THE COMPARISON OF CLINICAL AND RADIOLOGICALOUTCOMES OF TOTAL HIP ARTHROPLASTY WITH DIRECTANTERIOR APPROACH VERSUS POSTERIOR APPROACH –A RANDOMISED CONTROL TRIAL
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- To compare the clinical and radiological outcomes of THA with direct anterior approach
研究概览
简要总结
The study aims to compare the clinical and radiological outcomes in patients undergoing Total Hip Arthroplasty (THA) with direct anterior approach (DAA) versus posterior approach. Blood tests, MRI, EOS scan, Gait analysis, Radiological and clinical evaluation shall be done at preoperative period, immediate postop period, and at 2 weeks, 6 weeks, 3 months and 1 year postoperatively. Primary objectives being:
• To compare tissue damage between Direct Anterior Approach (DAA) versus Posterior Approach THA by blood tests and MRI.
• To compare functional outcomes between DAA vs Posterior approach THA using patient reported outcome scores and Gait analysis.
• To compare rate of return to activities of daily living using a milestone diary.
• To compare the radiological outcomes between the two groups for optimal implant positioning and leg length using standard radiographs and EOSTM scan.
研究设计
- 研究类型
- Interventional
- 分配方式
- Random Number Table
- 盲法
- Participant and Investigator Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 70.00 Year(s)（—）
- 性别
- All
入选标准
- •Adult patients aged between 18-70 years with unilateral symptomatic hip arthritis undergoing unilateral cementless THA.
排除标准
- •Patients with previous prosthetic hip replacement devices/ revision surgeries.
- •Patients aged less than 18 years or more than 70 years.
- •Patients with the presence of infections- highly communicable diseases like AIDS, venereal diseases, hepatitis, pulmonary tuberculosis.
- •Patients undergoing simultaneous hip and knee arthroplasty.
- •Patients not giving consent.
- •Patients with Crowe 3 and 4 hip dysplasias.
- •Patients with neuromuscular disorders or musculoskeletal disorders or diseases that may adversely affect normal weight bearing or gait
- •Patients with active major psychiatric illness or active metastatic disease.
- •Patients with spinopelvic involvement and difference in sacral slope in standing and sitting lateral spine x ray less than 10º.
结局指标
主要结局
To compare the clinical and radiological outcomes of THA with direct anterior approach
时间窗: Preoperative period upto 1 year of Postoperative follow up, including regular follow ups at 2 weeks, 6 weeks, 3 months and 1 year.
(DAA) versus posterior approach.
时间窗: Preoperative period upto 1 year of Postoperative follow up, including regular follow ups at 2 weeks, 6 weeks, 3 months and 1 year.
次要结局
- • To compare tissue damage between Direct Anterior Approach (DAA) versus Posterior Approach THA by blood tests and MRI.(• To compare functional outcomes between DAA vs Posterior approach THA using patient reported outcome scores and Gait analysis.)