Does isolated cup revision surgery or liner exchange through the anterior approach result in increased functional status and higher patient satisfaction than through the posterolateral approach?
ID
Source
Brief title
Condition
- Bone and joint therapeutic procedures
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Difference in functional outcomes (30-second Chair Stand Test, 40m Fast Paced
Walking Test, Stair Climb Test) between anterior and posterolateral
approaches.
Secondary outcome
Modified Borg scale outcomes after functional tests, PROMS (NRS, Oxford Hip
Score, HOOS-PS, EQ-5D-5L), inclination angle of the cup, complications at 30
days and 90 days after surgery.
Background summary
With increasing numbers of total hip arthroplasties performed each year, the
incidence of problems related to loosening and wear of total hip arthroplasties
is expected to also increase. While the anterior approach for primary total hip
arthroplasty has demonstrated to result in a faster short-term recovery than
the traditional posterolateral approach, this effect has not yet been
investigated in revision surgery. Accelerating functional outcome may increase
patient satisfaction and reduce healthcare costs.
Study objective
Does isolated cup revision surgery or liner exchange through the anterior
approach result in increased functional status and higher patient satisfaction
than through the posterolateral approach?
Study design
Prospective randomized controlled trial
Intervention
In one group the anterior approach will be used, in the other group the
posterolateral approach.
Study burden and risks
Since both approached under study is are routine surgery, the additional burden
of participation consists only of completing the functional assessment by the
physiotherapist and completing a short extra questionnaire at routine care
follow-up. There is no direct benefit for the participants.
Toneellaan 2
Zoetermeer 2725 NA
NL
Toneellaan 2
Zoetermeer 2725 NA
NL
Listed location countries
Age
Inclusion criteria
• Age >= 18
• On waiting list or scheduled for isolated cup revision surgery or liner
exchange
• A good command of the Dutch language
Exclusion criteria
• Revision for confirmed or suspected infection
• Not suitable for both approaches under study, as judged by orthopaedic surgeon
• Cognitive impairment
• Unable to accurately follow instructions for study procedures / measurements,
as judged by researcher and/or orthopaedic surgeon
• Unwilling to sign informed consent form
Design
Recruitment
Medical products/devices used
metc-ldd@lumc.nl
metc-ldd@lumc.nl
Followed up by the following (possibly more current) registration
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Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL79031.058.21 |