Clinical Trials Logo

Clinical Trial Summary

The purpose of ReHip2 is to explore the impact on function and quality of life in patients following Total Hip Replacement (THR). A randomised controlled trial will compare two different rehabilitation pathways following surgery (Routine care with precautions and Treatment group with no precautions). The proposal is to carry out the RCT with a minimum of 182 patients based in the UK.


Clinical Trial Description

Dislocation of the hip following total hip replacement (THR) is the sole reason for the endorsement of precautions following THR. This has remained unchanged sine the first hip replacement in 1969. The precautions are; - Patients must not bend past 90 degrees at the hip (including sitting) - Patients must not twist in either standing or sitting - Patients must partial weight bear with elbow crutches for a minimum of 6 weeks - Patients must sleep on their back for a minimum of 6 weeks - Patients must not cross their legs Studies exploring factors affecting dislocation following THR identified three main influences: surgical technique, type of prosthesis and post-operative precautions. A number of studies have challenged the continued use of precautions or explored their impact on dislocation. However, these studies did not fully consider the impact of all precautions on dislocation, choosing to only select elements of the precautions for investigation. A recent review concluded the evidence evaluating practice and the impact of precautions was of poor quality. The review suggested further research should take into account different surgical approaches, different femoral head sizes and the type of prosthesis. Although there are studies that explored some of these hip dislocation confounders, the true impact of precautions remains unknown. Whilst precautions continue to be endorsed by surgeons and other clinicians, previous challenges have raised awareness of the possible excessiveness of precautions and the importance of further robust work recommended. This is particularly so in the wake of developments in surgical technique and prostheses design, such as hip joint capsule repair and larger femoral head sizes (larger hip replacements). These developments and their impact on dislocation are beginning to cast doubt on the impact of post-operative precautions and their direct link to incidence of dislocation, which is their primary purpose. The imposition of precautions has been evidenced to impact on both function and quality of life, with resultant non adherence in a proportion of patients. This study intends to explore whether an unrestricted pathway has no worse outcome in function, pain and quality of life parameters, in two specialist units in a multi-centre, prospective, randomised, non-inferiority study. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT03833258
Study type Interventional
Source University of Manchester
Contact
Status Terminated
Phase N/A
Start date August 22, 2019
Completion date April 30, 2021

See also
  Status Clinical Trial Phase
Completed NCT04774562 - The Effect of Video-Assisted Discharge Education After Total Hip Replacement Surgery N/A
Recruiting NCT02793934 - The Pilot Project Development Of MEdical Rehabilitation System in Russian Federation
Completed NCT02554149 - Radiological Measurement of Femoral Stem Version Using Lateral Decubitus Method: A Prospective Study N/A
Completed NCT01228162 - Influence of Muscle Relaxation With Rocuronium Bromide During General Anaesthesia on Muscle Trauma and Postoperative Analgetic Consumption in Patients With Total Hip Prosthesis Implantation Phase 4
Completed NCT00219921 - Postoperative Analgesia After Total Hip Replacement Phase 3
Completed NCT02644096 - Rehabilitation of Patients After THR - Based on Patients´Selfrated Health Phase 1
Completed NCT02720471 - Local Analgesia Versus Local Peroperative Infiltration After Total Hip Replacement Phase 3
Completed NCT03218267 - The Postural Control in Patients After Total Hip Replacement N/A
Recruiting NCT03120312 - Short Term and Long Term Outcome for Elderly Patients Treated With Total Hip Replacement
Withdrawn NCT01523418 - Study to Observe Safety of Xarelto in VTE Prophlylaxis After Elective TKR (Total Knee Replacement) or THR (Total Hip Replacement) N/A
Recruiting NCT01782859 - Effect of Steroids on Thrombosis (Blood Clot Formation) and Inflammation in Patients Undergoing Hip Surgery N/A
Completed NCT00889148 - Morphine COnsumption in Joint Replacement Patients, With and Without GaBapentin Treatment, a RandomIzed ControlLEd Study N/A
Completed NCT05375565 - Comparative Effects of Weight Bearing and Non-weight Bearing Exercises in Patients With Total Hip Replacement N/A
Completed NCT04166539 - Neurotoxicity and Cardiotoxicity in Total Joint Arthroplasty
Completed NCT03072706 - Evaluation of X-ray, Acetabular Guides and CT in THR N/A
Not yet recruiting NCT02272205 - Evaluation of Conventional Antibiotic Prophylaxis During a Change of Hip or Knee Infected at a Time N/A
Completed NCT01522014 - Randomized Clinical Trial of Ceramic Bearing Primary Total Hip Arthroplasty Phase 4
Completed NCT06169878 - Efficiency of the Adjustable Lower Extremity Abduction Apparatus After Total Hip Replacement Surgery N/A
Not yet recruiting NCT06409312 - Digital Healthcare App After Total Hip Arthroplasty N/A
Recruiting NCT03240484 - Examining Effects of Spinal Fusion on Outcomes Following Total Hip Replacement