Effect of Capsular Repair on the Outcomes of Direct Anterior Total Hip Arthroplasty.

Bezmialem Vakif University160 enrolled

Overview

Total hip arthroplasty is a successful surgical procedure performed as a last-line treatment in primary and secondary coxarthrosis. Recently, the direct anterior approach (DAA) has gained popularity by maintaining abduction force and reducing dislocation rates. Soft tissue stability in the anterior is increased by adding capsule repair with the preservation of the posterior structures in the DAA. The degradation of the biological structure of the capsule due to degenerative changes in the end stage coxarthrosis questions the effectiveness of the capsule repair. therefore, the effect of capsule repair on stability is still controversial.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

160

Conditions

Coxarthrosis

Interventions

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Elective unilateral or bilateral primary total hip arthroplasty * Direct anterior surgical approach * 18 years of age or older * Avascular necrosis of the hip Exclusion Criteria: * Rheumatoid arthritis of the hip * Revision hip arthroplasty * Younger than 18 years of age * Crowe type 3 and 4 coxarthrosis

Outcomes

Primary Outcomes

Pelvis magnetic resonance ımages(MRI) evaluation of patients who underwent direct anterior total hip arthroplasty

The new capsule mass will be evaluated by an independent radiologist. adiologist will evaluate the volume of the new capsule structure in cubic millimeter

Time frame: one year