General vs Spinal Anesthesia for Total Joint Arthroplasty-Anterior Approach: A Single-Institution Observational Study

Anesthesia Clinical Trial

Official title:

General vs Spinal Anesthesia for Total Joint Arthroplasty-Anterior Approach: A Single-Institution Observational Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06320691
• Other study ID #: BezmialemVU 1
• Status: Completed
• Start date: January 10, 2014
• Est. completion date: May 25, 2017

Study information

• Verified date: March 2024
• Source: Bezmialem Vakif University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The study compares the effects of various anesthetic techniques on anterior approach total hip arthroplasty results retrospectively

Description:

Under general (GA) or spinal anesthesia (SA), total hip arthroplasty using the anterior approach (THA-A) can be safely performed. The best method is not sufficiently described in the literature currently in existence.This observational study was carried out at a single facility with consecutive enrollment of patients getting primary THA-A. The investigators compared the difference in complication rates, intraoperative blood loss, length of hospital stay, and duration of surgery, acetabular and femoral component orientation and stem subsidence.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 437
• Est. completion date: May 25, 2017
• Est. primary completion date: January 10, 2017
• Gender: All
• Age group: 18 Years to 80 Years

Eligibility

Inclusion Criteria:

• patients who underwent direct anterior approach primary total hip arthroplasty with general anesthesia

• patients who underwent direct anterior approach primary total hip arthroplasty with spinal anesthesia

Exclusion Criteria:

• patients who underwent revision total hip arthroplasty

• patients who underwent total hip arthroplasty with approaches other than direct anterior approach

• patients who underwent primary total hip arthroplasty due to hip fractures

Related Conditions & MeSH terms

• Anesthesia
• Arthroplasty Complications

Intervention

Procedure:
• Total Hip Arthroplasty
Patients that underwent direct anterior approach total hip arthroplasty
• General Anesthesia
Patients that underwent general/systemic anesthesia before surgery
• Spinal Anesthesia
Patients that underwent spinal/neuraxial anesthesia before surgery

Locations

Country	Name	City	State
Turkey	Bezmialem Vakif University	Istanbul

Sponsors (1)

Lead Sponsor	Collaborator
Bezmialem Vakif University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Mean intraoperative estimated blood loss	Total blood volume was calculates according to Nadler's formula based on patient's sex, height and weight of the patient, whereas the estimated blood loss was calculated according to Meunier's formula (mL)	from preoperative session to postoperative 1 day
Primary	mean duration of surgery	Duration of total hip arthroplasty surgery for each patient	from preoperative session to postoperative 1 day
Primary	length of hospital stay	from date of operation until the date of discharge	from the date of total hip arthroplasty operation until the day that patients discharge, assesed up to 7 days
Primary	stem subsidence	Subsidence was evaluated by comparing immediate post-operative radiographic images with those obtained at 1 year follow-up. Subsidence was measured as a vertical drop of stem, characterised by a radiolucent line at the proximal most aspect of the bone-prosthesis interface.	postoperative 1 year
Primary	stem varus/valgus degrees	varus or valgus angulation of femoral stem after surgery	postoperative 1 year
Primary	acetabular abduction	abduction degree of acetabular component after surgery	postoperative 1 year