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Clinical Analysis of Suction Drainage in Cementless Hip Replacement

Primary Purpose

Arthropathy of Hip

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
suction drainage
no suction drainage
Sponsored by
Bartosz Paweł
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Arthropathy of Hip focused on measuring hip, arthroplasty, suction, drainage

Eligibility Criteria

30 Years - 80 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • age between 30-80
  • primary hip osteoarthritis

Exclusion Criteria:

  • secondary hip osteoarthritis
  • autoimmune disease
  • congenital or secondary coagulopathy
  • vein or artery thrombosis
  • renal or liver failure
  • cemented or hybrid alloplasty,
  • no consent from the patient

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Active Comparator

    Arm Label

    suction drainage

    no suction drainage

    Arm Description

    Patients will be dived with randomization in to two groups: with and without closed suction drainage after primary total hip arthroplasty

    Patients will be dived with randomization in to two groups: with and without closed suction drainage after primary total hip arthroplasty

    Outcomes

    Primary Outcome Measures

    Hip hematoma size in USG
    Size in millimeters fluid collection in supine position above femoral neck.
    Hemoglobin levels
    Hb levels after surgery, difference between two groups
    C-reactive protein levels
    C-reactive protein levels after surgery, difference between two groups
    Visual Analog Scale punctation
    Pain level after surgery in Visual Analog Scale scale 0-10 pts. where 0-no pain, 10-most painful.
    Hip range of movement
    Differences between hip ROM after surgery
    Wound exudation
    Assessing wound dehiscence after surgery, 1-exudation appear, 0-dry dressing
    Soft tissue hematoma
    USG hematoma appearance in soft tissue around the hip
    Intraoperative bleeding
    All amount of blood loss intraoperative with hidden bleeding, with use of Gross formula.
    Blood transfusion
    Need of blood transfusion after operation

    Secondary Outcome Measures

    Infection
    Superficial or deep infection after surgery
    Deep vein thrombosis
    Occurrence lower limb thrombosis after surgery
    Readmission
    Need to readmission after surgery

    Full Information

    First Posted
    March 30, 2020
    Last Updated
    April 1, 2020
    Sponsor
    Bartosz Paweł
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04333264
    Brief Title
    Clinical Analysis of Suction Drainage in Cementless Hip Replacement
    Official Title
    Clinical Analysis of Suction Drainage in Cementless Hip Replacement - a Prospective Randomized Study
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2020
    Overall Recruitment Status
    Completed
    Study Start Date
    March 2016 (Actual)
    Primary Completion Date
    January 2020 (Actual)
    Study Completion Date
    February 2020 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor-Investigator
    Name of the Sponsor
    Bartosz Paweł

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Randomized prospective study assessing suction drainage in total hip arthroplasty. Group without drainage, 50 hips, compared with group with suction drainage, 50 hips. Both groups will be asses clinically (ROM scale, VAS), laboratory and radiology (USG). In the actually literature there are no benefits using closed suction drainage after primary total hip arthroplasty.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Arthropathy of Hip
    Keywords
    hip, arthroplasty, suction, drainage

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Model Description
    Two groups of patients with or without closed suction drainage after primary total hip arthroplasty.
    Masking
    ParticipantCare ProviderInvestigator
    Allocation
    Randomized
    Enrollment
    100 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    suction drainage
    Arm Type
    Active Comparator
    Arm Description
    Patients will be dived with randomization in to two groups: with and without closed suction drainage after primary total hip arthroplasty
    Arm Title
    no suction drainage
    Arm Type
    Active Comparator
    Arm Description
    Patients will be dived with randomization in to two groups: with and without closed suction drainage after primary total hip arthroplasty
    Intervention Type
    Procedure
    Intervention Name(s)
    suction drainage
    Intervention Description
    After primary total hip arthroplasty closed suction drainage will be used.
    Intervention Type
    Procedure
    Intervention Name(s)
    no suction drainage
    Intervention Description
    After primary total hip arthroplasty closed suction drainage won't be used.
    Primary Outcome Measure Information:
    Title
    Hip hematoma size in USG
    Description
    Size in millimeters fluid collection in supine position above femoral neck.
    Time Frame
    3 days after surgery
    Title
    Hemoglobin levels
    Description
    Hb levels after surgery, difference between two groups
    Time Frame
    3 days after surgery
    Title
    C-reactive protein levels
    Description
    C-reactive protein levels after surgery, difference between two groups
    Time Frame
    3 days after surgery
    Title
    Visual Analog Scale punctation
    Description
    Pain level after surgery in Visual Analog Scale scale 0-10 pts. where 0-no pain, 10-most painful.
    Time Frame
    3 day after surgery
    Title
    Hip range of movement
    Description
    Differences between hip ROM after surgery
    Time Frame
    3 days after surgery
    Title
    Wound exudation
    Description
    Assessing wound dehiscence after surgery, 1-exudation appear, 0-dry dressing
    Time Frame
    3 days after surgery
    Title
    Soft tissue hematoma
    Description
    USG hematoma appearance in soft tissue around the hip
    Time Frame
    3 days after surgery
    Title
    Intraoperative bleeding
    Description
    All amount of blood loss intraoperative with hidden bleeding, with use of Gross formula.
    Time Frame
    1 day
    Title
    Blood transfusion
    Description
    Need of blood transfusion after operation
    Time Frame
    14 days after surgery
    Secondary Outcome Measure Information:
    Title
    Infection
    Description
    Superficial or deep infection after surgery
    Time Frame
    30 days after surgery
    Title
    Deep vein thrombosis
    Description
    Occurrence lower limb thrombosis after surgery
    Time Frame
    30 days after surgery
    Title
    Readmission
    Description
    Need to readmission after surgery
    Time Frame
    30 days after surgery

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    30 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: age between 30-80 primary hip osteoarthritis Exclusion Criteria: secondary hip osteoarthritis autoimmune disease congenital or secondary coagulopathy vein or artery thrombosis renal or liver failure cemented or hybrid alloplasty, no consent from the patient
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Pawel Bartosz
    Organizational Affiliation
    Prof. A. Gruca Teaching Hospital in Otwock
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    34389016
    Citation
    Bartosz P, Marczynski W, Para M, Kogut M, Bialecki J. Comparative study of suction drainage placement in cementless hip replacement among patients undergoing extended thromboprophylaxis: a prospective randomized study. BMC Musculoskelet Disord. 2021 Aug 13;22(1):688. doi: 10.1186/s12891-021-04583-0.
    Results Reference
    derived

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    Clinical Analysis of Suction Drainage in Cementless Hip Replacement

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