Evaluating the Need for Transosseous Anchoring in Anterolateral Hip Prosthetic Surgery

Mireia Vinas Noguera

Status

Completed

Conditions

Suture, Complication

Treatments

Procedure: Transosseus Suture

Procedure: Direct Suture

Study type

Interventional

Funder types

Other

Identifiers

NCT06675968

Gluteus Medius

Details and patient eligibility

About

The study aims to discuss the challenges associated with breakage or failure of the abductor mechanism after total hip arthroplasty, which can lead to gait issues, instability, and the need for revision surgery. Sutures play a crucial role in preventing these failures, with two main types: transosseous and tendon sutures. Transosseous suturing involves using non-absorbable threads anchored in the bone, while tendon suturing uses absorbable threads for layered closure.

Both techniques are commonly used, but there is a lack of evidence to determine which is more beneficial for patients. Current studies are limited and often focus on cases requiring revision surgery due to complications, with transosseous sutures generally being the preferred method.

A meta-analysis indicated that transosseous repair may result in lower dislocation rates and less postoperative pain, but further randomized clinical trials with long-term follow-up are necessary for definitive conclusions. The text proposes a prospective study to compare transosseous suturing with the common absorbable tendon suturing in primary hip surgeries.

Enrollment

108 patients

Sex

All

Ages

18 to 100 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Adult population
Patients diagnosed with coxarthrosis (stages 2 and 3), confirmed by X-ray, according to D. Tonnis's classification of 1972
Willingness to follow up for up to 12 months
Patients capable of understanding the study and giving their informed consent

Exclusion criteria

Difficulty understanding and following the study procedure
Patients with previous surgery on the same hip
Patients with a diagnosis other than the inclusion criteria (e.g. acute femoral fracture requiring total hip arthroplasty