Total Hip Replacement, Wound Complication
Conditions
Brief summary
This study aims to analyze the difference in rates of wound complications using two different closure techniques in Direct anterior approach for primary total hip replacement.
Detailed description
The use of the direct anterior approach (DAA) for primary total hip arthroplasty (THA) has been increasingly popular but there has been a reported increased risk of wound complications compared with a posterior approach. Wound complications can lead to increased length of stay, reoperation procedures (i.e., irrigation and debridement), patient dissatisfaction, extra visits, readmissions, increased risk of periprosthetic joint infection and overall increased costs.
Interventions
PROCEDUREwound closure subcuticular running stitch using 3-0 monocryl suture without skin adhesive
wound closure subcuticular running stitch using 3-0 monocryl suture without skin adhesive
PROCEDUREwound closure subcuticular running stitch using 3-0 monocryl suture with two layers of skin adhesive
wound closure subcuticular running stitch using 3-0 monocryl suture with two layers of skin adhesive
Sponsors
Rothman Institute Orthopaedics
Study design
Allocation
NON_RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patients older than 18 years old that will undergo THA via DAA
Exclusion criteria
* Previous hip arthroplasty surgeries or scars * THA secondary to oncologic or traumatic etiologies * BMI ≥ 40 * uncontrolled diabetes (measured by a Hgb A1c above 8) * reported allergy to skin adhesive
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Wound complications | 90 days | Assessed using photographic documentation of the wound |
| Participant satisfaction | 90 days | assessed using the POSAS (patient and observer scar assessment scale) questionnaire |
Countries
United States
Outcome results
None listed