Feasibility of Outpatient Total Knee Arthroplasty
1 other identifier
observational
177
1 country
1
Brief Summary
This proposal outlines the investigators plan to develop, evaluate and implement an accelerated in hospital and community rehabilitation following total knee arthroplasty (TKA) leading to outpatient TKA. The benefits of applying current concepts of improved postoperative analgesia and less invasive surgical technique are expected to improve objective parameters of knee function, increase patients satisfaction, while reducing health care resources requirements as compared with standard rehabilitation. The innovation of combining best practices from orthopaedic sports medicine, Anesthesia, Physiotherapy and Knee reconstruction are expected to realize this goal.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Nov 2010
Longer than P75 for all trials
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
First Submitted
Initial submission to the registry
August 19, 2010
CompletedFirst Posted
Study publicly available on registry
August 23, 2010
CompletedStudy Start
First participant enrolled
November 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 18, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
June 18, 2019
CompletedSeptember 6, 2019
September 1, 2019
8.6 years
August 19, 2010
September 3, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Pain dairy
measuring pain location,pain intensity, quality of pain, satisfaction with pain management, report any side effects, Quality of recovery, Pain medication schedule, Cryocuff schedule for Game Ready device
28 days
Study Arms (1)
Patients presenting for elective TKA
Patients will be advised preoperatively about an accelerated path while in hospital that will share many attributes of the standard TOH care map but with several additions, chosen to help reduce pain and hemarthrosis, both felt to be the major impediments to faster recuperation.
Eligibility Criteria
The first 20 patients (baseline) will be treated in hospital so we can gauge the potential of inpatient stay and our criteria will be refined. The next group of 20 (intermediate) will be geared toward overnight stay and finally the last 120 patients (full intervention) will be geared for same day discharge using the successful protocol already in place for unicompartment knee arthroplasty (UKA) at TOH.
You may qualify if:
- Must be candidate for Total knee arthroplasty
- Patient of Dr Dervin
- Male or Female
- Age range between 50-75yrs,
- A Subvastus approach can be used
You may not qualify if:
- Over 75 of age
- Poor health issues
- Revised surgery on same knee
- Pt with evidence of active infection
- Pt with a BMI larger than 30kg/m2
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The Ottawa General Hospital
Ottawa, Ontario, H1H 8L6, Canada
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Geoffrey Dervin, MD,MSc,FRCSC
OHRI / The Ottawa Hospital
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 19, 2010
First Posted
August 23, 2010
Study Start
November 1, 2010
Primary Completion
June 18, 2019
Study Completion
June 18, 2019
Last Updated
September 6, 2019
Record last verified: 2019-09