Robotic Total Hip Arthroplasty Anesthesia Management

Not yet recruiting

• Conditions: Hip Osteoarthritis; Anesthesia; Joint Diseases
• Interventions: Procedure: the robot assisted total hip arthroplasty; Procedure: the conventional total hip arthroplasty

• Registration Number: NCT05794282
• Lead Sponsor: Saglik Bilimleri Universitesi Gulhane Tip Fakultesi

Brief Summary

Robotic arthroplasty is increasing in acceptance on a global scale as a result of advancements in orthopedic surgery technology. The investigators aimed to share their anesthesia management experience as well as compare robotic unilateral total hip arthroplasty with conventional surgical technique in this retrospective study.

Detailed Description

This study was conducted after obtaining ethics committee approval.

The inclusion criteria were as follows: American Society of Anesthesiologists (ASA) physical status I-III patients between 40-85 years, elective unilateral THAs which were performed by a single senior orthopedic surgeon and orthopedic team between January 2021 and January 2023 under CSEA. Exclusion criteria were urgent surgery, bilateral surgery, previous surgery, missing data, and lost to follow-up in the perioperative period.

The routine anesthetic protocol for the TKA was as follows: A single dose of 0.5% hyperbaric bupivacaine between 15-10 mg was administered intratechally. Following this the epidural catheter was inserted 4 cm into the epidural space through the epidural needle and secured. The level of the sensory block was assessed using pin-prick and cold sensation tests, and motor block using the Bromage scale. The patients were followed in the postanesthesia care unit (PACU) after the surgery. Patients with a modified Aldrete scoring system ≥9 were considered to be eligible for the transfer from PACU to the service.

Pain was evaluated using a Visual Analogue Scale (VAS) with regular intervals. Data were collected from hospital's electronic database records, patient files, and anesthesia charts.

Study Timeline

• Status Verified: 2023-03
• Study First Submitted: 2023-03-20
• Study First Submitted QC: 2023-03-20
• Last Update Submitted: 2023-03-31
• Study Start: 2023-04-01
• Study First Posted: 2023-04-03
• Last Update Posted: 2023-04-05
• Primary Completion: 2023-05-01
• Study Completion: 2023-05-15

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 150

Inclusion Criteria

• American Society of Anesthesiologists (ASA) physical status I-III
• Between 40-85 years
• Elective unilateral THAs which were performed by a single senior orthopedic surgeon
• Between January 2021 and January 2023 under CSEA.

Exclusion Criteria

• Urgent surgery
• Bilateral surgery
• Previous surgery
• Missing data and lost to follow-up in the perioperative period

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Group rTHA (robotic total hip arthroplasty)	the robot assisted total hip arthroplasty	the robot assisted total hip arthroplasty
Group cTHA (conventional total hip arthroplasty)	the conventional total hip arthroplasty	the conventional total hip arthroplasty

Primary Outcome Measures

Name	Time	Method
Time	Only in surgery time, an average of 3 hours]	The duration of surgical procedures

Secondary Outcome Measures

Name	Time	Method
Hospital discharge time	Time from discharge from PACU to discharge from hospital, an average of 96 hours	Time from the beginning of the operation to the discharge of hospital
Complications	After the end of surgery, in the first 1-month follow-up	Perioperative complications rates