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| Name | Class |
|---|---|
| Verein zur Förderung der Erforschung und Bekämpfung rheumatischer Erkrankungen Bad Bramstedt e.V | OTHER |
| Landesversicherungsanstalt Schleswig-Holstein | UNKNOWN |
| Landesversicherungsanstalt Freie und Hansestadt Hamburg |
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Despite the widespread use of total hip and knee arthroplasty, there is a notable lack of consensus regarding postoperative treatment, mostly because of the lack of well-designed studies testing the efficacy and effectiveness of such practices. In particular, there are no evidence-based recommendations on the amount of weight that the patient should be advised to bear on the operated leg after the operation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| weight-bearing recommendation | Experimental | Weight-bearing recommendation after THA and TKA |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Recommend full weight-bearing | Behavioral | The full weight-bearing group is trained in 4-point gait with crutches and is recommended to put as much weight as tolerated on the leg on which surgery has been performed, immediately after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Physical function, measured by means of the Western Ontario and McMaster universities (WOMAC) osteoarthritis index | Baseline, 3, 6, 12 and 24-months after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Leg specific stiffness and pain, both measured by the WOMAC. | Baseline, 3, 6, 12 and 24-months after surgery | |
| Physical component summary of the SF-36 | Baseline, 3, 6, 12 and 24-months after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Thoralf R Liebs, MD | University of Schleswig-Holstein Medical Center, Kiel Campus | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ostseeklinik Damp, Department I of Orthopedic Surgery | Damp | 24351 | Germany | |||
| University of Schleswig-Holstein Medical Center, Kiel Campus |
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| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
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| Deutsche Arthrose-Hilfe | OTHER |
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| Recommend parital weight-bearing | Behavioral | The partial weight-bearing group is trained in 3-point gait with crutches and is instructed to limit weight-bearing of the affected leg to 20kg for a period of six-weeks. Scales are used to train these participants not to exceed 20kg |
|
| Lequesne Hip resp. Knee Score | Baseline, 3, 6, 12 and 24-months after surgery |
| Patient satisfaction | Baseline, 3, 6, 12 and 24-months after surgery |
| Quality-Adjusted Life Years | Baseline, 3, 6, 12 and 24-months after surgery |
| Kiel |
| 24105 |
| Germany |
| University of Schleswig-Holstein Medical Center, Lübeck Campus | Lübeck | 23538 | Germany |
| Wedel Hospital, Department of Surgery | Wedel | 22880 | Germany |