120 Participants Needed

Positioning Technique for Hip Surgery

JB
MJ
Overseen ByMelissa J Shauver, MPH
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Northwestern University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

What is the purpose of this trial?

Compared to the knee and shoulder, the hip joint leaves relatively little space to maneuver arthroscopic instruments and camera. To expand the potential space in the hip joint, traction is commonly applied to the operative leg through a perineal post. This is an effective technique to improve the working space for arthroscopy, however it has been associated with complications, including perineal numbness. Traction pads, used alone or with a perineal post, can reduce pressure on the perineal area, thus reducing numbness. The investigators hypothesize that positioning hip arthroscopy patients using a traction pad on a standard traction table with a perineal post will reduce the incidence and duration of postoperative perineal numbness.

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment Positioning for Hip Arthroscopic Surgery, The Pink Pad Hip Kit, The Pink Pad Hip Kit, Traction pad?

Research indicates that hip arthroscopy performed with the patient in the supine position is effective and reproducible, with benefits such as ease of positioning and optimal access for surgery. This suggests that proper positioning, like using The Pink Pad Hip Kit, can enhance the effectiveness and safety of hip arthroscopic procedures.12345

Is the Positioning Technique for Hip Surgery generally safe for humans?

Hip arthroscopy, which includes positioning techniques, is generally considered safe with a low complication rate, although some complications can occur and may lead to significant issues.26789

How does the positioning technique for hip arthroscopic surgery differ from other treatments for hip conditions?

The positioning technique for hip arthroscopic surgery, specifically using the supine position, is unique because it simplifies patient positioning and uses standard operating room equipment with minor modifications. This approach provides optimal access for portal placements and is user-friendly for both the surgeon and operating room staff, making it an effective and reproducible procedure.210111213

Research Team

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Vehniah K Tjong, MD

Principal Investigator

Northwestern University

Eligibility Criteria

This trial is for English-speaking patients at Northwestern Memorial Hospital or its orthopaedic clinics who are undergoing hip arthroscopy for conditions like osteoarthritis or hip strain. It's not open to those who've had previous surgeries, cancer-related surgery, or will receive regional anesthesia.

Inclusion Criteria

I am getting hip arthroscopy at Northwestern Memorial Hospital or by a Northwestern orthopaedic surgeon.
Ability to read and speak English

Exclusion Criteria

I am scheduled for or have had revision surgery.
I have undergone surgery for cancer.
I will be using regional anesthesia.
See 1 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo hip arthroscopy using either The Pink Pad Hip Kit Patient Positioning System or the usual method without a pad

Surgery day
1 visit (in-person)

Follow-up

Participants are monitored for postoperative numbness and other complications

6 weeks
2 visits (in-person)

Treatment Details

Interventions

  • Positioning for Hip Arthroscopic Surgery
  • The Pink Pad Hip Kit
Trial OverviewThe study tests the Pink Pad Hip Kit during hip arthroscopic surgery to see if it reduces postoperative numbness. The kit is used with a standard traction table and perineal post to lessen pressure on the groin area during surgery.
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: Pink PadExperimental Treatment1 Intervention
Hip arthroscopy using The Pink Pad Hip Kit Patient Positioning System (Xodus Medical, New Kensington, PA). The pad is placed between the patient and the traction table, using a perineal post.
Group II: Control (No pad)Active Control1 Intervention
Hip arthroscopy in the usual fashion, no pad, using traction table with perineal post.

Find a Clinic Near You

Who Is Running the Clinical Trial?

Northwestern University

Lead Sponsor

Trials
1,674
Recruited
989,000+

Findings from Research

A systematic review of 130 studies involving 16,970 patients showed significant variability in patient-reported outcome (PRO) measures used after hip arthroscopy, with over 20 different instruments identified, complicating comparisons across studies.
The International Hip Outcome Tool (iHOT)-12 and the Nonarthritic Hip Score (NAHS) were found to be the most responsive PRO tools, suggesting that adopting standardized measures like the iHOT could improve the clarity and effectiveness of outcome reporting in hip arthroscopy research.
High Degree of Variability in Reporting of Clinical and Patient-Reported Outcomes After Hip Arthroscopy.Stone, AV., Jacobs, CA., Luo, TD., et al.[2022]
Hip arthroscopy in the supine position is an effective and reproducible procedure, offering advantages like easier patient positioning and optimal access for portal placements.
The success and safety of the procedure rely on meticulous attention to technical details, including equipment, patient positioning, and understanding of arthroscopic anatomy.
Hip arthroscopy: the supine position.Byrd, JW.[2005]
Hip arthroscopy is an effective method for diagnosing and treating various hip conditions, utilizing a minimally invasive approach that enhances patient recovery.
Standardizing patient positioning and surgical setup during hip arthroscopy improves both patient safety and the efficiency of the surgical team, leading to better outcomes.
Basic Hip Arthroscopy: Supine Patient Positioning and Dynamic Fluoroscopic Evaluation.Mannava, S., Howse, EA., Stone, AV., et al.[2022]

References

High Degree of Variability in Reporting of Clinical and Patient-Reported Outcomes After Hip Arthroscopy. [2022]
Hip arthroscopy: the supine position. [2005]
Basic Hip Arthroscopy: Supine Patient Positioning and Dynamic Fluoroscopic Evaluation. [2022]
Arthroscopic hip surgery. [2019]
Mechanics of hip arthroscopy. [2011]
Multicenter Analysis of Midterm Clinical Outcomes of Arthroscopic Labral Repair in the Hip: Minimum 5-Year Follow-up. [2019]
Complications in Hip Arthroscopy. [2020]
Evaluation of primary hip arthroscopy complications in mid-term follow-up: a multicentric prospective study. [2022]
Hip arthroscopy outcomes, complications, and traction safety in patients with prior lower-extremity arthroplasty. [2022]
10.United Statespubmed.ncbi.nlm.nih.gov
Hip arthroscopy utilizing the supine position. [2019]
[Hip arthroscopy. Minimal invasive diagnosis and therapy of the diseased or injured hip joint]. [2019]
[Arthroscopy of the hip]. [2017]
13.United Statespubmed.ncbi.nlm.nih.gov
Arthroscopy of the hip. [2005]