Arthropathy of Hip
Conditions
Keywords
hip, arthroplasty, suction, drainage
Brief summary
Randomized prospective study assessing suction drainage in total hip arthroplasty. Group without drainage, 50 hips, compared with group with suction drainage, 50 hips. Both groups will be asses clinically (ROM scale, VAS), laboratory and radiology (USG). In the actually literature there are no benefits using closed suction drainage after primary total hip arthroplasty.
Interventions
After primary total hip arthroplasty closed suction drainage will be used.
After primary total hip arthroplasty closed suction drainage won't be used.
Sponsors
Study design
Intervention model description
Two groups of patients with or without closed suction drainage after primary total hip arthroplasty.
Eligibility
Inclusion criteria
* age between 30-80 * primary hip osteoarthritis
Exclusion criteria
* secondary hip osteoarthritis * autoimmune disease * congenital or secondary coagulopathy * vein or artery thrombosis * renal or liver failure * cemented or hybrid alloplasty, * no consent from the patient
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Blood transfusion | 14 days after surgery | Need of blood transfusion after operation |
| Wound exudation | 3 days after surgery | Assessing wound dehiscence after surgery, 1-exudation appear, 0-dry dressing |
| Soft tissue hematoma | 3 days after surgery | USG hematoma appearance in soft tissue around the hip |
| Intraoperative bleeding | 1 day | All amount of blood loss intraoperative with hidden bleeding, with use of Gross formula. |
| Hip hematoma size in USG | 3 days after surgery | Size in millimeters fluid collection in supine position above femoral neck. |
| Hemoglobin levels | 3 days after surgery | Hb levels after surgery, difference between two groups |
| C-reactive protein levels | 3 days after surgery | C-reactive protein levels after surgery, difference between two groups |
| Visual Analog Scale punctation | 3 day after surgery | Pain level after surgery in Visual Analog Scale scale 0-10 pts. where 0-no pain, 10-most painful. |
| Hip range of movement | 3 days after surgery | Differences between hip ROM after surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Deep vein thrombosis | 30 days after surgery | Occurrence lower limb thrombosis after surgery |
| Readmission | 30 days after surgery | Need to readmission after surgery |
| Infection | 30 days after surgery | Superficial or deep infection after surgery |