Tourniquet vs. no Tourniquet During Total Knee Arthroplasty
Not Applicable
Completed
- Conditions
- Osteoarthritis
- Registration Number
- NCT02907047
- Lead Sponsor
- Rothman Institute Orthopaedics
- Brief Summary
The purpose of this study is to correlate functional outcomes and perioperative complications with tourniquet use during total knee arthroplasty.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- Not specified
Inclusion Criteria
- All unilateral primary knee arthroplasties performed by investigators participating in this study will be eligible for inclusion
- Diagnosis of osteoarthritis
Exclusion Criteria
- Revision surgery
- Bilateral knee surgery
- Age <18 or >80
- BMI >40
- Baseline lower extremity strength less than 5/5
- Vascular calcifications
- History of chronic narcotic use, defined as more than 5mg of oxycodone q4 hours
- Functionally limiting spine disease
- Other functionally limiting lower extremity disorder (i.e. symptomatic ipsilateral hip disease)
- Patients who cannot perform the baseline functional tests
- Allergy/contraindication to protocol medications
- Post-traumatic arthritis
- Inflammatory arthritis
- Pregnancy
- Prisoners
- Patients receiving care as part of a worker's compensable injury
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method timed up and go (TUG) score 4 weeks following surgery Stair Climb test in hospital (usually less than 2 days), 4 weeks post-op, 6 months post-op time, in seconds, to climb one flight of nine stairs
Visual Analog Scale: Pain in hospital (usually less than 2 days), 4 weeks post-op, 6 months post-op
- Secondary Outcome Measures
Name Time Method surgical field visualization intra-operative subjective rating provided by the surgeon
blood loss intra-operative calculated blood loss determine by hemoglobin dilution
range of motion in hospital (usually less than 2 days), 4 weeks post-op, 6 months post-op measured, in degrees, using a goniometer
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What are the molecular mechanisms by which tourniquet use affects joint inflammation in osteoarthritis patients undergoing total knee arthroplasty?
How does tourniquet application during total knee arthroplasty compare to standard-of-care techniques in terms of postoperative pain management and functional recovery?
Are there specific biomarkers that indicate which osteoarthritis patients benefit most from tourniquet use during total knee arthroplasty?
What are the potential adverse events associated with tourniquet use in total knee arthroplasty and how can they be mitigated?
How do tourniquet-based approaches in total knee arthroplasty for osteoarthritis compare to alternative methods like intermittent pneumatic compression in terms of efficacy and safety?
Trial Locations
- Locations (1)
Rothman Institute
🇺🇸Philadelphia, Pennsylvania, United States
Rothman Institute🇺🇸Philadelphia, Pennsylvania, United States