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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
175
Patients will start walking on different timings. Patients on the rapid recovery protocol won't be using drains.
Hospital Universitario del Río Hortega
Valladolid, Spain
Pain: Morphine clorhydrate shots requested by the patient
Number of shots requested and administered to the patient after surgery
Time frame: 24 hours
Range of Motion
Knee range of motion measured in degrees of flexion (0-180º and extension (0-180º)
Time frame: 6 months
Ultrasonography incidence of deep vein thrombosis
Incidence of deep vein thrombosis measured by ultrasound
Time frame: 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.
Time frame: 6 months
Infection
Incidence of infection
Time frame: 1 year
Blood loss
Haemoglobin drop
Time frame: 48 hours
Oxford Knee Score pre op and post op
Difference in Oxford Knee Scores postoperatively and preoperatively
Time frame: 6 months
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