Does Vessel-sparing Surgery in Anterior Approach Total Hip Arthroplasty Change Clinical Outcome?

During direct anterior approach (DAA) for total hip arthroplasty (THA), ligation of the lateral femoral circumflex artery and vessel is always conducted. However, this standardized procedure may jeopardize blood muscle perfusion and cause tenderness in the tensor fascia lata muscle. The investigators want to investigate whether blood vessel-sparing surgery is feasible, reproducible, and would alter outcomes following DAA THA. The surgical technique of the vessel-sparing procedure will be described and investigated in a prospective blinded RCT. The investigators hypothesize that the vessel-sparing technique is feasible in 60% of the patients. If these vessels were not sacrificed, the investigators expect the incidence of TFL tendinopathy to be lower.

NCT Number	NCT06308965
Lead Sponsor	Ziekenhuis Oost-Limburg
Conditions	Tensor Fasciae Latae Syndrome, Arthroplasty Complications
Enrollment	300 participants
Start Date	2024-06-11
Primary Completion	2025-03 (estimated)
Study Completion	2027-03 (estimated)
Updated on ClinicalTrials.gov	2024-11-15