Prospective Clinical Trial Regarding the Implementation of a Rapid Recovery Protocol in Total Knee Arthroplasty in Rio Hortega University Hospital
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Fast Track
- Sponsor
- Ignacio Aguado Maestro
- Enrollment
- 175
- Locations
- 1
- Primary Endpoint
- Oxford Knee Score pre op and post op
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Patients undergoing total knee arthroplasty will follow two different rehabilitation protocols. In one of them, they will start walking the day of surgery and discharged on a 48 hours basis. On the other one, start walking 3 days after surgery and discharged on a 96 hours basis. Outcomes will be satisfaction, pain, range of movement, incidence of DVT and overall complications.
Detailed Description
Randomization will be performed concealed the day before surgery. Tranexamic acid will be used in both groups. Rapid recovery group will not be using a drain, whereas the standard protocol group will have one.
Investigators
Ignacio Aguado Maestro
Principal Investigator
Hospital del Río Hortega
Eligibility Criteria
Inclusion Criteria
- •Knee osteoarthritis willing to undergo total knee arthroplasty
- •Age 55-79
Exclusion Criteria
- •Hipersensibility to any of the components used
- •Pulmonary embolism
Outcomes
Primary Outcomes
Oxford Knee Score pre op and post op
Time Frame: 6 months
Difference in Oxford Knee Scores postoperatively and preoperatively
Range of Motion
Time Frame: 6 months
Knee range of motion measured in degrees of flexion (0-180º and extension (0-180º)
Pain: Morphine clorhydrate shots requested by the patient
Time Frame: 24 hours
Number of shots requested and administered to the patient after surgery
Overall score given by the patient to the knee replacement process
Time Frame: 6 months
Satisfaction with the protocol. Subjective measure by the patient from 0 (bad) to 10 (best) with the surgery process.
Blood loss
Time Frame: 48 hours
Haemoglobin drop
Infection
Time Frame: 1 year
Incidence of infection
Ultrasonography incidence of deep vein thrombosis
Time Frame: 4 weeks-8 weeks
Incidence of deep vein thrombosis measured by ultrasound