Postoperative Hip Precautions After Total Hip Arthroplasty Via the Posterior Approach: A Prospective Randomized Trial

NCT02686528 | Completed

• 1 other identifier: 13100906
• Study Type: interventional
• Target: 1,133
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine if hip precautions, which are instructions that limit functional use of a hip replacement after surgery, affect the rate of dislocation in the first six weeks after primary total hip replacement surgery. The impact of hip precautions on a patient's return to activities of daily living and overall patient satisfaction will also be investigated. The overall cost effectiveness of hip precautions will be determined.

Conditions

Osteoarthritis; Degenerative Joint Disease

Keywords

total hip arthroplasty; hip precautions; posterior approach

Outcome Measures

Primary Outcomes (1)

• Dislocation

  Incidence of dislocation of the total hip arthroplasty will be recorded for both treatment groups.

  6 weeks after surgery

Secondary Outcomes (1)

• Activities of Daily Living

  1 year after surgery

Other Outcomes (1)

• Use of Assistive Devices After Surgery

  6 months after surgery

Study Arms (2)

No Hip Precautions

EXPERIMENTAL

Patients will not be prescribed hip precautions in the first 6 weeks after surgery. The hip precautions that will no longer be prescribed are: no hip flexion past 90º, no crossing the legs, and no twisting at the waist.

Other: No Hip Precautions

Hip Precautions

ACTIVE COMPARATOR

Patients will receive the following hip precautions: no hip flexion past 90º, no crossing the legs, and no twisting at the waist for the first six weeks after surgery.

Other: Hip Precautions

Interventions

Hip Precautions OTHER

Hip precautions are functional limitations of the hip replacement prescribed to patients for the first six weeks after surgery and are no hip flexion past 90º, no crossing the legs, and no twisting at the waist.

Hip Precautions

No Hip Precautions OTHER

Patients will not be prescribed hip precautions in the first 6 weeks after surgery. The hip precautions that will no longer be prescribed are: no hip flexion past 90º, no crossing the legs, and no twisting at the waist.

No Hip Precautions

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients undergoing a primary total hip arthroplasty via the posterior approach by participating attending surgeons at this institution
• Index diagnosis of noninflammatory arthritis
• Patients must be able to understand and comply with study procedures

You may not qualify if:

• Allergy or intolerance to the study materials
• History of previous surgeries on the affected joint other than arthroscopy; i.e. revision THA or open surgeries

Sponsors & Collaborators

• Rush University Medical Center: lead

Study Sites (1)

Rush University Medical Center

Chicago, Illinois, 60612, United States

Location

MeSH Terms

Conditions

Osteoarthritis; Joint Diseases

Condition Hierarchy (Ancestors)

Arthritis; Musculoskeletal Diseases; Rheumatic Diseases

Study Officials

• Omar Behery, MD

  Orthopedics Surgeon

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor, Orthopaedic Surgery Adult Reconstruction and Replacement

Study Record Dates

• First Submitted: January 11, 2016
• First Posted: February 19, 2016
• Study Start: January 1, 2016
• Primary Completion: July 21, 2025
• Study Completion: November 1, 2025
• Last Updated: November 14, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)