1 University Hospital of Coventry & Warwick, Clifford Bridge Rd, Coventry, West Midlands, CV2 2DX, UK ; 2 Ottawa Hospital - Civic Campus, J153-1053 Carling Ave., Ottawa, ON, K1Y4E9, Canada ; 3 MicroPort Orthopedics Inc., 5677 Airline Rd., Arlington, TN 38002, USA ; 4 Hedley Orthopaedic Institute, 2122 E. Highland Ave., Ste. 300, Phoenix, AZ 85016, USA.
Ann Transl Med. 2015 Dec;3(21):335. doi: 10.3978/j.issn.2305-5839.2015.12.15.
Total hip arthroplasty (THA) is one of the most commonly performed and successful orthopaedic surgeries. While the long-term success of THA is well documented, there is still significant room for improving patient speed of recovery and return to activities. The surgical technique used during THA has the potential to affect these early outcomes.
The described design is a single center, prospective, randomized, controlled study. Subjects will be randomized to receive THA using either the supercapsular percutaneously-assisted total hip (SuperPath) or traditional posterior surgical techniques. Subjects will be evaluated using Timed Up and Go (TUG), Timed Stair Climb (TSC), Hip Dysfunction and Osteoarthritis Outcome Score (HOOS), and Visual Analog Scale (VAS) for pain level estimation preoperatively, during the hospital stay, and at 2, 6 weeks, and 100 days post-discharge. Other endpoints to be evaluated include: length of stay (LOS); discharge status; transfusion rates; readmission rates; complication rates; operative time; date returned to work; and acetabular component anteversion and inclination angles.
The described study will determine the effect of a tissue-sparing surgical technique on short term subject recovery following THA in comparison to the most commonly used technique in clinical practice.
全髋关节置换术(THA)是最常进行且最成功的矫形外科手术之一。虽然 THA 的长期成功率已有充分记录,但仍有很大的空间可以提高患者的恢复速度和重返活动能力。THA 中使用的手术技术有可能影响这些早期结果。
本研究设计为单中心、前瞻性、随机、对照研究。受试者将被随机分为接受经皮SuperPath 或传统后路手术技术的 THA。受试者将使用计时起立行走测试(TUG)、计时楼梯攀爬测试(TSC)、髋关节功能障碍和骨关节炎结局评分(HOOS)以及视觉模拟评分(VAS)在术前、住院期间以及出院后 2、6 周和 100 天进行评估。其他评估的终点包括:住院时间(LOS);出院状态;输血率;再入院率;并发症发生率;手术时间;返回工作的日期;髋臼组件前倾角和倾斜角。
本研究将确定一种组织保护手术技术与临床实践中最常用的技术相比,对 THA 后短期受试者恢复的影响。