Total Knee Arthroplasty: Fast Track Protocol is the Future?
Randomised Controlled Study Comparing Fast Track and Standard Care Protocol on the Functional Outcomes and Hospital Stay of Total Knee Arthroplasty
Istituto Ortopedico Rizzoli
64 participants
Feb 25, 2019
INTERVENTIONAL
Conditions
Summary
Fast-track total knee arthroplasty (TKA) 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 knee arthroplasties in terms of functional and subjective outcomes, hospital staying, number of transfusions and analgesic consumption.
Eligibility
Inclusion Criteria7
- patients affected by knee osteoarthritis, eligible for primary total knee 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 Criteria4
- psychiatric diseases
- preoperative use of crutches
- ASA \> 3
- preoperative HB \< 13 g/dl
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Interventions
fast track care consists in educational preoperative preparation for patients, particular strategies for controlling pain and bleeding and intensive early rehabilitation protocol.
standard care protocol consists in the same surgical intervention without educational preoperative preparation for patients and intensive early rehabilitation protocol.
Locations(1)
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NCT03869996