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Comparison of clinical outcomes of electrocoagulation and non-electrocoagulation techniques in total hip and knee arthroplasty surgery
Objectives:
A. To evaluate the effectiveness of electrocoagulation:
B. Comparison of surgical outcomes:
C. Review of patient recovery and period of hospitalization:
D. Comparison of data obtained with other studies conducted internationally.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| hip electrocoagulation | group subjected to the use of electrocoagulation |
| |
| hip scalpel | group subjected to the use of traditional hemostatic technique |
| |
| knee electrocoagulation | group subjected to the use of electrocoagulation |
| |
| knee scalpel | group subjected to the use of traditional hemostatic technique |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| total hip arthroplasty with electrocoagulation | Procedure | using normal technique |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Knee Injury and Osteoarthritis Outcome Score (KOOS) knee subjective score | to objectify the recovery, score is on a scale, higher values mean a worse outcome, scale 0-168 | the test will be administered pre operation, 2 weeks post-operation, 6 weeks post-op, 3 months post-op, 6 months post-op, 1 year post-op |
| Western Ontario and McMaster Universities Osteoarthritis index (WOMAC) subjective score | to objectify the recovery, score is on a scale, higher values mean a worse outcome, scale 0-96 . | the test will be administered pre operation, 2 weeks post-operation, 6 weeks post-op, 3 months post-op, 6 months post-op, 1 year post-op |
| International Knee Documentation Committee (IKDC) objective form | to objectify the recovery, score has different classifications on a scale from A to D, the latter being the worse outcome . | the test will be administered pre operation, 2 weeks post-operation, 6 weeks post-op, 3 months post-op, 6 months post-op, 1 year post-op |
| Harris Hip Score | to objectify the recovery, score is on a scale, higher values mean a better outcome, scale 0-100 . | the test will be administered pre operation, 2 weeks post-operation, 6 weeks post-op, 3 months post-op, 6 months post-op, 1 year post-op |
| Hip dysfunction and Osteoarthritis Outcome Score for Joint Replacement (HOOS-JR) hip subjective score | to objectify the recovery, score is on a scale, higher values mean a worse outcome, scale 0-24 . | the test will be administered pre operation, 2 weeks post-operation, 6 weeks post-op, 3 months post-op, 6 months post-op, 1 year post-op |
| Forgotten Joint Score |
| Measure | Description | Time Frame |
|---|---|---|
| hemaglobin levels | for blood loss objectification . | the hemaglobin levels will be registered pre-operation, then post-op day: 1, 2, 3, 4, and 5. Then at 2 weeks post-operation, 6 weeks, and 3 months |
| leucocyte levels |
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Inclusion Criteria:
Exclusion Criteria:
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anyone who needs a hip/knee replacemnt
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Cicio Dennis | Contact | 0752457783 | +4 | ciciodennis@gmail.com |
| Ciornei Vladimir, MD | Contact | 0748083163 | +4 |
| Name | Affiliation | Role |
|---|---|---|
| Benea R Horea, MD | Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinica Ortopedie-Traumatologie, Secția 2 | Recruiting | Cluj-Napoca | Cluj | 400347 | Romania |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31094978 | Background | Sonntag R, Gibmeier J, Pulvermacher S, Mueller U, Eckert J, Braun S, Reichkendler M, Kretzer JP. Electrocautery Damage Can Reduce Implant Fatigue Strength: Cases and in Vitro Investigation. J Bone Joint Surg Am. 2019 May 15;101(10):868-878. doi: 10.2106/JBJS.18.00259. | |
| 31940962 | Background | Lacitignola L, Desantis S, Izzo G, Staffieri F, Rossi R, Resta L, Crovace A. Comparative Morphological Effects of Cold-Blade, Electrosurgical, and Plasma Scalpels on Dog Skin. Vet Sci. 2020 Jan 12;7(1):8. doi: 10.3390/vetsci7010008. |
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| total hip arthroplasty without electrocoagulation |
| Procedure |
using only scalpel and pean as hemostasis and incision |
|
| total knee arthroplasty with electrocoagulation | Procedure | using normal technique |
|
| total knee arthroplasty without electrocoagulation | Procedure | using only scalpel and pean as hemostasis and incision |
|
to objectify the recovery, score is on a scale, higher values mean a worse outcome, scale 0-48 . |
| the test will be administered 2 weeks post-operation, 6 weeks post-op, 3 months post-op, 6 months post-op, 1 year post-op |
for infection objectification .
| the leucocyte levels will be registered pre-operation, then post-op day: 1, 2, 3, 4, and 5. Then at 2 weeks post-operation, 6 weeks, and 3 months |
| thrombocyte levels | for blood loss objectification . | the thrombocyte levels will be registered pre-operation, then post-op day: 1, 2, 3, 4, and 5. Then at 2 weeks post-operation, 6 weeks, and 3 months |
| mobilisation intervals of the patient | the investigators will asses the time for the self-mobilisation of the patient to sit at the bed's edge, and then mobilisation with a walking aid like a walking frame. . | through hospital stay of patient approximatively 4-7 days |
| joint hyperextension angle | to objectify the recovery, the measurement will be done with a measuring angle during objective evaluation. . | the measurements will be registered pre-operative, then 2 weeks post-operation, 6 weeks post-op, 3 months post-op, 6 months post-op, 1 year post-op |
| joint flexion angle | to objectify the recovery, the measurement will be done with a measuring angle during objective evaluation. . | the measurements will be registered pre-operative, then 2 weeks post-operation, 6 weeks post-op, 3 months post-op, 6 months post-op, 1 year post-op |
| genu flexum angle | to objectify the recovery, the measurement will be done with a measuring angle during objective evaluation. . | the measurements will be registered pre-operative, then 2 weeks post-operation, 6 weeks post-op, 3 months post-op, 6 months post-op, 1 year post-op |
| joint external rotation angle | to objectify the recovery, the measurement will be done with a measuring angle during objective evaluation. . | the measurements will be registered pre-operative, then 2 weeks post-operation, 6 weeks post-op, 3 months post-op, 6 months post-op, 1 year post-op |
| joint internal rotation angle | to objectify the recovery, the measurement will be done with a measuring angle during objective evaluation. . | the measurements will be registered pre-operative, then 2 weeks post-operation, 6 weeks post-op, 3 months post-op, 6 months post-op, 1 year post-op |
| joint abduction angle | to objectify the recovery, the measurement will be done with a measuring angle during objective evaluation. . | the measurements will be registered pre-operative, then 2 weeks post-operation, 6 weeks post-op, 3 months post-op, 6 months post-op, 1 year post-op |
| joint adduction angle | to objectify the recovery, the measurement will be done with a measuring angle during objective evaluation. . | the measurements will be registered pre-operative, then 2 weeks post-operation, 6 weeks post-op, 3 months post-op, 6 months post-op, 1 year post-op |
| Number of participants with complications | to objectify the superiority of one technique over the other, higher number signifies a worse outcome . | through study completion, an average of 1 year |
| 32600294 | Background | Lin W, Dai Y, Niu J, Yang G, Li M, Wang F. Scalpel can achieve better clinical outcomes compared with electric cautery in primary total knee arthroplasty: a comparison study. BMC Musculoskelet Disord. 2020 Jun 29;21(1):409. doi: 10.1186/s12891-020-03457-1. |
| 22000572 | Background | Behrend H, Giesinger K, Giesinger JM, Kuster MS. The "forgotten joint" as the ultimate goal in joint arthroplasty: validation of a new patient-reported outcome measure. J Arthroplasty. 2012 Mar;27(3):430-436.e1. doi: 10.1016/j.arth.2011.06.035. Epub 2011 Oct 13. |
| 25523661 | Background | Cadeddu JA. Re: Lateral temperature spread of monopolar, bipolar and ultrasonic instruments for robot-assisted laparoscopic surgery. J Urol. 2015 Jan;193(1):129. doi: 10.1016/j.juro.2014.10.014. Epub 2014 Oct 12. No abstract available. |
| 29968137 | Background | Tammachote N, Kanitnate S. Electric cautery does not reduce blood loss in primary total knee arthroplasty compared with scalpel only surgery a double-blinded randomized controlled trial. Int Orthop. 2018 Dec;42(12):2755-2760. doi: 10.1007/s00264-018-4048-y. Epub 2018 Jul 3. |
| 27007131 | Background | Ozturk K, Kaya I, Turhal G, Ozturk A, Gursan G, Akyildiz S. A comparison of electrothermal bipolar vessel sealing system and electrocautery in selective neck dissection. Eur Arch Otorhinolaryngol. 2016 Nov;273(11):3835-3838. doi: 10.1007/s00405-016-3999-0. Epub 2016 Mar 23. |
| 8209936 | Background | Groot G, Chappell EW. Electrocautery used to create incisions does not increase wound infection rates. Am J Surg. 1994 Jun;167(6):601-3. doi: 10.1016/0002-9610(94)90106-6. |
| ID | Term |
|---|---|
| D000084462 | Hyperthermia |
| ID | Term |
|---|---|
| D001832 | Body Temperature Changes |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D018882 | Heat Stress Disorders |
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| D019644 | Arthroplasty, Replacement, Hip |
| D004564 | Electrocoagulation |
| D019645 | Arthroplasty, Replacement, Knee |
| ID | Term |
|---|---|
| D019643 | Arthroplasty, Replacement |
| D001178 | Arthroplasty |
| D019637 | Orthopedic Procedures |
| D013514 | Surgical Procedures, Operative |
| D019651 | Plastic Surgery Procedures |
| D019919 | Prosthesis Implantation |
| D002425 | Cautery |
| D013812 | Therapeutics |
| D055011 | Ablation Techniques |
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