To prove that anterior approach total hip arthroplasty using the HANA table can be performed with little, if any, need for opioids using a combination of education, optimized pre op and post op pain protocols and optimized recovery tools.
Methods: Data Collection: * pre-op assessment/physical therapy evaluation * post op assessment - PACU, phase II (Prior to discharge) * phone calls after discharge (post op day 1, 2, 3) * follow up assessment in surgeon's office (3 and 6 weeks post op) * Ortech * Swiftpath * HOOS jr Pre-optimization: * All patients enroll in SwiftPath education program * Optimized BMI, hemoglobin, albumin, glucose control, A1C and blood pressure control Total Joint procedure: -anterior approach using the HANA table THA preformed with intra-articular block Pain Management regimen: * Pre op PT teaching * post op multimodal pain regimen
Study Type
OBSERVATIONAL
Enrollment
207
St. Elizabeth's Medical Center
Utica, New York, United States
Pre-operative Narcotic Use
Percentage of patients that used used opioids pre-operatively
Time frame: Pre-operatively
Number of Patients That Took Any Opioids Throughout 6-week Follow-up Period
Number of patients that took any opioids throughout 6-week follow-up period
Time frame: 6 weeks
Short Physical Performance Battery
Assessment tool measuring gait speed, balance and chair stand test. Scores range from 0 to 4 with higher scores indicating a better outcome.
Time frame: 6 Weeks
Numeric Pain Scores
A numeric pain score (0-10, 0 is no pain and 10 is worst imaginable pain). This will be used to assess patients level of pain relating to opioid use and recovery. Both 'best' pain level and 'worst' pain level as reported by the patient will be reported.
Time frame: 6 Weeks
Sleep Quality
The percentage of patients where pain interrupts sleep 'never' or 'rarely' will be combined together and reported.
Time frame: 6 Weeks
Number of Participants Who Adhere to Prescribed Post op Recovery Protocol
Number of Participants Who Adhere to Prescribed Post op Recovery Protocol collected via a questionnaire
Time frame: 2 weeks
Length of Stay in Hospital
Average number of days in hospital after surgery
Time frame: 1 week
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Number of Patients That Return to Work 6 Weeks After Surgery
questionnaire asking the patient to report whether or not they have returned to employment and at what capacity (using Department of Labor physical employment scale). Patients will answer "yes" or "no" when asked if they have returned to work.
Time frame: 6 weeks
Number of Patients Who Return to Driving 6 Weeks After Surgery
Patients will respond yes or no when asked if they have resumed driving.
Time frame: 6 Weeks