Fast-track Rehabilitation After Total Knee or Hip Arthroplasty

Knee Arthroplasty Clinical Trial

Official title:

Fast-track Rehabilitation After Total Knee or Hip Arthroplasty: an Observational Prospective Case-control Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03035435
• Other study ID #: Fast Track Rehab
• Status: Completed
• Phase: N/A
• First received: January 17, 2017
• Last updated: July 25, 2017
• Start date: January 2016
• Est. completion date: September 2016

Study information

• Verified date: July 2017
• Source: Fondazione Don Carlo Gnocchi Onlus
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

In the last years, a lot of surgical fast track programs (SFTP) have been created and developed. This is due to the steady growing number of interventions on knee and hip; after the surgical treatment, a period of physical rehabilitation (PR) is established to be useful and effective, it usually takes 2-3 weeks. The recovery of strength, range of motion (ROM), independence, the reduction of pain and disability are the aims of PR. With the SFTP and a specific rehabilitation program named fast track rehabilitation (FTR) these times can be reduced. First of all because the length of stay (LOS) it's also caused by organizational problems of the hospitals, not only for the factors related to the patient. It's already been demonstrated that an early mobilization decreases the risk of thromboembolic complications and of pain, furthermore an early rehabilitation increase the patient autonomy and reduces the lost of residual abilities. Moreover a PR program studied for fast track patient will reduce minimum by a 50% the LOS in hospital, decreasing so the sanitary efforts that are always a problem for all the countries. The aim of this study is therefore to propose a fast track rehabilitation program based on an 8 days program for hip and knee arthroplasty being operated with an SFTP.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 58
• Est. completion date: September 2016
• Est. primary completion date: June 2016
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• adult people (>18 years), both sex, admitted for elective total knee or hip arthroplasty, with a clinical stability (Hb>9 g/l).

Exclusion Criteria:

• the presence of pain measured with NRS (NRS>4)

• rheumatoid arthritis, past surgery

• cancer

• neurological and psychiatric disorders

• dementia with Minimental Test<24

• pregnancy

• participation in the other clinical studies.

Related Conditions & MeSH terms

• Hip Arthroplasty
• Knee Arthroplasty

Intervention

Other:
• fast-track rehabilitation

• standard care rehabilitation

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Fondazione Don Carlo Gnocchi Onlus

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	International Knee Society Score		Change from Baseline fast-track rehabilitation at 8th and 15th day
Primary	Merle D'Aubigne' scale		Change from Baseline fast-track rehabilitation at 8th and 15th day
Secondary	Barthel Index		Change from Baseline fast-track rehabilitation at 8th and 15th day