Hip Osteoarthritis
Conditions
Keywords
anterolateral approach, posterior approach, isokinetic test
Brief summary
There are ongoing debates on the effects of the surgical approach on outcome after total hip arthroplasty. It was hypothesized that with the anterolateral approach, trauma to the abductor arm can be occured and related detrimental effects can diminish the post-operative outcomes. In this first randomized controlled trial in the literature on this subject, isokinetic performance and patient-reported functional outcomes were evaluated in patients undergoing total hip arthroplasty. with a posterior approach (PA) and a anterolateral approach (ALA), at 6 and 12 months postoperatively.
Detailed description
Patients undergoing total hip arthroplasty are randomized to posterior approach (PA) and anterolateral approach (ALA) groups. The patients are evaluated preoperatively and at 6 and 12 months postoperatively, with flexion, extension and abduction strength measurements and the Harris Hip Score (HHS). The physiatrist performing isokinetic tests and the patients are blinded to the study groups.All data are calculated as mean and standard deviation values. The Student's t-test is used for statistical analysis of the patient data. Statistical calculations are performed using SPSS vn.22.0 software (IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY, USA).
Interventions
PROCEDUREhip arthroplasty
two different approaches of total hip arthroplasty
Sponsors
Gulhane Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
55 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
Patients aged 55 to 80 years unilateral primary hip osteoarthritis -
Exclusion criteria
bilateral osteoarthritis inflammatory arthritis post-traumatic osteoarthritis previous hip surgery neuromuscular diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| isokinetic test | Change from preoperative isokinetic test results at 6th months and 12th months isokinetic test results | isokinetic test during flexion, extension and abduction of the hip |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Harris Hip Score | Change from preoperativeHarris Hip Score results at 6th months and 12th months iHarris Hip Score results | Functional score of the hip. Harris Hip Score: 100-90: Excellent 89-80:Good 79-70:Fair below 70:Poor |
Countries
Turkey (Türkiye)
Outcome results
None listed