Bikini vs Longitudinal Incision in Direct Anterior Approach (DAA) Total Hip Arthroplasty (THA)
A Clinical Comparison in Wound Healing of Bikini Versus Longitudinal Incision in Direct Anterior Approach Total Hip Arthroplasty in the Obese Patient Population: A Randomized Control Trial
University of Miami
110 participants
Mar 1, 2025
INTERVENTIONAL
Conditions
Summary
The study team is conducting this study to see if there is a difference between the wound healing and participant satisfaction rates between two incision types used during a THA done via the DAA technique.
Eligibility
Inclusion Criteria3
- Patients with body mass index greater than or equal to 30
- Patients undergoing primary unilateral DAA THA
- Patients undergoing primary THA
Exclusion Criteria5
- Patients with body mass index less than 30
- Patients with a history of prior open surgery on the affected hip
- Patients unable/unwilling to undergo spinal anesthesia under monitored anesthesia care (MAC)
- Patients with allergies or absolute contraindication to standardized drugs administered within the University of Miami protocol for total hip replacement
- The following groups will not be included: adults unable to consent, individuals who are not yet adults, pregnant women, prisoners.
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Interventions
Participants will receive the bikini incision in person during THA. A one-time incision will be made along the groin line before standard of care THA surgery. The surgery takes approximately two hours.
Participants will receive the longitudinal incision in person during THA. A one-time linear incision will be made along the thigh before standard-of-care THA surgery. The surgery takes approximately two hours.
Locations(1)
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NCT06831045