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: * To measure the reduction in intraoperative bleeding volume when using electrocoagulation. * Analyse the impact of electrocoagulation on surgical visibility and accuracy during implant placement. B. Comparison of surgical outcomes: * Investigate the incidence of intra- and postoperative complications, such as incidental vascular-nerve injury, wound infections, deep vein thrombosis, and implant-related problems, in patients operated on with electrocoagulation versus techniques without electrocoagulation. * Examine the influence of haemostatic technique on the need for blood transfusion during or after surgery. * Evaluation of long-term functional outcomes and patient satisfaction, including joint stability and range of motion, in both groups. C. Review of patient recovery and period of hospitalization: * Analysis of the impact of electrocoagulation on length of hospitalisation, and time to ambulation. * Assessment of postoperative pain levels and analgesic medication use between the two groups. * Patients' return to daily activities and overall quality of life after surgery. D. Comparison of data obtained with other studies conducted internationally.
Study Type
OBSERVATIONAL
Enrollment
700
using normal technique
using only scalpel and pean as hemostasis and incision
using normal technique
Clinica Ortopedie-Traumatologie, Secția 2
Cluj-Napoca, Cluj, Romania
RECRUITINGKnee 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
Time frame: 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 .
Time frame: 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 .
Time frame: 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 .
Time frame: 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 .
Time frame: 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
to objectify the recovery, score is on a scale, higher values mean a worse outcome, scale 0-48 .
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using only scalpel and pean as hemostasis and incision
Time frame: 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
hemaglobin levels
for blood loss objectification .
Time frame: 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
for infection objectification .
Time frame: 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 .
Time frame: 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. .
Time 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. .
Time frame: 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. .
Time frame: 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. .
Time frame: 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. .
Time frame: 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. .
Time frame: 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. .
Time frame: 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. .
Time frame: 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 .
Time frame: through study completion, an average of 1 year