Are Postoperative Hip Precautions Necessary After a Total Hip Arthroplasty Via the Posterior Approach: A Prospective Randomized Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,133
- 试验地点
- 2
- 主要终点
- Dislocation
研究概览
简要总结
The purpose of this study is to determine if hip precautions, which are instructions that limit functional use of a hip replacement after surgery, affect the rate of dislocation in the first six weeks after primary total hip replacement surgery. The impact of hip precautions on a patient's return to activities of daily living and overall patient satisfaction will also be investigated. The overall cost effectiveness of hip precautions will be determined.
详细描述
This study examines the necessity of postoperative hip precautions in patients after primary total hip arthroplasty via the posterior approach. Precautions are instructions that limit the functional use of the hip and are given for the first six weeks after surgery, with the goal of preventing an instability event resulting in dislocation. The hip precautions that will be investigated in this study are: no hip flexion past 90º, no crossing the legs, and no twisting at the waist.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients undergoing a primary total hip arthroplasty via the posterior approach by participating attending surgeons at this institution
- •Index diagnosis of noninflammatory arthritis
- •Patients must be able to understand and comply with study procedures
排除标准
- •Allergy or intolerance to the study materials
- •History of previous surgeries on the affected joint other than arthroscopy; i.e. revision THA or open surgeries
结局指标
主要结局
Dislocation
时间窗: 6 weeks after surgery
Incidence of dislocation of the total hip arthroplasty will be recorded for both treatment groups.
次要结局
- Activities of Daily Living(1 year after surgery)
研究者
Omar Behery
Assistant Professor, Orthopaedic Surgery Adult Reconstruction and Replacement
Rush University Medical Center