Hip replacement showdown: does the labrum stay or go?
NCT ID NCT07812025
First seen Sep 10, 2026 · Last updated Sep 11, 2026 · Updated 1 time
Summary
Researchers are comparing two common surgical approaches during total hip replacement: removing the acetabular labrum (a ring of cartilage around the hip socket) or leaving it in place. The trial enrolls 200 adults with hip osteoarthritis who are scheduled for a primary unilateral hip replacement. By tracking pain, physical and mental health scores, satisfaction, and surgical factors like operative time and implant positioning, the study aims to determine whether one method leads to better outcomes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Surgical technique for handling the acetabular labrum during total hip replacement: either removing it or leaving it in place
- What this could lead to
- If one approach proves better, surgeons could adopt it as a standard step in hip replacement, potentially improving pain relief, function, and satisfaction for patients.
- What could go wrong
- Both techniques are already common, and differences may turn out to be small or not meaningful. The trial may not capture long-term effects, and results might not apply to all patients or surgeons.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2026
- Expected to finish
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Jul 2028
An estimate. End dates often move.
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 18 years. * Indication for primary unilateral total hip arthroplasty for osteoarthritis (Tonnis grade ≥2 or surgeon's standard indication). * Able to provide informed consent and complete PROMs in English (or validated local language instruments). Exclusion Criteria: * Prior ipsilateral hip replacement or resurfacing. * Active infection or inflammatory arthritis where labral management is judged by the surgeon to be non-standard. * Severe acetabular bone loss or deformity requiring custom implants or complex reconstruction (Crowe III/IV dysplasia). * Planned simultaneous bilateral hip arthroplasty. * Preoperative heterotopic ossification. * Cognitive impairment preventing consent or completion of PROMs. * Patients for whom the surgeon believes leaving the labrum would be unsafe (e.g., gross interposed soft tissue preventing any reasonable cup placement without removal)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Total Joint Surgery Center Atlanta
Sandy Springs, Georgia, 30328, United States
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Other studies related to the condition(s) this trial covers.
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