Total Hip Arthroplasty
Conditions
Keywords
hip joint, the sacroiliac joint, Iliosacral displacement, manual correction
Brief summary
Degenerative changes in the hip joint, which are indications for operative treatment, are observed in more than 30% over the age of 50. In most cases, the development of a degenerative process in the hip joint is accompanied by changes in the sacroiliac joint. To improve the quality of life, relieve pain, improve the clinical outcomes of rehabilitation after total hip arthroplasty (THA), an integrated approach to treatment is required. The investigators have developed a technique for intraoperative manual correction of the ileosacral displacement of the sacroiliac joint during THA. This clinical study compares the use of this technique during THA and THA by standard method.
Interventions
PROCEDURETotal Hip Arthroplasty
Total replacement of the head, femoral neck and acetabulum of the hip joint with specialized implants
PROCEDUREManual correction of the sacroiliac joint
Manual correction of the iliosacral displacement of the sacroiliac joint in total hip arthroplasty is performed in the operating room after anesthesia just before total hip arthroplasty. It is carried out according to the methodology developed by us.
Sponsors
I.M. Sechenov First Moscow State Medical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Written informed consent of the patient to participate in the study * Patients with osteoarthritis of the hip joint. * The opportunity for observation during the entire study period (12 months) * Mental adequacy, ability, willingness to cooperate and follow the doctor's recommendations
Exclusion criteria
* The refusal of a patient from surgery * The presence of contraindications to surgery * Severe forms of diabetes (glycosylated hemoglobin \>9%) * Previously performed surgeries on the lumbar spine * Blood diseases (thrombopenia, thrombocytopenia, anemia with Hb\< 90g\\l) * The unwillingness of the patient to conscious cooperation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain assessment | before surgery | Visual Analogue Scale (VAS) - assessment or the severity of pain syndrome. The score is determined by measuring the distance (mm) on a 10 cm line between the no pain anchor point and the patient's mark, giving a value range from 0 to 100 (0 - min; 100- max) |
| Hip function assessment | before surgery | The Harris Hip Score (HSS). The HHS is a measure of disfunction so the higher the score, the better the outcome for the individual. Results can be recorded and calculated online. The maximum score possible is 100. Results can be interpreted with the following: \<70 = poor result; 70-80 = fair, 80-90 = good, and 90-100 = excellent. |
Countries
Russia
Contacts
Primary ContactVadim Cherepanov, MD, PhD
Backup ContactIvan Vyazankin, MD
Outcome results
None listed