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Hip Arthroscopy Versus Total Hip Arthroplasty RCT

Hip Osteoarthritis

The aim of the proposed study is to perform a comparative pilot, randomized controlled trial of hip arthroscopy versus definitive total hip arthroplasty (THA) for the treatment of early hip osteoarthritis (Tönnis Grade 1-2) in patients between the ages of 40-60 years.

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Participation Requirements

  • Sex:

    ALL

  • Eligible Ages:

    40 to 60

Participation Criteria

Inclusion criteria:

1. Between the ages of 40-60 years at the time of surgery.
2. Radiographic evidence of mild to moderate hip OA (Tönnis Gr 0 with MRI chondral wear, Tönnis Gr 1 and 2).
3. Patients must have completed ≥3 months of non-operative management with ongoing symptoms.

Exclusion criteria:

1. Advanced OA, defined as \<2 mm joint space (Tönnis Gr 3) or those with acetabular or femoral head cysts.
2. Patients who are pregnant or may become pregnant around the time of surgery.
3. Prior arthroplasty of the contralateral hip.
4. Current or prior hip dysplasia (defined by a lateral centre edge angle of \<20 degrees).
5. Acetabular protrusio or coxa profunda, making arthroscopic access unsafe/unfeasible.

Study Location

Fowler Kennedy Sport Medicine Clinic and University Hospital
Fowler Kennedy Sport Medicine Clinic and University Hospital
London, Ontario
Canada

Contact Study Team

Primary Contact

Ryan M Degen, MD

[email protected]
519-661-2171
Backup Contact

Stacey Wanlin

[email protected]
Fraser Health
Fraser Health
New Westminster, British Columbia
Canada

Contact Study Team

Primary Contact

Parth Lodhia, MD

604-553-9110
Study Sponsored By
Western University, Canada
Participants Required
More Information
Study ID: NCT04166227