Robotic Total Knee Arthroplasty Anesthesia Management

Not yet recruiting

• Conditions: Knee Osteoarthritis; Joint Diseases; Anesthesia
• Interventions: Procedure: the conventional jig-based total knee arthroplasty; Procedure: the robot assisted total knee arthroplasty

• Registration Number: NCT05791773
• 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 our anesthesia management experience as well as compare robotic unilateral total knee arthroplasty with conventional surgical technique in this retrospective study.

Detailed Description

This study was approved by the ethics committee of a tertiary academic hospital.

The following criteria were used to assess inclusion: ASA physical status I-III patients aged 40-85 years, elective unilateral total knee arthroplasty (TKAs) performed by a single senior orthopedic surgeon and orthopedic team under combined spinal epidural anesthesia (CSEA) between January 2021 and January 2023. Exclusion criteria included urgent surgery, bilateral surgery, previous surgery, missing data, and being lost to follow-up during the perioperative period. Data was collected from the hospital's electronic database records, patient files, and anesthesia charts.

Study Timeline

• Study First Submitted: 2023-03-07
• Study First Submitted QC: 2023-03-17
• Study First Posted: 2023-03-30
• Status Verified: 2023-04
• Study Start: 2023-04
• Primary Completion: 2023-04
• Study Completion: 2023-04
• Last Update Submitted: 2023-04-03
• Last Update Posted: 2023-04-04

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 TKAs 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 cTKA (conventional total knee arthroplasty)	the conventional jig-based total knee arthroplasty	the conventional jig-based total knee arthroplasty
Group rTKA (robotic total knee arthroplasty)	the robot assisted total knee arthroplasty	the robot assisted total knee 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
Complications	After the end of surgery, in the first 1-month follow-up	Perioperative complications rates
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