Isokinetic Performance and Function After Total Hip Arthroplasty

Gulhane Training and Research Hospital

Status: Completed

Conditions: Hip Osteoarthritis

Treatments: Procedure: hip arthroplasty

Study type: Interventional

Funder types: Other

Identifiers

NCT04640740

E-17-1415

Details and patient eligibility

About

There are ongoing debates on the effects of the surgical approach on outcome after total hip arthroplasty. It was hypothesized that with the anterolateral approach, trauma to the abductor arm can be occured and related detrimental effects can diminish the post-operative outcomes. In this first randomized controlled trial in the literature on this subject, isokinetic performance and patient-reported functional outcomes were evaluated in patients undergoing total hip arthroplasty. with a posterior approach (PA) and a anterolateral approach (ALA), at 6 and 12 months postoperatively.

Full description

Patients undergoing total hip arthroplasty are randomized to posterior approach (PA) and anterolateral approach (ALA) groups. The patients are evaluated preoperatively and at 6 and 12 months postoperatively, with flexion, extension and abduction strength measurements and the Harris Hip Score (HHS). The physiatrist performing isokinetic tests and the patients are blinded to the study groups.All data are calculated as mean and standard deviation values. The Student's t-test is used for statistical analysis of the patient data. Statistical calculations are performed using SPSS vn.22.0 software (IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY, USA).

Enrollment: 48 patients

Sex: All

Ages: 55 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Patients aged 55 to 80 years unilateral primary hip osteoarthritis -

Exclusion criteria

bilateral osteoarthritis inflammatory arthritis post-traumatic osteoarthritis previous hip surgery neuromuscular diseases

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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48 participants in 2 patient groups

anterolateral approach (ALA)

Experimental group

Description:

anterolateral surgical approach of total hip arthroplasty

Treatment:

Procedure: hip arthroplasty

posterior approach (PA)

Experimental group

Description:

posterior surgical approach of total hip arthroplasty.

Treatment:

Procedure: hip arthroplasty