Comparing surgical approaches for hip surgery and their impact on limping
Abductor Insufficiency After Total Hip Arthroplasty; Risk Factors and Diagnosis
This study is testing whether using a lateral or posterior surgical approach for hip replacement surgery affects the chances of patients having a limp one year later.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 580 (estimated) |
| Ages | 40 Years to 80 Years |
| Sex | All |
| Sponsor | Sahlgrenska University Hospital Academic / other |
| Locations | 1 site (Mölndal) |
| Trial ID | NCT05216666 on ClinicalTrials.gov |
What this trial studies
This clinical trial aims to compare the risk of residual limping one year after total hip arthroplasty using either a lateral or posterior surgical approach. It will involve 580 patients with primary unilateral hip osteoarthritis who will be randomized to receive their surgery through one of the two approaches. The study will assess outcomes through physical examinations, patient-reported measures, and advanced imaging techniques like ultrasound and MRI to identify risk factors for persistent limping. The goal is to enhance understanding of how surgical techniques affect recovery and rehabilitation.
Who should consider this trial
Good fit: Ideal candidates are individuals with primary unilateral hip osteoarthritis scheduled for total hip arthroplasty who can understand and write in Swedish.
Not a fit: Patients with impaired function of the contralateral hip or knee, neuromuscular diseases, or significant postoperative discrepancies may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved surgical techniques that minimize the risk of limping after hip surgery.
How similar studies have performed: While the association between surgical approach and limping has been noted, this specific comparative approach is novel and has not been extensively tested in prior studies.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Primary unilateral osteoarthritis of the hip scheduled for total hip arthroplasty. * Ability to understand and write swedish. Exclusion Criteria: * Impaired funktion of the contralateral hip or knees causing limping. * Neuromuscular diseases * Postoperative leg length discrepancy excceding 1 cm * Postoperative discrepancy in femoral offset exceeding 25% of the femoral offset of the contralateral hip.
Where this trial is running
Mölndal
- Sahlgrenska University Hospital — Mölndal, Sweden (Recruiting)
Study contacts
- Principal investigator: Georgios Tsikandylakis, MD PhD — Sahlgrenska University Hospital
- Study coordinator: Georgios Tsikandylakis, MD PhD
- Email: tsikandylakis@gmail.com
- Phone: 0046313421000
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.