THE COMPARISON OF POST OPERATIVE RECOVERY AND OUTCOME OF TOTAL HIP REPLACEMENT SURGERY, WHEN PERFORMED BY DIRECT ANTERIOR APPROACH IN COMPARISON WITH POSTERIOR APPROACH

THE COMPARISON OF CLINICAL AND RADIOLOGICAL OUTCOMES OF TOTAL HIP ARTHROPLASTY WITH DIRECT ANTERIOR APPROACH VERSUS POSTERIOR APPROACH – A RANDOMISED CONTROL TRIAL

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2024/01/062034

Enrollment

Registered

2024-01-30

Start date

Unknown

Completion date

Unknown

Last updated

2024-09-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: M169- Osteoarthritis of hip, unspecified

Interventions

Intervention1: Total Hip Arthroplasty using Direct Anterior Approach: Direct Anterior Approach to the hip joint will be used to perform total hip arthroplasty with an approximate duration of 2 hours.

Eligibility

Inclusion criteria

Inclusion criteria: Adult patients aged between 18-70 years with unilateral symptomatic hip arthritis undergoing unilateral cementless THA.

Exclusion criteria

Exclusion criteria: 1. Patients with previous prosthetic hip replacement devices/ revision surgeries. 2. Patients aged less than 18 years or more than 70 years. 3. Patients with the presence of infections- highly communicable diseases like AIDS, venereal diseases, hepatitis, pulmonary tuberculosis. 4. Patients undergoing simultaneous hip and knee arthroplasty. 5. Patients not giving consent. 6. Patient having contralateral symptomatic hip arthritis. 7. Patients with Crowe 3 and 4 hip dysplasias. 8. Patients with neuromuscular disorders or musculoskeletal disorders or diseases that may adversely affect normal weight bearing or gait 9. Patients with active major psychiatric illness or active metastatic disease. 10. Patients with spinopelvic involvement and difference in sacral slope in standing and sitting lateral spine x ray less than 10º.

Design outcomes

Primary

Measure	Time frame
To compare the clinical and radiological outcomes of THA with direct anterior approach (DAA) versus posterior approach.Timepoint: Preoperative period upto 1 year of Postoperative follow up, including regular follow ups at 2 weeks, 6 weeks, 3 months and 1 year.	—

Secondary

Measure	Time frame
• To compare tissue damage between Direct Anterior Approach (DAA) versus Posterior Approach THA by blood tests and MRI. • To compare functional outcomes between DAA vs Posterior approach THA using patient reported outcome scores and Gait analysis. • To compare rate of return to activities of daily living using a milestone diary. • To compare the radiological outcomes between the two groups for optimal implant positioning and leg length using standard radiographs and EOSTM scan.Timepoint: Preoperative period upto 1 year of Postoperative follow up, including regular follow ups at 2 weeks, 6 weeks, 3 months and 1 year.	—

Measure

Time frame

• To compare tissue damage between Direct Anterior Approach (DAA) versus Posterior Approach THA by blood tests and MRI. • To compare functional outcomes between DAA vs Posterior approach THA using patient reported outcome scores and Gait analysis. • To compare rate of return to activities of daily living using a milestone diary. • To compare the radiological outcomes between the two groups for optimal implant positioning and leg length using standard radiographs and EOSTM scan.Timepoint: Preoperative period upto 1 year of Postoperative follow up, including regular follow ups at 2 weeks, 6 weeks, 3 months and 1 year.

—

Countries

India

Contacts

Public ContactArjun C

AIIMS New Delhi

rmalhotra62ortho@gmail.com

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026