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Patients undergoing total knee arthroplasty will follow two different rehabilitation protocols. In one of them, they will start walking the day of surgery and discharged on a 48 hours basis. On the other one, start walking 3 days after surgery and discharged on a 96 hours basis. Outcomes will be satisfaction, pain, range of movement, incidence of DVT and overall complications.
Randomization will be performed concealed the day before surgery. Tranexamic acid will be used in both groups. Rapid recovery group will not be using a drain, whereas the standard protocol group will have one.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Rapid recovery protocol | Experimental | They will start walking the day of surgery. Levobupivacain 5mg/ml will be placed in the knee tissues. Tranexamic acid inside the knee. No drains. |
|
| Classic protocol | Active Comparator | They will start walking 3 days after surgery. Levobupivacain 5 mg/ml will be placed in the femoral nerve. Tranexamic acid inside the knee. A Redon drain will be used. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Walk within 24 hours | Behavioral | Patients will start walking on different timings. Patients on the rapid recovery protocol won't be using drains. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain: Morphine clorhydrate shots requested by the patient | Number of shots requested and administered to the patient after surgery | 24 hours |
| Range of Motion | Knee range of motion measured in degrees of flexion (0-180º and extension (0-180º) | 6 months |
| Ultrasonography incidence of deep vein thrombosis | Incidence of deep vein thrombosis measured by ultrasound | 4 weeks-8 weeks |
| Overall score given by the patient to the knee replacement process | Satisfaction with the protocol. Subjective measure by the patient from 0 (bad) to 10 (best) with the surgery process. | 6 months |
| Infection | Incidence of infection | 1 year |
| Blood loss | Haemoglobin drop | 48 hours |
| Oxford Knee Score pre op and post op | Difference in Oxford Knee Scores postoperatively and preoperatively | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Universitario del RÃo Hortega | Valladolid | 47012 | Spain |
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| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D004322 | Drainage |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D013514 | Surgical Procedures, Operative |
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|
| D012216 |
| Rheumatic Diseases |