Comparison of Direct Anterior and Posterior Surgical Approaches in Regards to the Patient' Physical Characteristics

NCT03472755 | Withdrawn

• 1 other identifier: PI2017_843_0023
• Study Type: interventional
• Target: N/A
• Locations: 0 countries
• Sites: N/A

Brief Summary

Recent increased interest in tissue-sparing and minimally invasive arthroplasty has given rise to a sharp increase in the utilization of direct anterior total hip arthroplasty.

Conditions

Hip Arthropathy

Keywords

hip arthroplasty; surgeries; physical fitness; perception; energetic cost; autonomy

Outcome Measures

Primary Outcomes (1)

• hip's range of motion.

  1 year

Study Arms (2)

The posterolateral approach

OTHER

The posterolateral approach was used for implantation among patients in lateral position. This approach goes through the gluteus maximus, the piriformis and superior gemeli muscles are detached and later reattached to bone

Other: The posterolateral approach

Direct anterior techniques.

OTHER

. In the direct anterior technique, patients were fixed in a supine position, a small entry incision was made in the vessel free interval between the tensor fasciae latae and the sartorius muscles and the prosthesis socket were put in place. Via a second dorsal incision, after releasing the external rotators, the prosthesis stem and ball were implanted and the two parts of the prosthesis were attached.

Other: Direct anterior technique

Interventions

The posterolateral approach OTHER

The posterolateral approach was used for implantation among patients in lateral position. This approach goes through the gluteus maximus, the piriformis and superior gemeli muscles are detached and later reattached to bone

The posterolateral approach

Direct anterior technique OTHER

patients were fixed in a supine position, a small entry incision was made in the vessel free interval between the tensor fasciae latae and the sartorius muscles and the prosthesis socket were put in place. Via a second dorsal incision, after releasing the external rotators, the prosthesis stem and ball were implanted and the two parts of the prosthesis were attached

Direct anterior techniques.

Eligibility Criteria

• Age: 50 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age \> 50 years
• Body mass index \< 35
• Scheduled hip arthroplasty surgery

You may not qualify if:

• No health coverage
• Age \> 85 years
• Body mass index ≥ 35
• Cognitive impairment (score Mini Mental Statue \< 24)
• Any other osteo-articular diseases than the operated hip, any muscular or neurological diseases that could penalize the walk

Sponsors & Collaborators

• Centre Hospitalier Universitaire, Amiens: lead

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Patients provided written informed consent to participate in this study, as approved by the local ethics committee. Prior to surgery, patients were informed about the benefits and risk of the conventional posterolateral and direct anterior approaches. Then they performed postural test and a Performance-Oriented Mobility Assessment Walking test with and without step. After randomization, patients were operated according the conventional posterolateral or direct anterior techniques.

Study Record Dates

• First Submitted: February 5, 2018
• First Posted: March 21, 2018
• Study Start: March 23, 2018
• Primary Completion: December 20, 2019
• Study Completion: January 20, 2020
• Last Updated: June 11, 2026

Record last verified: 2026-06