Direct Anterior Total Hip Arthroplasty (THA), in Versus Outpatients : A Prospective Monocentric Study in Rennes University Hospital.

NCT ID: NCT03667339

Last Updated: 2023-04-13

Basic Information

• Recruitment Status: TERMINATED
• Total Enrollment: 1 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2018-03-27
• Study Completion Date: 2018-05-10

Brief Summary

The main objective is to show that cumulative length of stay over the first 45 post operative days (i.e. : primary length of stay and readmission) is significantly lower in the outpatients group than in the inpatients group

Conditions

Direct Anterior Total Hip Arthroplasty

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Study Groups

outpatients group

Patient schedulded to undergo outpatient Direct Anterior Total Hip Arthroplasty

Direct Anterior Total Hip Arthroplasty

Intervention Type: PROCEDURE

Direct Anterior Total Hip Arthroplasty

inpatients group

Patient schedulded to undergo inpatient Direct Anterior Total Hip Arthroplasty

Direct Anterior Total Hip Arthroplasty

Intervention Type: PROCEDURE

Direct Anterior Total Hip Arthroplasty

Interventions

Direct Anterior Total Hip Arthroplasty

Direct Anterior Total Hip Arthroplasty

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Unilateral primary total hip arthroplasty for hip osteoarthritis, primary or secondary osteoarthritis (dysplasia or post-traumatic) or osteonecrosis
• Good enough understanding of outpatient management and patient adherence to post-operative instructions
• Sufficient patient complicance to medical orders
• Living and hygiene conditions, at least, equivalent to the ones the hospital provides
• To be of age
• Non opposition to the protocole participation

Outpatients group :

• Patient schedulded to undergo outpatient THA

Inpatients group :

• Patient schedulded to undergo inpatient THA because of not fiting the following items :

• Less than an hour distance of a Health Center that provides appropriate care with regard to the surgery
• Rapid access to a phone
• Designated driver and caretaker available (at least the first night after discharge from the hospital) after the procedure Or turning down outpatient THA

Exclusion Criteria

• Anaesthetic point of view :

• ASA physical status ≥ 3 and : unstabilize disease with appropriate treatment or lack of preoperative mutual agreement between anesthesiologist and surgeon or not inconsiderable interaction between the operation and the disease or its treatment
• Pre-operative Hb < 12 (♀) < 13 (♂) g/L (NB : no Hb control before discharge except if excessive blood loss ; Hb < 10g/L contraindicates outpatient surgery)
• Opioid chronic pre-operative therapy or opioid addiction
• Surgical point of view :

• Ambulatory pre-operative status requiring use of two crutches or walking frame / distance walked < 30 m
• THA procedure for femoral neck fracture requiring
• Additional operative technic needed
• Adult safeguarding.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Rennes University Hospital

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Jean Louis POLARD, MD

Role: PRINCIPAL_INVESTIGATOR

Rennes University Hospital

Locations

CHU de Rennes

Rennes, , France

Countries

France

Other Identifiers

35RC17_3084_AHVACA

Identifier Type: -

Identifier Source: org_study_id