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. 2016 Jul 4;2016(7):CD010815. doi: 10.1002/14651858.CD010815.pub2

Peters 2015.

Trial name or title The need for supine position advise during sleep in the first eight week after a THA to prevent hip dislocation.
Methods Stratified block randomised non‐inferiority controlled trial. The study aim is to test the non‐inferiority hypothesis of differences in early hip dislocation between a group of participants who will be restricted to sleep in supine position and a group without restricted sleeping position during the first 8 weeks after a THA following a posterolateral surgical approach.
Participants Inclusion criteria: people who have/are planned to undergo a primary THA via the posterolateral approach by a high volume orthopaedic surgeon; patients with a ASA‐classification of I or II.
Exclusion criteria: blindness; THA within 6 months of the contralateral hip; insufficient knowledge of the Dutch language; Collum fracture; infection of the THA; cognitive dysfunction; wheelchair dependability; hypermobility; alcohol abuse; neurological disorders such as Parkinson's disease and stroke.
Interventions Experimental: sleep position: no restrictions. Participants do not have any restrictions in sleeping position during the first 8 weeks after a THA following a posterolateral surgical approach.
Control: sleep position: supine. Participants will be instructed to sleep in a supine position during the first 8 weeks after a total hip replacement following a posterolateral surgical approach
Outcomes Primary outcome measure: percentage of early dislocations within the first 8 weeks after THA.
Secondary outcome measures: Hip Disability and Osteoarthritis Outcome Score; quality of sleep (VHS), EQ‐5D, visual analogue scale/numerical rating scale hip pain intensity; compliance to anti‐hip dislocation instructions assessed using a diary for patients to report their compliance with the set of anti‐dislocation instructions, among which is the (daily) reporting of their sleeping position in bed at night; sleeping position preferences.
Follow‐up: 8 weeks and 6 months postoperative
Starting date Start date: June 2014
Estimated study completion date: March 2020
Esimated primary competition date: March 2019 (final data collection date for primary outcome measure).
Contact information Anil Peters (Orthopedisch Centrum Oost Nederland). Email: a.peters@ocon.nl
Notes Sponsor: Orthopedisch Centrum Oost Nederland
ClinicalTrials.gov identifier: NCT02107248.
Protocol published: Peters 2015

Abbreviations: THA: total hip arthroplasty.