Feasibility of Outpatient Total Knee Arthroplasty
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Purpose
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.
| Condition |
|---|
|
Total Knee Replacement |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Feasibility of Outpatient Total Knee Arthroplasty |
| Estimated Enrollment: | 60 |
| Study Start Date: | November 2010 |
| Estimated Study Completion Date: | July 2013 |
| Estimated Primary Completion Date: | January 2013 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
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.
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Show Detailed Description Eligibility| Ages Eligible for Study: | 50 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Probability Sample |
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 20 patients (full intervention) will be geared for same day discharge using the successful protocol already in place for unicompartment knee arthroplasty (UKA) at TOH.
Inclusion Criteria:
- Must be candidate for Total knee arthroplasty
- Patient of Dr Dervin and Dr Gofton
- Male or Female
- Age range between 50-75yrs,
- Agreed to FNB
- A Subvastus approach can be used
Patients who do not meet any exclusion criteria.
Exclusion Criteria:
- Over 75 of age
- Poor health issues
- No FNB
- Revised surgery on same knee
- Pt with evidence of active infection
- Pt with a BMI larger than 30kg/m2
Contacts and Locations| Contact: Geoffrey Dervin, MD,MSc,FRCSC | (613)737-8081 | gdervin@ottawahospital.on.ca |
| Contact: Wade Gofton MD,MEd, BScH,FRCSC | (613) 798-5555 ext 18779 | wgofton@ottawahospital.on.ca |
| Canada, Ontario | |
| The Ottawa General Hospital | Recruiting |
| Ottawa, Ontario, Canada, H1H 8L6 | |
| Contact: Geoffrey Dervin MD, MSc,FRCSC (613)737-8081 gdervin@ottawahospital.on.ca | |
| Contact: Wade Gofton MD,MEd, ,BScH,FRCSC (613)798-5555 ext 18779 wgofton@ottawahospital.on.ca | |
| Principal Investigator: Geoffrey Dervin MD, MSc,FRCSC | |
| Principal Investigator: | Geoffrey Dervin, MD,MSc,FRCSC | OHRI / The Ottawa Hospital |
More Information
No publications provided
| Responsible Party: | Dr. G. Dervin, Chair, Orthopaedic Surgery, Ottawa Hospital Research Institute |
| ClinicalTrials.gov Identifier: | NCT01186211 History of Changes |
| Other Study ID Numbers: | OHREB2010262-01H |
| Study First Received: | August 19, 2010 |
| Last Updated: | December 20, 2011 |
| Health Authority: | Canada: Ethics Review Committee |
Keywords provided by Ottawa Hospital Research Institute:
|
Total Knee Arthroplasty (TKA) Modified Length of Stay (MLOS) |
ClinicalTrials.gov processed this record on May 23, 2013