Hip Abductor Tendon Repair Versus Sham Surgery
Open Surgical Reconstruction Versus Open Sham Surgery in the Treatment of Hip Abductor Tendon Tears; A Double Blinded, Randomized Controlled Trial
Horsens Hospital
36 participants
May 1, 2024
INTERVENTIONAL
Conditions
Summary
This study will examine the effectiveness of open surgical reconstruction in the treatment of patients with hip abductor tendon tears. Patients will be randomly allocated to either the open surgical reconstruction or to a open surgical sham procedure. The primary outcome is patient reported pain measured by the revised Copenhagen Hip And Groin Outcome Score (HAGOS), which will be conducted pre-surgery and at three and six months post-surgery. The six-month follow-up is the primary endpoint.
Eligibility
Inclusion Criteria4
- Patients with an MRI verified hip abductor tendon pathology
- Age 30 years or above
- Lateral hip pain for more than 12 months
- Ability to understand written and verbal Danish
Exclusion Criteria7
- Previous hip joint replacement, pelvic osteomies, hip abductor tendon surgery, femoral nailing or iliotibial band surgery
- Pregnancy
- Osteoarthritis of the hip joint on the affected side (Kellgren Lawrence grade +2)
- Rheumatoid disorders
- Inability to attend planned follow-up visits
- Having an ongoing occupational injury insurance case
- Expected lack of compliance due to cognitive issues, alcohol, or drug abuse
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Interventions
If the patient is allocated to surgical reconstruction, the incision from the sham surgery is continued into the iliotibial band (ITB) and down to the hip abductor tendon complex/greater trochanter. A standardized reconstruction of the HAT with bone anchors is then performed. This standardized procedure has been used by the surgeons for the last 6 years. The ITB is then closed with looped suture, the subcutaneous tissue sutured with standard resorbable single sutures, the skin stapled and a standard wound dressing is applied.
If the patient is allocated to sham surgery, the incision will only include the skin and subcutaneous tissue. Subsequently, the subcutaneous tissue will be sutured with standard resorbable single sutures, the skin stapled and a standard wound dressing applied. The patient will be kept in general anesthesia for 10 minutes after the procedure is finalized to mimic a true intervention (to hinder staff or relatives to comment on the duration of the procedure). The normal standard procedure takes approximately 40 minutes.
Locations(1)
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NCT06398015