Gait Initiation and Transition From Double to Single Support in Patients With Unilateral Primary Coxarthrosis

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorLille Catholic University

About this trial

The study consists to evaluate the impact of prosthetic surgery (PTH and RTH) on kinematic and dynamic parameters (joint torques) of the lower limbs during gait initiation in patients with primary coxarthrosis.

Patients included in the study will undergo a three-dimensional gait analysis. Dynamic gait analysis is multidimensional, measuring kinematic parameters (joint amplitudes: ankles, knees, hips, etc.) and dynamic parameters (assessment of joint torque from ankle, knee, hip to lower limb during gait initiation).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Men or women aged 18 and over

With primary coxarthrosis (any stage)

Consulting in the orthopedic departments of participating centers in anticipation of hip surgery (PTH/RTH), or for advice only.

Written consent signed by the patient

Disqualifiers

Pregnant or breast-feeding

Adults under guardianship, curatorship or safeguard of justice

Cognitive impairment making it impossible to understand the protocol

Approach other than Moore posterolateral (for PTH and RTH groups)

Trial design

Design model

Parallel

Treatments tested in this trial

  • Patients with primary coxarthrosis (any stage).

    Other intervention

    Patients who do not undergo surgery will be called specifically for the study to attend a consultation dedicated to gait assessment.

  • Patients with primary coxarthrosis (any stage) and operated with Total Hip Prosthesis (THP).

    Other intervention

    Patients scheduled for THP (Total Hip Prosthesis) will be seen at the consultation the day before surgery, in the same hospital as the THP, or at an existing dedicated consultation scheduled for all THP patients. During these scheduled visits, they will be received in the gait analysis laboratory for a gait assessment (V1). Patients will be seen again at 6 months post-operatively for a second gait assessment (V2).

  • Patients with primary coxarthrosis (any stage) and operated with RTH (Hip resurfacing).

    Other intervention

    Patients scheduled for RTH (Hip Resurfacing) will be seen at the consultation the day before surgery, in the same hospital as the RTH, or at an existing dedicated consultation scheduled for all RTH patients. During these scheduled visits, they will be received in the gait analysis laboratory for a gait assessment (V1). Patients will be seen again at 6 months post-operatively for a second gait assessment (V2).

Treatment groups

100 Participants
are divided into 3 treatment groups
Group A: Patients with primary coxarthrosis (any stage).Other 1 intervention
Group B: Patients with primary coxarthrosis (any stage) and operated with Total Hip prosthesis (THP).Experimental treatment 1 intervention
Group C: Patients with primary coxarthrosis (any stage) and operated with RTH (Hip resurfacing).Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Amplitude degree of lower limbs articulations

Time frame
6 months
2

Dynamics of limbs joint torques during walking initiation measured in Nm/kg

Time frame
6 months

Secondary outcomes

1

Step length during gait initiation

Time frame
6 months
2

Step width during gait initiation

Time frame
6 months
3

Duration of first step during gait initiation

Time frame
6 months
4

Duration of anticipatory postural adjustment phase during gait initiation

Time frame
6 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.