HippityHop
Research type
Research Study
Full title
Hip precautions after hip operation (HippityHop): a before and after study evaluating hip precautions following total hip replacement
IRAS ID
194841
Contact name
Avril Drummond
Contact email
Sponsor organisation
University of Nottingham
Duration of Study in the UK
1 years, 6 months, 0 days
Research summary
Following total hip replacements (THR) surgery, patients are often asked to observe ‘hip precautions’ (that is to restrict certain movements) for several weeks post-surgery to reduce the risk of hip dislocation. However, there is conflicting evidence whether they are effective or detrimental, and there are increasing concerns about the cost of providing advice and equipment in routine practice. The aim of this study is to evaluate hip precautions following THR, by comparing outcomes in patients who follow hip precautions with those who do not. Additionally, to determine the cost of providing hip precautions in the context of the current NHS service, and to ascertain staff and patient perceptions of the two regimes.
The study will be conducted in two parts: a before and after study, and an interview study. The before and after study will be conducted in two phases: hip precautions regime and no hip precautions regime, reflecting a change in the delivery of the orthopaedic services to those following THR. Patients who 18 year or over, and are awaiting an elective primary THR form Nottingham City Hospital will be eligible for the study. Patients who do not speak or read English, have dementia documented in medical notes, or are awaiting ‘complex’ or revision surgery will be excluded from the study.
For the interview study, patients who have undergone a THR and participated in the before and after study, or members of staff working within the orthopaedic and THR multidisciplinary team during the study period will be eligible to take part in an interview. Comparison of the two regimes will enable us to determine whether the no precautions regime has similar outcomes in terms of patient recovery and cost-saving than usual care. This could assist with developing and/or implementing a new service regime locally, and potentially nationally.
REC name
East Midlands - Nottingham 2 Research Ethics Committee
REC reference
16/EM/0318
Date of REC Opinion
14 Sep 2016
REC opinion
Further Information Favourable Opinion