Hip DAA Closure Techniques

Rothman Institute Orthopaedics

Status: Invitation-only

Conditions: Wound Complication; Total Hip Replacement

Treatments: Procedure: wound closure subcuticular running stitch using 3-0 monocryl suture with two layers of skin adhesive; Procedure: wound closure subcuticular running stitch using 3-0 monocryl suture without skin adhesive

Study type: Interventional

Funder types: Other

Identifiers

NCT06006572

CKRU2023-1674

Details and patient eligibility

About

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.

Full 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.

Enrollment: 172 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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172 participants in 2 patient groups

wound closure subcuticular running stitch using 3-0 monocryl suture without skin adhesive

Active Comparator group

Description:

After surgery, the closure technique utilized by the surgeons will be wound closure subcuticular running stitch using 3-0 monocryl suture without skin adhesive

Treatment:

Procedure: wound closure subcuticular running stitch using 3-0 monocryl suture without skin adhesive

wound closure subcuticular running stitch using 3-0 monocryl suture with two layers of skin adhesive

Active Comparator group

Description:

After surgery, the closure technique utilized by the surgeons will be wound closure subcuticular running stitch using 3-0 monocryl suture with two layers of skin adhesive

Treatment:

Procedure: wound closure subcuticular running stitch using 3-0 monocryl suture with two layers of skin adhesive