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Efficacy of Preoperative Education and Mini-Invasive Surgery for Total Hip Replacement (ANRACT)
This study is not yet open for participant recruitment.
Verified by Assistance Publique - Hôpitaux de Paris, March 2007
Sponsors and Collaborators: Assistance Publique - Hôpitaux de Paris
Cochin Hospital
Information provided by: Assistance Publique - Hôpitaux de Paris
ClinicalTrials.gov Identifier: NCT00449228
  Purpose

We propose to evaluate a preoperative education of the patient and a new surgical technique (the mini-invasive THR) that could reduce the time to achieve functional independence.

The primary objective of the trial is to assess the time to reach functional independence after total hip replacement depending on the treatment groups: preoperative education versus no preoperative education and mini-invasive procedure versus standard procedure. The study hypothesis is that education and mini-invasive procedure will reduce the time to reach functional independence.

This is a prospective trial with a double randomization.


Condition Intervention Phase
Osteoarthritis of the Hip
Procedure: -preoperative education and total hip replacement
Phase III

MedlinePlus related topics: Osteoarthritis
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Single Blind, Active Control, Parallel Assignment, Efficacy Study
Official Title: Evaluation of Preoperative Education and Mini-Invasive Total Hip Replacement in Regard to the Attainment of Functional Independency and Reduction of Hospital Stay

Further study details as provided by Assistance Publique - Hôpitaux de Paris:

Primary Outcome Measures:
  • Time to reach functional independence at hospital discharge

Secondary Outcome Measures:
  • Perioperative criteria :
  • estimated blood loss
  • duration of operation
  • implant position
  • implant fixation
  • perioperative technical errors
  • Postoperative during hospital stay:
  • number of patients and number of units transfused before hospital discharge
  • total estimated blood loss
  • postoperative pain
  • skin problems
  • duration of hospital stay
  • Postoperative (3, 6 and 12 months):
  • Harris hip score, SF-36, evaluation of satisfaction and expectation
  • Abduction strength, balance and gate
  • Scar assessment
  • complications

Estimated Enrollment: 280
Study Start Date: April 2007
Estimated Study Completion Date: May 2010
Detailed Description:

We propose to evaluate a preoperative education of the patient and a new surgical technique (the mini-invasive THR) that could reduce the time to achieve functional independence. Preoperative education is compared to no education and the mini-invasive surgery is compared to the standard group.

The education is based on explaining to the patient what will the postoperative rehabilitation be like.

The mini-invasive THR is based on the minimisation of soft tissue trauma. It requires a specific instrumentation to allow dissection and implantation of the prosthesis. Only few studies have evaluated such a technique. However, these studies were retrospective or non-randomised and results are contradictory. Therefore, a randomised controlled clinical trial is necessary to evaluate the possible benefits and feasibility of this technique.

The primary outcome is the time to reach functional independence. Secondary outcomes evaluate the duration of hospital stay, the quality of implantation of the prosthesis, the postoperative morbidity, the functional benefits and the quality of life.

Methods: this monocentric randomised controlled clinical trial compares the preoperative education versus no preoperative education (first randomization) and the conventional THR to the mini-invasive THR (second randomization). One hundred and forty patients will be included in each group.

Expected results: preoperative education and the mini-invasive THR are prone to decrease time to functional independence, postoperative morbidity and duration of hospital stay.

  Eligibility

Ages Eligible for Study:   40 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • osteoarthritis of the hip
  • avascular necrosis of the hip
  • patient between 40 and 90 years old (included)

Exclusion Criteria:

  • history of previous hip operation (bone)
  • patient >90 or < 40
  • inflammatory arthritis
  • important proximal femur or acetabular deformity
  • complete functional independence not possible
  • BMI > 30
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00449228

Contacts
Contact: Philippe ANRACT, PU-PH +33(0)1 58 41 30 98 philippe.anract@cch.ap-hop-paris.fr

Locations
France
Hopital Cochin
Paris, France, 75014
Sponsors and Collaborators
Assistance Publique - Hôpitaux de Paris
Cochin Hospital
Investigators
Principal Investigator: Philippe ANRACT, PU-PH Assistance Publique - Hôpitaux de Paris
  More Information

Study ID Numbers: P051040
Study First Received: March 18, 2007
Last Updated: March 18, 2007
ClinicalTrials.gov Identifier: NCT00449228  
Health Authority: France: Ministry of Health

Keywords provided by Assistance Publique - Hôpitaux de Paris:
Osteoarthritis,
hip replacement,
education,
randomized controlled trial,
mini-invasive surgery

Study placed in the following topic categories:
Musculoskeletal Diseases
Osteoarthritis
Joint Diseases
Arthritis
Rheumatic Diseases
Osteoarthritis, Hip

ClinicalTrials.gov processed this record on January 14, 2009