The Q-REDUCE Study

University of Southern Denmark (SDU)

Status

Not yet enrolling

Conditions

THA

PROM

Dislocation, Hip

Treatments

Other: Fasttrack pathway for THA/HE prosthesis reduction

Other: Standard pathway for THA/HE prosthesis reduction

Study type

Interventional

Funder types

Other

Identifiers

NCT06639334

24/34681

Details and patient eligibility

About

The purpose of this study is to design a fast-track pathway for patients referred to the University Hospital of Southern Denmark, Esbjerg, with high probability of having a dislocated hip prosthesis with the primary aim to reduce the time from arrival to reduction and the total hospitalization time. Secondary aims are to

investigate whether quicker prosthesis reduction influences on hip function and quality of life afterwards
reduce the pain experience immediately and in the long term
increase patient satisfaction

without changing the overall complication rate and readmission/mortality

Enrollment

120 estimated patients

Sex

All

Ages

18 to 99 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

a history of either a THA or a HA in combination with at least one of the following terms
having sustained a sudden, incorrect movement or twist in the hip joint in either a bending, sitting or supine position leading to inability to stand or walk
misalignment of the concerned lower extremity (typically shortened, with inward/outward rotation)

Exclusion criteria

recurrent dislocations during the same hospital admission (already "in the house")
anticipated difficult airway by the attending anesthesiologist
anticipated need for extended respiratory or hemodynamic monitoring by the attending anesthesiologist
American Society of Anesthesiologists (ASA) score > 3
Body Mass Index (BMI) > 40
active drug abuse
contraindication for Propofol or Esketamine