Randomised Controlled Study Comparing Fast Track and Standard Care Protocol on Functional Outcomes and Hospital Stay Of Total Hip Arthroplasty
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hip Osteoarthritis
- Sponsor
- Istituto Ortopedico Rizzoli
- Enrollment
- 90
- Locations
- 1
- Primary Endpoint
- Early functional outcomes
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Fast-track total hip arthroplasty (THA) is a well-established concept including optimized logistics and evidence-based treatment, focusing on minimizing surgical stress and improved post-operative recovery. The aim of this protocol is to compare the standard care and fast track total hip arthroplasties in terms of functional and subjective outcomes, hospital staying, number of transfusions and analgesic consumption.
Detailed Description
The aim of this protocol is to compare standard care and fast track total hip arthroplasties. The fast track care consists of: * preoperative educational lesson in which orthopedic surgeon, anesthesiologist and physiotherapist illustrate the operative and post operative path to the patients * antalgic protocol administered only orally * early rehabilitation care. The day of the surgical operation, the physiotherapist helps the patient reach the upright position. The standard care consists of usual antalgic and physiotherapy post-operative care: * Antalgic protocol consist in intravenous drugs * the first physiotherapy session is the day after surgery.
Investigators
Dante Dallari, MD
MD
Istituto Ortopedico Rizzoli
Eligibility Criteria
Inclusion Criteria
- •patients affected by hip osteoarthritis, eligible for primary total hip arthroplasty
- •BMI \< 32
- •Time up ang go test \</= 12 seconds
- •American Society of Anesthesiologists physical status classification system (ASA) \</= 2
- •preoperative hemoglobin (HB) \>13 g/dl
- •patients eligible for spinal anesthesia
- •presence of a care-giver
Exclusion Criteria
- •psychiatric diseases
- •preoperative use of crutches
- •preoperative HB \< 13 g/dl
Outcomes
Primary Outcomes
Early functional outcomes
Time Frame: Third post operative day
Early functional outcomes are collecting using Lowa Level of Assistance(ILOA) during the third post-operative day. This scale is able to provide data on the autonomy reached by the patient in the first postoperative period going to investigate five main motor activities (get up from supine to seated, from sitting to standing position, walk around, take three steps, the speed of walking). The total score can vary from 0 to 56, where 56 indicates worst functional results.
Secondary Outcomes
- Analgesic consumption(Third day after surgery)
- WOMAC at sixth month(Sixth month after surgery)
- hospital staying(Third post operative day)
- Incidence of early major complications(Third day after surgery)
- Number of transfusions(Third day after surgery)
- Harris Hip Score (HHS) at 6 weeks(6 weeks after surgery)
- Harris Hip Score (HHS) at third month(third month after surgery)
- Harris Hip Score (HHS) at sixth month(sixth month after surgery)
- Harris Hip Score (HHS) at twelfth month twelfth(twelfth month after surgery)
- WOMAC at 6 weeks(6 weeks after surgery)
- WOMAC at third month(Third month after surgery)
- WOMAC at twelfth month(twelfth month after surgery)