Intraoperative Manual Correction of Iliosacral Displacement of the Sacroiliac Joint in Total Hip Arthroplasty

I.M. Sechenov First Moscow State Medical University

Status: Unknown

Conditions: Total Hip Arthroplasty

Treatments: Procedure: Manual correction of the sacroiliac joint; Procedure: Total Hip Arthroplasty

Study type: Interventional

Funder types: Other

Identifiers

NCT04673747

1381

Details and patient eligibility

About

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.

Enrollment: 80 estimated patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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80 participants in 2 patient groups

Group 1 (Total Hip Arthroplasty with intraoperative manual correction)

Experimental group

Description:

Patients will undergo total hip arthroplasty with intraoperative manual correction of Iliosacral displacement of the sacroiliac joint

Treatment:

Procedure: Manual correction of the sacroiliac joint

Procedure: Total Hip Arthroplasty

Group 2 (Total hip Arthroplasty: standard method)

Active Comparator group

Description:

Patients will undergo total hip arthroplasty according to the standard method

Treatment:

Procedure: Total Hip Arthroplasty