Surgical treatment for limping after hip replacement using Achilles tendon
Achilles Tendon Homograft for the Treatment of Gluteus Medius Insufficiency After Hip Replacement
This study tests if using a piece of Achilles tendon to fix the gluteus medius can help people who still limp after hip replacement feel better compared to just doing physical therapy.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 44 (estimated) |
| Ages | 40 Years to 80 Years |
| Sex | All |
| Sponsor | Sahlgrenska University Hospital Academic / other |
| Locations | 1 site (Mölndal) |
| Trial ID | NCT05206838 on ClinicalTrials.gov |
What this trial studies
This study evaluates the effectiveness of surgical reconstruction of the gluteus medius using an Achilles tendon allograft for patients experiencing residual limping after total hip arthroplasty. It compares the outcomes of this surgical approach with non-surgical treatment combined with physiotherapy. The hypothesis is that the surgical intervention will lead to improved hip function and reduced limping compared to non-surgical methods. Patients will be monitored for hip function and any adverse events following the procedures.
Who should consider this trial
Good fit: Ideal candidates are individuals who have persistent limping and a positive Trendelenburg sign for at least 12 months following total hip arthroplasty.
Not a fit: Patients with neuromuscular disorders will not benefit from this study.
Why it matters
Potential benefit: If successful, this treatment could significantly improve mobility and quality of life for patients suffering from limping after hip replacement.
How similar studies have performed: While similar surgical approaches have been explored, this specific use of Achilles tendon allograft for gluteus medius insufficiency is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Persisting limping with positive Trendelenburg's sign for at least 12 months after total hip arthroplasty * Rupture/avulsion of the gluteus medius tendon verified with ultrasound or MRI * Leg length discrepancy of less than 1 cm * Femoral offset discrepancy of less than 25% Exclusion Criteria: * Neuromuscular disorders
Where this trial is running
Mölndal
- Sahlgrenska University Hospital — Mölndal, Sweden (Recruiting)
Study contacts
- Principal investigator: Georgios Tsikandylakis, MD, PhD — Sahlgrenska University Hospital
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.