Direct Anterior Total Hip Arthroplasty
Conditions
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
Interventions
PROCEDUREDirect Anterior Total Hip Arthroplasty
Direct Anterior Total Hip Arthroplasty
Sponsors
Rennes University Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cumulative lenght of stay | 45 days before surgery | Cumulative lenght of stay ( ie : the sum of the days of hospitalization corresponding to the initial hospitalization and readmissions if there are any) |
Countries
France
Outcome results
None listed