Weight-bearing Recommendation After Replacement of the Hip or Knee Joint
A Randomized Trial of Weight-bearing Recommendations After Total Hip or Total Knee Arthroplasty
1 other identifier
interventional
352
1 country
4
Brief Summary
Despite the widespread use of total hip and knee arthroplasty, there is a notable lack of consensus regarding postoperative treatment, mostly because of the lack of well-designed studies testing the efficacy and effectiveness of such practices. In particular, there are no evidence-based recommendations on the amount of weight that the patient should be advised to bear on the operated leg after the operation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Jan 2002
Longer than P75 for phase_1
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2002
CompletedFirst Submitted
Initial submission to the registry
December 15, 2005
CompletedFirst Posted
Study publicly available on registry
December 16, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2007
CompletedApril 6, 2016
April 1, 2016
5 years
December 15, 2005
April 4, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Physical function, measured by means of the Western Ontario and McMaster universities (WOMAC) osteoarthritis index
Baseline, 3, 6, 12 and 24-months after surgery
Secondary Outcomes (5)
Leg specific stiffness and pain, both measured by the WOMAC.
Baseline, 3, 6, 12 and 24-months after surgery
Physical component summary of the SF-36
Baseline, 3, 6, 12 and 24-months after surgery
Lequesne Hip resp. Knee Score
Baseline, 3, 6, 12 and 24-months after surgery
Patient satisfaction
Baseline, 3, 6, 12 and 24-months after surgery
Quality-Adjusted Life Years
Baseline, 3, 6, 12 and 24-months after surgery
Study Arms (1)
weight-bearing recommendation
EXPERIMENTALWeight-bearing recommendation after THA and TKA
Interventions
The full weight-bearing group is trained in 4-point gait with crutches and is recommended to put as much weight as tolerated on the leg on which surgery has been performed, immediately after surgery
The partial weight-bearing group is trained in 3-point gait with crutches and is instructed to limit weight-bearing of the affected leg to 20kg for a period of six-weeks. Scales are used to train these participants not to exceed 20kg
Eligibility Criteria
You may qualify if:
- Patient who is about to receive unilateral hip or knee replacement surgery on an elective basis for diagnosis of osteoarthritis or femoral head necrosis
You may not qualify if:
- A history of septic arthritis,
- Hip fracture,
- Intraoperative complications,
- History of implant surgery on the joint to be operated on,
- Rheumatoid arthritis,
- Amputations,
- Inability to complete the questionnaires because of cognitive or language difficulties.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Verein zur Förderung der Rehabilitationsforschung in Schleswig-Holsteinlead
- Verein zur Förderung der Erforschung und Bekämpfung rheumatischer Erkrankungen Bad Bramstedt e.Vcollaborator
- Landesversicherungsanstalt Schleswig-Holsteincollaborator
- Landesversicherungsanstalt Freie und Hansestadt Hamburgcollaborator
- Deutsche Arthrose-Hilfecollaborator
Study Sites (4)
Ostseeklinik Damp, Department I of Orthopedic Surgery
Damp, 24351, Germany
University of Schleswig-Holstein Medical Center, Kiel Campus
Kiel, 24105, Germany
University of Schleswig-Holstein Medical Center, Lübeck Campus
Lübeck, 23538, Germany
Wedel Hospital, Department of Surgery
Wedel, 22880, Germany
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Thoralf R Liebs, MD
University of Schleswig-Holstein Medical Center, Kiel Campus
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Consultant Orthopaedic Surgeon
Study Record Dates
First Submitted
December 15, 2005
First Posted
December 16, 2005
Study Start
January 1, 2002
Primary Completion
January 1, 2007
Study Completion
January 1, 2007
Last Updated
April 6, 2016
Record last verified: 2016-04
Data Sharing
- IPD Sharing
- Will not share