in Wound Complications Using Different Closure Techniques
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Total Hip Replacement
- Sponsor
- Rothman Institute Orthopaedics
- Enrollment
- 172
- Locations
- 1
- Primary Endpoint
- Participant satisfaction
- Status
- Enrolling by Invitation
- Last Updated
- 2 years ago
Overview
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.
Investigators
Eligibility Criteria
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
- •uncontrolled diabetes (measured by a Hgb A1c above 8)
- •reported allergy to skin adhesive
Outcomes
Primary Outcomes
Participant satisfaction
Time Frame: 90 days
assessed using the POSAS (patient and observer scar assessment scale) questionnaire
Wound complications
Time Frame: 90 days
Assessed using photographic documentation of the wound