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CompletedNCT06320691Updated Mar 20, 2024

General vs Spinal Anesthesia for Total Joint Arthroplasty-Anterior Approach: A Single-Institution Observational Study

An observational study in Arthroplasty Complications and Anesthesia, sponsored by Bezmialem Vakif University. Completed at 1 site in Turkey. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2024-03-20.

Sponsored by Bezmialem Vakif University · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
437
Ages
18 Years to 80 Years
Sex
All
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Study summary

The study compares the effects of various anesthetic techniques on anterior approach total hip arthroplasty results retrospectively

Read the detailed description

Under general (GA) or spinal anesthesia (SA), total hip arthroplasty using the anterior approach (THA-A) can be safely performed. The best method is not sufficiently described in the literature currently in existence.This observational study was carried out at a single facility with consecutive enrollment of patients getting primary THA-A. The investigators compared the difference in complication rates, intraoperative blood loss, length of hospital stay, and duration of surgery, acetabular and femoral component orientation and stem subsidence.

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Conditions studied

  • Arthroplasty Complications
  • Anesthesia

Keywords

  • total hip arthroplasty
  • general anesthesia
  • spinal anesthesia
  • direct anterior approach
03

In context

Lead sponsor

Bezmialem Vakif University is the lead sponsor of 345 studies on the registry; 58 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Sampling method
Probability sample

Study population

  • patients who underwent direct anterior approach primary total hip arhtroplasty with hip osteoarthritis

Inclusion criteria

  • patients who underwent direct anterior approach primary total hip arthroplasty with general anesthesia
  • patients who underwent direct anterior approach primary total hip arthroplasty with spinal anesthesia

Exclusion criteria

Exclusion Criteria:

  • patients who underwent revision total hip arthroplasty
  • patients who underwent total hip arthroplasty with approaches other than direct anterior approach
  • patients who underwent primary total hip arthroplasty due to hip fractures
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
437 participants (actual)
Patient registry
No

Groups and cohorts

  • General Anesthesia Group

    The group that underwent direct anterior total hip arthroplasty with general-systemic anesthesia

    Procedure: Total Hip Arthroplasty · Procedure: General Anesthesia

  • Spinal Anesthesia Group

    The group that underwent direct anterior total hip arthroplasty with spinal-neuraxial anesthesia

    Procedure: Total Hip Arthroplasty · Procedure: Spinal Anesthesia

Interventions

  • ProcedureTotal Hip Arthroplasty

    Patients that underwent direct anterior approach total hip arthroplasty

  • ProcedureGeneral Anesthesia

    Patients that underwent general/systemic anesthesia before surgery

  • ProcedureSpinal Anesthesia

    Patients that underwent spinal/neuraxial anesthesia before surgery

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What researchers measure

Primary outcomes

  1. Mean intraoperative estimated blood loss

    Total blood volume was calculates according to Nadler's formula based on patient's sex, height and weight of the patient, whereas the estimated blood loss was calculated according to Meunier's formula (mL)

    Time frame: from preoperative session to postoperative 1 day

  2. mean duration of surgery

    Duration of total hip arthroplasty surgery for each patient

    Time frame: from preoperative session to postoperative 1 day

  3. length of hospital stay

    from date of operation until the date of discharge

    Time frame: from the date of total hip arthroplasty operation until the day that patients discharge, assesed up to 7 days

  4. stem subsidence

    Subsidence was evaluated by comparing immediate post-operative radiographic images with those obtained at 1 year follow-up. Subsidence was measured as a vertical drop of stem, characterised by a radiolucent line at the proximal most aspect of the bone-prosthesis interface.

    Time frame: postoperative 1 year

  5. stem varus/valgus degrees

    varus or valgus angulation of femoral stem after surgery

    Time frame: postoperative 1 year

  6. acetabular abduction

    abduction degree of acetabular component after surgery

    Time frame: postoperative 1 year

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Study locations

1 site
  • Bezmialem Vakif University
    Istanbul, 34140, Turkey
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References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 20, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06320691
Lead sponsor
Bezmialem Vakif University
Responsible party
Sponsor
First posted
Mar 20, 2024
Start date
Jan 10, 2014
Primary completion
Jan 10, 2017
Completion
May 25, 2017
Last update
Mar 20, 2024

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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