Opioid Free and Therapy Minimized Advantages Using HANA Table for Total Hip Arthroplasty

Study Overview
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Brief Summary
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To prove that anterior approach total hip arthroplasty using the HANA table can be performed with little, if any, need for opioids using a combination of education, optimized pre op and post op pain protocols and optimized recovery tools.

Detailed Description
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Methods: Data Collection: pre-op assessment/physical therapy evaluation post op assessment - PACU, phase II (Prior to discharge) phone calls after discharge (post op day 1, 2, 3) follow up assessment in surgeon's office (3 and 6 weeks post op) Ortech Swiftpath HOOS jr Pre-optimization: All patients enroll in SwiftPath education program Optimized BMI, hemoglobin, albumin, glucose control, A1C and blood pressure control Total Joint procedure: -anterior approach using the HANA table THA preformed with intra-articular block Pain Management regimen: Pre op PT teaching post op multimodal pain regimen

Official Title
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Opioid Free and Therapy Minimized Advantages Using HANA Table for Total Hip Arthroplasty

Conditions
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Arthropathy of Hip Joint, Osteoarthritis, Hip

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Elective total hip arthroplasty unilateral patient surgeries scheduled to be performed at the hospital and surgery center patients must enroll in SwiftPath Ability to read and understand English Exclusion Criteria: Patient diagnosis of schizophrenia, bipolar disease, dementia previous burn to affected extremity BMI > 40 Hemoglobin <12 female, <13 male Albumin less than 3.5 A1C >8.0

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pre-operative Narcotic Use | Percentage of patients that used used opioids pre-operatively | Pre-operatively | 
| Number of Patients That Took Any Opioids Throughout 6-week Follow-up Period | Number of patients that took any opioids throughout 6-week follow-up period | 6 weeks | 
| Short Physical Performance Battery | Assessment tool measuring gait speed, balance and chair stand test. Scores range from 0 to 4 with higher scores indicating a better outcome. | 6 Weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Numeric Pain Scores | A numeric pain score (0-10, 0 is no pain and 10 is worst imaginable pain). This will be used to assess patients level of pain relating to opioid use and recovery. Both 'best' pain level and 'worst' pain level as reported by the patient will be reported. | 6 Weeks | 
| Sleep Quality | The percentage of patients where pain interrupts sleep 'never' or 'rarely' will be combined together and reported. | 6 Weeks | 
| Number of Participants Who Adhere to Prescribed Post op Recovery Protocol | Number of Participants Who Adhere to Prescribed Post op Recovery Protocol collected via a questionnaire | 2 weeks | 
| Length of Stay in Hospital | Average number of days in hospital after surgery | 1 week | 
| Number of Patients That Return to Work 6 Weeks After Surgery | questionnaire asking the patient to report whether or not they have returned to employment and at what capacity (using Department of Labor physical employment scale). Patients will answer yes or no when asked if they have returned to work. | 6 weeks | 
| Number of Patients Who Return to Driving 6 Weeks After Surgery | Patients will respond yes or no when asked if they have resumed driving. | 6 Weeks |