On-Table vs Off-Table Techniques for Hip Replacement
Trial Summary
What is the purpose of this trial?
The Direct Anterior Approach (DAA) is a common way to perform total hip arthroplasty. There are two main techniques to perform total hip replacement through the anterior approach. The first method is the "on-table" method, which uses a specialized surgical table, called a traction table. This table involves placing both feet in specialized boots that are then hooked up to the table, and allows for positioning of the operative leg with aid of the table. The major limitations associated with the traction table are the need for two additional staff members and the purchase of said table. The second method is the "off-table" method. In this method the patient is placed on a standard operating room table and the operative leg is manually positioned by the surgeon during the procedure . This obviates the need for the additional staff members or purchase of a specialized table. Both the "on-table" and "off-table" techniques are routinely used both worldwide and by our joint replacement specialists at Carilion Clinic. This study will aim to compare the efficiency and efficacy of performing the DAA for total hip arthroplasty utilizing either the "on-table" or "off- table" technique. Patients will be randomized to receive their total hip arthroplasty with either the "on- table" or "off-table" method.
Research Team
Trevor M Owen, MD
Principal Investigator
Carilion Clinic
Eligibility Criteria
This trial is for adults over 18 who need a primary unilateral total hip arthroplasty (hip replacement) due to osteoarthritis. They must be able to consent and pass medical clearance. It's not for those with a BMI over 40, HbA1c levels above 8.0, pregnant women, active smokers, or anyone needing bilateral procedures or unable to have spinal anesthesia.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Surgery
Participants undergo total hip arthroplasty using either the 'on-table' or 'off-table' method
Post-operative Follow-up
Participants are monitored for pain and recovery outcomes at 2 and 6 weeks post-surgery
Long-term Follow-up
Participants are assessed for long-term outcomes at 1 year post-surgery
Treatment Details
Interventions
- Off Table Group
- On Table Group
Find a Clinic Near You
Who Is Running the Clinical Trial?
Carilion Clinic
Lead Sponsor
Virginia Tech Carilion School of Medicine and Research Institute
Collaborator