Direct Superior Approach Versus PosteroLateral Approach in Total Hip Arthroplasty (SPLAsH)
Direct Superior Approach Versus PosteroLateral Approach in Total Hip Arthroplasty: a Multicenter Double Blinded Randomized Controlled Trial
Isala
211 participants
Mar 26, 2024
INTERVENTIONAL
Conditions
Summary
This study will compare postoperative pain, health related quality of life (HRQoL), function, rehabilitation, urinary incontinence, muscle atrophy and component positioning in total hip arthroplasty (THA) using the posterolateral approach (PLA) or the direct superior approach (DSA). In addition, the CT images will be used to validate a new metal artefact reduction technique.
Eligibility
Inclusion Criteria5
- Subject
- Has symptomatic incapacitating coxarthrosis in whom total hip arthroplasty (THA) is indicated, diagnosed by both physical examination and pelvic/hip X-ray
- Has signed informed consent
- Is ageing 18 years or older at time of study entry
- Is competent and able to participate in follow-up
Exclusion Criteria10
- Previous ipsilateral hip surgery
- BMI >35 kg/m2
- Contralateral incapacitating coxarthrosis, diagnosed by both physical examination and pelvic/hip X-ray
- Neurological conditions influencing walking pattern
- Inability to walk without walking aid preoperatively
- Rheumatoid arthritis (RA)
- Severe hip dysplasia
- Cognitive impairment
- Malignancies or metastases involving the hip joint or the nearby soft tissues
- Inability to speak and write Dutch language
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Interventions
a surgical procedure in which an orthopaedic surgeon removes the damaged bone and cartilage and replaces this with prosthetic components.
Locations(3)
View Full Details on ClinicalTrials.gov
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NCT06342843