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Direct Superior Approach Versus PosteroLateral Approach in Total Hip Arthroplasty (SPLAsH)

RECRUITINGN/ASponsored by Isala
Actively Recruiting
PhaseN/A
SponsorIsala
Started2024-03-26
Est. completion2027-08-30
Eligibility
Age18 Years – 99 Years
Healthy vol.Accepted

Summary

This study will compare postoperative pain, health related quality of life (HRQoL), function, rehabilitation, urinary incontinence, muscle atrophy and component positioning in total hip arthroplasty (THA) using the posterolateral approach (PLA) or the direct superior approach (DSA). In addition, the CT images will be used to validate a new metal artefact reduction technique.

Eligibility

Age: 18 Years – 99 YearsHealthy volunteers accepted
Inclusion Criteria:

Subject

* Has symptomatic incapacitating coxarthrosis in whom total hip arthroplasty (THA) is indicated, diagnosed by both physical examination and pelvic/hip X-ray
* Has signed informed consent
* Is ageing 18 years or older at time of study entry
* Is competent and able to participate in follow-up

Exclusion Criteria:

* Previous ipsilateral hip surgery
* BMI \>35 kg/m2
* Contralateral incapacitating coxarthrosis, diagnosed by both physical examination and pelvic/hip X-ray
* Neurological conditions influencing walking pattern
* Inability to walk without walking aid preoperatively
* Rheumatoid arthritis (RA)
* Severe hip dysplasia
* Cognitive impairment
* Malignancies or metastases involving the hip joint or the nearby soft tissues
* Inability to speak and write Dutch language

Conditions2

ArthritisOsteoarthritis, Hip

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