Recovery After Total Hip Arthroplasty

Status Completed

Clinical Trial Summary

This is an observational prospective study aimed to assess the lower limbs motor and functional recovery in patients who underwent to unilateral THA respect to simultaneous bilateral THA, in early postoperative phase.

Clinical Trial Description

Introduction: Total hip arthroplasty (THA) represents a successful treatment for several hip joint pathologies. In case of bilateral hip joint involvement, the advancements in surgical techniques have made the development of bilateral THA surgery possible through one-stage procedure. This approach seems to be as safe as unilateral THA and safer than two-stage bilateral THA, but few studies considering functional outcomes in these patients without exploring outcomes linked to their motor and functional performance.

Objective: the aim of the study is to assess the lower limbs motor and functional recovery in patients who underwent to unilateral THA respect to simultaneous bilateral THA, in early postoperative phase.

Methods: 20 patients underwent to unilateral THA and 20 patients underwent to simultaneous bilateral THA will be recruited in the study. The partecipants will be aged from 40 to 65 years old, they will be undergone to primary THA for arthritis and the will be able to walk for 50 m without aids. Patients with severe dysplasia (Crowe III and IV), anchylosis, sub-anchylosis or surgical fusion of the coxophemoral joint, with traumatic event, or previous femoral and / or pelvic osteotomy, will be excluded from the study. Weight distribution and postural stability will be evaluated asking to participants to stay on two stabilometric platform with open eyes and closed eyes for 45 seconds. Gait analysis will be used to evaluate the spatio-temporal gait parametres and the ankle, knee, hip and pelvic kinematic. Pain during walking and patients' walking ability will be also evaluated throught Numeric Rating Scale (NRS) and Timed Up and Go test (TUG). Outcome measures will be collected the day before surgery, after three, seven and about forty days after surgery, except for gait analysis and Time Up and Go tests, which will not be recorded after three days.

Statistical analysis: normality and homogeneity of demographic variables and outcome measures at the baseline will be verified. Intergroup and intra-group post-intervention differences related to outcome measures will be investigated through ANOVA for repeated measurements including post hoc analysis. ;

Study Design

Related Conditions & MeSH terms

Total Hip Arthroplasty

Clinical Trial Details

NCT number	NCT03378986
Study type	Observational
Source	Istituto Clinico Humanitas
Contact
Status	Completed
Phase
Start date	January 1, 2018
Completion date	July 1, 2018

View Details

See also
Status	Clinical Trial	Phase
Terminated	`NCT02818894` - Spinal Anesthesia in Total Hip Arthroplasty	Phase 4
Completed	`NCT02242201` - Total Hip Arthroplasty (THA) Lumbar Plexus Verses Periarticular	Phase 4
Completed	`NCT02414542` - Minima Clinical Study
Completed	`NCT01817010` - Strength and Function Following Total Hip Arthroplasty	N/A
Completed	`NCT01443975` - Clinical Evaluation on the Use of the X-pander Device	N/A
Recruiting	`NCT05530551` - Effect of Single vs Multiple Prophylactic Antibiotic Doses on PJI Following Primary THA in Patients With OA	N/A
Recruiting	`NCT05530174` - Effect of Single vs Multiple Prophylactic Antibiotic Doses on PJI Following Primary THA in Patients With a Fracture	N/A
Recruiting	`NCT06141928` - Comparison of Three Different Surgical Approaches on the Functional Outcome After Total Hip Arthroplasty	N/A
Recruiting	`NCT05054192` - Reliability and Validity of Modified Four Square Step Test
Recruiting	`NCT04492462` - The Impact of Two Different Physical Therapy Programs in the Rehabilitation of Patients Undergoing Anterior Approach Hip Replacement Surgery	N/A
Withdrawn	`NCT02926651` - Single Versus Multi-Dose Oral Tranexamic Acid in Patients at High Risk for Blood Transfusion After Total Joint Arthroplasty	Phase 4
Completed	`NCT02308813` - Predictability of the Ability to Perform an Emergency Stop With Disorders of the Hip	N/A
Recruiting	`NCT02032017` - Percutaneous Assisted Approach for Total Hip Replacement and it's Effect on Functional Rehabilitation.	N/A
Recruiting	`NCT01312077` - The Analgesic Efficacy of Periarticular Infiltration of Local Anaesthetic for Total Hip Replacement	Phase 4
Withdrawn	`NCT01380665` - Prevena™ Incision Management System Over Primarily Closed Hip and Knee Incisions in Patients Immediately Post Total Hip and Knee Arthroplasty	Phase 4
Recruiting	`NCT05893563` - Corail Stability at 5-Years Post-Total Hip Arthroplasty
Recruiting	`NCT06088069` - Effect of Virtual Reality on Perioperative Anxiety, Stress and Pain in Total Hip Arthroplasty	N/A
Active, not recruiting	`NCT03210844` - The Clinical Outcomes After Direct Anterior Approach and Microposterior Approach for Total Hip Arthroplasty	N/A
Recruiting	`NCT04801680` - Mpact 3D Metal Cup PMS
Terminated	`NCT02006251` - Real-Time Instrument for Acetabular Shell Positioning