Total Knee Arthroplasty: Fast Track Protocol is the Future?

NCT03869996 · tracked via the Priya Life Science Italy tracker

Sponsor

Istituto Ortopedico Rizzoli

Phase

Not applicable

Started

2019-02-25

Last updated

2026-05-22

Condition(s) studied

Osteoarthritis, KneeArthropathy of Knee

Investigational drug(s) / intervention(s)

fast track care protocolstandard care protocol

fast track care protocol: 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: standard care protocol consists in the same surgical intervention without educational preoperative preparation for patients and intensive early rehabilitation protocol.

Study 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

Sex

ALL

Min age

18 Years

Max age

78 Years

Healthy volunteers

Accepted

Inclusion Criteria: * 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 Criteria: * psychiatric diseases * preoperative use of crutches * ASA \> 3 * preoperative HB \< 13 g/dl

Primary outcome measure(s)

Early functional outcomes — Third post operative day
Early functional outcomes are collecting using Lowa Level of Assistance(ILOA) during the third post-operative day. This scale is able to provide data on the autonomy reached by the patient in the first postoperative period going to investigate five main motor activities (get up from supine to seated, from sitting to standing position, walk around, take three steps, the speed of walking). the total score can vary from 0 to 50, where 50 indicates better functional results.

Trial sites (1)

Facility	City	Region	Status
Istituto Ortopedico Rizzli	Bologna	Italy	Recruiting

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Other trials for the same condition

Knee Osteotomy Associated With Allograft Meniscus Transplantation Recruiting

Evaluation of 5-year Survival and Clinical Outcomes in Patients Undergoing Total Knee Arthroplasty With a Polyethylene Tibial Component Recruiting

Transforming Rehabilitation: Personalised Care for a Better Quality of Life Recruiting

Prediction AlgoriThm for regeneraTive Medicine Approach in knEe OA: New Decision-making Process Based on Patient pRofiliNg (PATTERN) Active, not recruiting

Single-Dose Hybrid Hyaluronic Acid and Sodium Chondroitin with Rehabilitation for Sports Adults with Knee Osteoarthritis Starting soon

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT03869996 on ClinicalTrials.gov ↗ ← All trials in Italy