Total hip arthroplasty in patients with osteonecrosis of the femoral head Surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. The diagnostic criteria for osteonecrosis of the femoral head (ARCO stage IIIB-IV) or hip osteoarthritis, requiring primary unilateral total hip arthroplasty 2. No severe functional impairment of vital organs such as the heart, lungs, liver or kidneys, and able to tolerate surgery 3. Normal mental status and good cognitive function, able to cooperate with follow-up and related examinations 4. Voluntarily participate in the study and able to cooperate with follow-up
Exclusion criteria
Exclusion criteria: 1. Presence of active infection in the joint or other body sites 2. Concomitant inflammatory joint diseases such as rheumatoid arthritis or ankylosing spondylitis 3. Concomitant other severe joint diseases, bone tumors, or severe osteoporosis 4. Previous surgical history of the ipsilateral hip joint 5. Lower limb muscle strength or mobility impairment caused by neurological diseases
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Consistency of femoral osteotomy height, defined as the absolute difference between the actual osteotomy level, measured using postoperative computed tomography (CT) at postoperative day 3 (POD 3) | — |
Secondary
| Measure | Time frame |
|---|---|
| Leg length discrepancy (LLD) measured using digital radiography (DR) at postoperative day 3 (POD 3);Pain measured using a Visual Analog Scale (VAS) pain score at postoperative day 1 (POD 1) and 3 (POD 3);Assessment of the results of total hip arthroplasty (THA) measured using the Harris Hip Score (HHS) at Postoperative day 7 (POD 7) and postoperative 3 months | — |
Countries
China