Gait Analysis and Clinical Outcomes of Anterior and Lateral Approach Total Hip Arthroplasty.
NCT ID: NCT06538519
Last Updated: 2024-08-05
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
34 participants
INTERVENTIONAL
2021-01-03
2023-07-10
Brief Summary
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The main questions it aims to answer are:
if the anterior approach to the hip is faster recovery than lateral approach? if the anterior approach to the hip has better gait mechanics than lateral approach?
Participants will:
undergo one of the two approaches for total hip arthroplasty. All patients will be followed up at 2 weeks, 6 weeks, 3 months and 18 months. gait analysis will be done at 6wks, 3m, and 18months.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
BASIC_SCIENCE
DOUBLE
Study Groups
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direct anterior approach group
total hip replacement using anterior approach
the anterior approach using an internervous plane between the tensor fascia latae and the sartorius muscle.
gait analysis at 6wks, 3 months and 18 months
gait analysis done in the gait lab at the mentioned postoperative periods
lateral approach group
total hip replacement using lateral approach
In the lateral approach partial detachment of the anterior one-third of the gluteus medius muscle.
gait analysis at 6wks, 3 months and 18 months
gait analysis done in the gait lab at the mentioned postoperative periods
Interventions
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total hip replacement using lateral approach
In the lateral approach partial detachment of the anterior one-third of the gluteus medius muscle.
total hip replacement using anterior approach
the anterior approach using an internervous plane between the tensor fascia latae and the sartorius muscle.
gait analysis at 6wks, 3 months and 18 months
gait analysis done in the gait lab at the mentioned postoperative periods
Eligibility Criteria
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Inclusion Criteria
* Age between 20 - 60 years of age.
* The participant had to be independent and physically active, which characterized as having the capacity to carry out daily tasks, ascend two flights of stairs, and able to walk for 15 minutes.
Exclusion Criteria
* Body mass index (BMI) greater than 40.
* Diagnosis other than primary osteoarthritis or osteonecrosis.
* Prior hip or spine surgery.
* chronic uncontrolled comorbidities, psychological disorders.
* American Society of Anaesthesiologists score (ASA) higher than 2
* chronic neurological deficits that influence gait.
* any limb length discrepancy more than 1 cm.
* Any postoperative complication that will lead to delay in weight bearing.
20 Years
60 Years
ALL
No
Sponsors
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Ain Shams University
OTHER
Responsible Party
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Locations
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Ain Shams University Hospitals
Cairo, Abbasia, Egypt
Countries
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References
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Wang Z, Bao HW, Hou JZ. Direct anterior versus lateral approaches for clinical outcomes after total hip arthroplasty: a meta-analysis. J Orthop Surg Res. 2019 Feb 26;14(1):63. doi: 10.1186/s13018-019-1095-z.
Pospischill M, Kranzl A, Attwenger B, Knahr K. Minimally invasive compared with traditional transgluteal approach for total hip arthroplasty: a comparative gait analysis. J Bone Joint Surg Am. 2010 Feb;92(2):328-37. doi: 10.2106/JBJS.H.01086.
Yue C, Kang P, Pei F. Comparison of Direct Anterior and Lateral Approaches in Total Hip Arthroplasty: A Systematic Review and Meta-Analysis (PRISMA). Medicine (Baltimore). 2015 Dec;94(50):e2126. doi: 10.1097/MD.0000000000002126.
Graves SC, Dropkin BM, Keeney BJ, Lurie JD, Tomek IM. Does Surgical Approach Affect Patient-reported Function After Primary THA? Clin Orthop Relat Res. 2016 Apr;474(4):971-81. doi: 10.1007/s11999-015-4639-5. Epub 2015 Nov 30.
Alecci V, Valente M, Crucil M, Minerva M, Pellegrino CM, Sabbadini DD. Comparison of primary total hip replacements performed with a direct anterior approach versus the standard lateral approach: perioperative findings. J Orthop Traumatol. 2011 Sep;12(3):123-9. doi: 10.1007/s10195-011-0144-0. Epub 2011 Jul 12.
Reichert JC, Volkmann MR, Koppmair M, Rackwitz L, Ludemann M, Rudert M, Noth U. Comparative retrospective study of the direct anterior and transgluteal approaches for primary total hip arthroplasty. Int Orthop. 2015 Dec;39(12):2309-13. doi: 10.1007/s00264-015-2732-8. Epub 2015 Mar 21.
Ilchmann T, Gersbach S, Zwicky L, Clauss M. Standard Transgluteal versus Minimal Invasive Anterior Approach in hip Arthroplasty: A Prospective, Consecutive Cohort Study. Orthop Rev (Pavia). 2013 Nov 6;5(4):e31. doi: 10.4081/or.2013.e31. eCollection 2013.
Yoo JI, Cha YH, Kim KJ, Kim HY, Choy WS, Hwang SC. Gait analysis after total hip arthroplasty using direct anterior approach versus anterolateral approach: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2019 Feb 8;20(1):63. doi: 10.1186/s12891-019-2450-2.
Related Links
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Gait analysis after total hip arthroplasty using direct anterior approach versus anterolateral approach: a systematic review and meta-analysis
Other Identifiers
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MD 03/2021
Identifier Type: -
Identifier Source: org_study_id
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