Blood Loss Between Surgical Blade and Unipolar Electrocautery in TKA

N/ACompletedNCT02108327

Thammasat University80 enrolled

Overview

Using of surgical blade may have less blood loss than unipolar electrocautery in Total Knee Arthroplasty (TKA).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

QUADRUPLE

Enrollment

Conditions

Blood Loss

Interventions

surgical bladePROCEDURE

Using surgical blade all the time of surgery

electrocauteryPROCEDURE

Using electrocautery all the time except at skin incision

Eligibility

Sex: ALLMin age: 50 YearsMax age: 85 Years

Medical Language ↔ Plain English

Inclusion Criteria: * osteoarthritis of the knee who undergoing unilateral primary total knee arthroplasty * age 50-85 years old * ASA class 1-3 Exclusion Criteria: * unable to perform spinal anaesthesia * history of coagulation disorder * renal impairment (CrCl \<30 mL/min) or cirrhosis * platelet count \< 100,000 or abnormal coagulogram * on pacemaker * stop anti-platelet or anti-coagulogram less than 7 days

Locations (1)

Orthopaedic department, Faculty of medicine, Thammasat university

Klongluang, Changwat Pathum Thani, Thailand

Outcomes

Primary Outcomes

Blood loss

\- detected total blood loss from hemoglobin at 24,48 hours after surgery, maximum Hb drop and blood loss collected in radivac drain

Time frame: 48 hours

Secondary Outcomes

inflammation

determine inflammatory response with C-rective protein (CRP) at post-op 48 hours

Time frame: 48 hours

Knee function

measured with WOMAC

Time frame: 3 months

knee range of motion

Time frame: 3 months

complication

detected with wound dehiscence, wound infection

Time frame: 2 weeks

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.