A Novel Study Evaluating Patients Awaiting Total Hip Arthroplasty (PRIORITEES)

Last updated: December 11, 2023
Sponsor: Robert Jones and Agnes Hunt Orthopaedic and District NHS Trust
Overall Status: Active - Recruiting

Phase

N/A

Condition

Orthopedic Surgery

Hip Replacement

Treatment

N/A

Clinical Study ID

NCT06178185
RL1 868
  • All Genders

Study Summary

Hip replacements are one of the NHS's highest volume procedures, with ~14,000 operations per month before the onset of the COVID-19 pandemic. Delays to surgery can have significant implications; meaning increasing levels of pain and worsening quality of life.

As of January 2021, following the initial waves of the COVID-19 pandemic, 58,000 people had waited an average of 25 additional weeks for their total hip replacement.

The results of the study will hopefully help treating clinicians identify patients in whom there may be further deterioration if surgery is significantly delayed.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Native hip arthritis
  • On the waiting list for elective total hip replacement surgery
  • Able to give informed consent to participate
  • Existing medical records demonstrating 2 AP Pelvic Xray images taken at least 3 monthsapart

Exclusion

Exclusion Criteria:

  • Inability to consent to participation
  • Previous surgical intervention on the joint in question.

Study Design

Total Participants: 240
Study Start date:
June 27, 2023
Estimated Completion Date:
June 27, 2024

Study Description

Patients attending their routine pre-operative assessment clinic who meet the inclusion criteria will be invited to take part in the study by their direct clinical care team. If they provide their consent, they will first be examined for their maximum hip internal rotation possible when supine with hip and knee flexed at 90 degrees.

They will then be asked to sit in front of a camera placed at a height 2 to 3 feet (0.6 to 0.9 m) off the ground and stand 6 feet (1.8 m) away(6). Patients will be asked to spread their feet as far apart from each other whilst sitting straight with hips and knees at 90 degrees. A photograph will be taken of their neutral position, and another with their best attempt at internal rotation.

The internal rotation angle obtained along with the photo number will be documented on a data collection sheet with a hospital sticker, BMI, oxford hip score and EQ5D score completed that day.

At the end of the day, this information shall be collated & transcribed onto an excel spreadsheet for subsequent x-ray and photo review & measurement, anonymisation and analysis.

Connect with a study center

  • Robert Jones & Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

    Oswestry, Shropshire SY10 7AG
    United Kingdom

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.