NCT03647709

Opioid-free Accelerated Recovery Total Knee Arthroplasty

Opioid-Free Accelerated Recovery Total Knee Arthroplasty

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 400 (actual)
• Sponsor: St. Elizabeth Medical Center, Utica, NY · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

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.

Detailed 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

Conditions

• Arthropathy of Knee Joint

Interventions

Type	Name	Description
OTHER	opioids	dosage frequency and duration

Timeline

• Start date: 2018-10-01
• Primary completion: 2019-10-30
• Completion: 2020-04-30
• First posted: 2018-08-27
• Last updated: 2020-05-12
• Results posted: 2020-05-12

Locations

1 site across 1 country: United States