The Use of FLOSEAL to Reduce Bleeding in Total Knee Replacement Surgery
The Role of a Topical Hemostatic Agent in Reducing Blood Loss in Unilateral Total Knee Arthroplasty
1 other identifier
interventional
196
1 country
1
Brief Summary
The purpose of this study is to determine if the agent, Floseal, can decrease the amount of blood patients lose after total knee replacement (TKR) surgery. If this product can be found to have an effect on bleeding, it may potentially reduce the problems associated with bleeding after knee replacement surgery such as pain, stiffness, and the need to have a blood transfusion. The subject's overall participation will be over a period of 6 weeks.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4
Started Oct 2007
Typical duration for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2007
CompletedFirst Submitted
Initial submission to the registry
October 5, 2009
CompletedFirst Posted
Study publicly available on registry
October 6, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2010
CompletedResults Posted
Study results publicly available
December 12, 2017
CompletedDecember 12, 2017
November 1, 2017
2.8 years
October 5, 2009
February 4, 2013
November 10, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (9)
Change in Hemoglobin on Day 0 Compared to Preoperatively
preoperatively and on the day of surgery
Change in Hemoglobin on Day 0 Compared to Preoperatively
preoperatively and day of surgery
Change in Hemoglobin On Day 1 Compared to Preoperatively
preoperatively and one day after surgery
Change in Hematocrit on Day 1 Compared to Preoperatively
preoperatively and 1 day after surgery
Change in Hemoglobin on Day 2 Compared to Preoperatively
preoperatively and two days after surgery
Change in Hematocrit on Day 2 Compared to Preoperatively
preoperatively and two days after surgery
Drain Output
24 hours postoperatively
Autologous Amount of Transfusion
three days postoperatively
Homologous Amount of Transfusion
three days postoperatively
Secondary Outcomes (4)
Range of Motion on Day 3
3days postoperatively
Visual Analog Pain Scale on Day 3
3 days postoperatively
Range of Motion at Six Weeks
6 weeks postoperatively
Visual Analog Pain Scale at 6 Weeks
6 weeks postoperatively
Study Arms (2)
Hemostatic Matrix
EXPERIMENTAL2 vials of Floseal applied once at the end of surgery
Control
NO INTERVENTIONNo intervention.
Interventions
FloSeal will be administered following the cementing of all knee components. Prior to release of the tourniquet and after the cement has cured, it will be applied to cut, exposed bone ends as well as the intra-articular soft tissues by the use of a delivery syringe, Direct manual pressure with a gauze sponge will be applied following its application for 2 minutes, ensuring that it adheres to the bleeding bone surface.
Eligibility Criteria
You may qualify if:
- Single Knee replacement for arthritis of the knee
You may not qualify if:
- No inflammatory arthritis (ie. Rheumatoid arthritis)
- No allergies to cow meat (bovine allergies
- No history of bleeding disorders
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hospital for Special Surgery
New York, New York, 10021, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Mark P. Figgie MD
- Organization
- Hospital for Special Surgery
Study Officials
- PRINCIPAL INVESTIGATOR
Mark P Figgie, MD
Hospital for Special Surgery, New York
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 5, 2009
First Posted
October 6, 2009
Study Start
October 1, 2007
Primary Completion
August 1, 2010
Study Completion
August 1, 2010
Last Updated
December 12, 2017
Results First Posted
December 12, 2017
Record last verified: 2017-11
Data Sharing
- IPD Sharing
- Will not share