Opioid-free Accelerated Recovery Total Knee Arthroplasty

Arthropathy of Knee Joint Clinical Trial

Official title: Opioid-Free Accelerated Recovery Total Knee Arthroplasty

Status Completed

Clinical Trial Summary

To prove that total knee arthroplasty can be performed with little, if any need for opioids by using a combination of patient education, optimized pre-op and post-op pain and recovery protocols. The goal being opioid-free total knee arthroplasty.

Clinical Trial Description

All study patients will receive a standardized protocol

• All surgical procedures performed by single surgeon using same implants, approach, pre-op and post-op optimization, and simplified pain protocol at a single hospital or surgery center

• Will attempt to minimize the number of anesthesiologists to further control variability in care

Methods:

1. Pre-op Optimization

• All patients enroll in education program

• All patients have optimized BMI, hemoglobin, albumin, glucose control-A1C, and blood pressure

2. Total Joint Procedure

• Tourniquet-free cemented total knee arthroplasty is performed with intra-articular block

3. Data Collection

• Electronic medical record chart review

• Pre-op assessment and Post-op assessment (post anesthesia care unit (PACU), Phase II-prior to discharge

• Phone calls after discharge

• Follow-up assessment in surgeon's office

• Swift path / KOOS JR surveys

4. Pain Management Regimen

• pre-op physical therapy teaching

• post-op multimodal pain regimen ;

Related Conditions & MeSH terms

• Arthropathy of Knee Joint
• Joint Diseases

• NCT number: NCT03647709
• Study type: Observational
• Source: St. Elizabeth Medical Center, Utica, NY
• Status: Completed
• Start date: October 1, 2018
• Completion date: April 30, 2020