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Knee ArthropathyNCT03942939

Tourniquet vs. Short Time Tourniquet in Primary Robotic Assisted TKA

A study testing Primary Robotic-Assisted Total Knee Arthroplasty with a short tourniquet time and Primary Robotic-Assisted Total Knee Arthroplasty with the use of a tourniquet in people with Knee Arthropathy, run by University of Louisville at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this prospective, randomized study is to compare the outcomes of patients undergoing Robotic Arm-Assisted TKA (RA-TKA) with the intraoperative use of a tourniquet to those undergoing RA-TKA with a short tourniquet time. Read more about this study

Who is it for?
Ages 21 years and older
Conditions the study is for
Knee Arthropathy
What is being tested?
Primary Robotic-Assisted Total Knee Arthroplasty with a short tourniquet time and Primary Robotic-Assisted Total Knee Arthroplasty with the use of a tourniquet
Could I receive a placebo?
No, everyone receives an active treatment
How many people
101 participants
Where
1 siteUnited States
Study dates
27 Aug 2019to 15 Jul 2020
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient is over the age of 21
  • Patient is scheduled to undergo a unilateral, cementless primary RA-TKA, secondary to osteoarthritis
  • Surgical approach is subvastus approach
  • Patient's BMI (body mass index) is less than 40 at time of surgery.
  • Patient agrees to participate as a study subject and signs the Informed Consent and Research Authorization documents
  • Patient is able to read and speak English

Who cannot join

  • Patient is under the age of 21
  • Patient's primary diagnosis is not osteoarthritis (e.g. post-traumatic arthritis)
  • Patient is scheduled to undergo a bilateral TKA surgery
  • Patient BMI is > 40
  • Patient is unable to read and speak English

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Jewish Hospital

    Louisville, Kentucky, 40202

Other trials in United States

About this study

Official title: Is TKA With Short Tourniquet Time Superior to TKA With Tourniquet Use in Primary Robotic Assisted TKA? A Prospective, Randomized Study.

The goal of this prospective, randomized study is to compare the outcomes of patients undergoing Robotic Arm-Assisted TKA (RA-TKA) with the intraoperative use of a tourniquet to those undergoing RA-TKA with a short tourniquet time.

Read the detailed description

The goal of this prospective, randomized study is to compare the outcomes of patients undergoing Robotic Arm-Assisted TKA (RA-TKA) with the intraoperative use of a tourniquet to those undergoing RA-TKA with a short tourniquet time. The primary objectives will be to compare the total duration of hospital stay, quadriceps function, and the amount of postoperative narcotics utilized and VAS pain levels. The secondary objective will be to compare variables of patient functionality at five postoperative intervals.

Being tested
Primary Robotic-Assisted Total Knee Arthroplasty with a short tourniquet time, Primary Robotic-Assisted Total Knee Arthroplasty with the use of a tourniquet

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Primary Robotic-Assisted Total Knee Arthroplasty with a short tourniquet timeOther

    Primary Robotic-Assisted Total Knee Arthroplasty with a short tourniquet time. Short tourniquet time is defined in this study as the release of the tourniquet after the initial exposure, resulting in a total tourniquet time of only 10-15 minutes.

  • Primary Robotic-Assisted Total Knee Arthroplasty with the use of a tourniquetOther

    Primary Robotic-Assisted Total Knee Arthroplasty with the use of a tourniquet

Study groups in NCT03942939
Study groupRoleWhat they receive
A - TKA with short tourniquet timeExperimental50 arms: subjects will receive a tourniquet with a short tourniquet time during TKA surgery. Short tourniquet time is defined in this study as the release of the tourniquet after the initial exposure, resulting in a total tourniquet time of only 10-15 minutes.
Receives: Other: Primary Robotic-Assisted Total Knee Arthroplasty with a short tourniquet time
B - TKA with tourniquetActive comparator50 arms: subjects will receive a tourniquet during TKA surgery.
Receives: Other: Primary Robotic-Assisted Total Knee Arthroplasty with the use of a tourniquet

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Knee Society Score

    Knee Society Score. The score is on a scale from 0-100. A higher value represents a better outcome.

    Measured: outcome measure will be taken preoperatively (4-6 weeks prior to date of surgery)

  2. Knee Society Score

    Knee Society Score. The score is on a scale from 0-100. A higher value represents a better outcome.

    Measured: outcome measure will be taken 6 weeks (± 2 weeks) postoperatively

  3. Knee Society Score

    Knee Society Score. The score is on a scale from 0-100. A higher value represents a better outcome.

    Measured: outcome measure will be taken 1 year (± 2 months) postoperatively

  4. WOMAC Score

    WOMAC score. The score is on a scale from 0-100. In contrast to the Knee Society Score, on the WOMAC a lower value represents a better outcome.

    Measured: outcome measure will be taken preoperatively (4-6 weeks prior to date of surgery)

  5. WOMAC Score

    WOMAC score. The score is on a scale from 0-100. In contrast to the Knee Society Score, on the WOMAC a lower value represents a better outcome.

    Measured: outcome measure will be taken 6 weeks (± 2 weeks) postoperatively

  6. WOMAC Score

    WOMAC score. The score is on a scale from 0-100. In contrast to the Knee Society Score, on the WOMAC a lower value represents a better outcome.

    Measured: outcome measure will be taken 1 year (± 2 months) postoperatively

  7. Active range-of-motion (ROM)

    Active ROM (range-of-motion) as measured by a goniometer (range of 0-135 degrees)

    Measured: outcome measure will be taken preoperatively (4-6 weeks prior to date of surgery)

  8. Active range-of-motion (ROM)

    Active ROM (range-of-motion) as measured by a goniometer (range of 0-135 degrees)

    Measured: outcome measure will be taken 6 weeks (± 2 weeks) postoperatively

  9. Active range-of-motion (ROM)

    Active ROM (range-of-motion) as measured by a goniometer (range of 0-135 degrees)

    Measured: outcome measure will be taken 1 year (± 2 months) postoperatively

  10. Amount of narcotic medication utilized

    Amount of narcotic medication utilized (daily dosage measured as a Milligram Morphine Equivalent (MME) value).

    Measured: outcome measure will be taken 24 hours postoperatively

  11. Amount of narcotic medication utilized

    Amount of narcotic medication utilized (daily dosage measured as a Milligram Morphine Equivalent (MME) value).

    Measured: outcome measure will be taken 48 hours postoperatively

  12. Amount of narcotic medication utilized

    Amount of narcotic medication utilized (daily dosage measured as a Milligram Morphine Equivalent (MME) value).

    Measured: outcome measure will be taken 72 hours postoperatively

  13. Amount of narcotic medication utilized

    Amount of narcotic medication utilized (daily dosage measured as a Milligram Morphine Equivalent (MME) value).

    Measured: outcome measure will be taken 2 weeks (± 4 days) postoperatively

  14. Amount of narcotic medication utilized

    Amount of narcotic medication utilized (daily dosage measured as a Milligram Morphine Equivalent (MME) value).

    Measured: outcome measure will be taken 6 weeks (± 2 weeks) postoperatively

  15. Visual Analog Scale

    The Visual Analog Scale measures the patient's level of knee pain on a scale of zero to ten via what the patient expresses verbally. The Visual Analog Scale (VAS) represents the degree of pain that the patient is experiencing at the time the measure is taken. Zero represents "pain-free". A 10 would represent pain so excruciating as to warrant emergency medical assistance, or as it is described to the patient, "the worst pain imaginable". Obviously, the lower the number, the better the outcome. There is no subscale.

    Measured: outcome measure will be taken 24 hours postoperatively

  16. Visual Analog Scale

    The Visual Analog Scale measures the patient's level of knee pain on a scale of zero to ten via what the patient expresses verbally. The Visual Analog Scale (VAS) represents the degree of pain that the patient is experiencing at the time the measure is taken. Zero represents "pain-free". A 10 would represent pain so excruciating as to warrant emergency medical assistance, or as it is described to the patient, "the worst pain imaginable". Obviously, the lower the number, the better the outcome. There is no subscale.

    Measured: outcome measure will be taken 48 hours postoperatively

  17. Visual Analog Scale

    The Visual Analog Scale measures the patient's level of knee pain on a scale of zero to ten via what the patient expresses verbally. The Visual Analog Scale (VAS) represents the degree of pain that the patient is experiencing at the time the measure is taken. Zero represents "pain-free". A 10 would represent pain so excruciating as to warrant emergency medical assistance, or as it is described to the patient, "the worst pain imaginable". Obviously, the lower the number, the better the outcome. There is no subscale.

    Measured: outcome measure will be taken 72 hours postoperatively

  18. Visual Analog Scale

    The Visual Analog Scale measures the patient's level of knee pain on a scale of zero to ten via what the patient expresses verbally. The Visual Analog Scale (VAS) represents the degree of pain that the patient is experiencing at the time the measure is taken. Zero represents "pain-free". A 10 would represent pain so excruciating as to warrant emergency medical assistance, or as it is described to the patient, "the worst pain imaginable". Obviously, the lower the number, the better the outcome. There is no subscale.

    Measured: outcome measure will be taken 2 weeks (± 4 days) postoperatively

  19. Visual Analog Scale

    The Visual Analog Scale measures the patient's level of knee pain on a scale of zero to ten via what the patient expresses verbally. The Visual Analog Scale (VAS) represents the degree of pain that the patient is experiencing at the time the measure is taken. Zero represents "pain-free". A 10 would represent pain so excruciating as to warrant emergency medical assistance, or as it is described to the patient, "the worst pain imaginable". Obviously, the lower the number, the better the outcome. There is no subscale.

    Measured: outcome measure will be taken 6 weeks (± 2 weeks) postoperatively

  20. Distance that patient is able to walk

    Distance that patient is able to walk, as measured in feet

    Measured: outcome measure will be taken 24 hours postoperatively

  21. Distance that patient is able to walk

    Distance that patient is able to walk, as measured in feet

    Measured: outcome measure will be taken 48 hours postoperatively

  22. Distance that patient is able to walk

    Distance that patient is able to walk, as measured in feet

    Measured: outcome measure will be taken 72 hours postoperatively

  23. Distance that patient is able to walk

    Distance that patient is able to walk, as measured in feet

    Measured: outcome measure will be taken 2 weeks (± 4 days) postoperatively

  24. Distance that patient is able to walk

    Distance that patient is able to walk, as measured in feet

    Measured: outcome measure will be taken 6 weeks (± 2 weeks) postoperatively

  25. Ability to rise from a chair independently

    Ability to rise from a chair independently (Yes/No)

    Measured: outcome measure will be taken 24 hours postoperatively

  26. Ability to rise from a chair independently

    Ability to rise from a chair independently (Yes/No)

    Measured: outcome measure will be taken 48 hours postoperatively

  27. Ability to rise from a chair independently

    Ability to rise from a chair independently (Yes/No)

    Measured: outcome measure will be taken 72 hours postoperatively

  28. Ability to rise from a chair independently

    Ability to rise from a chair independently (Yes/No)

    Measured: outcome measure will be taken 2 weeks (± 4 days) postoperatively

  29. Ability to rise from a chair independently

    Ability to rise from a chair independently (Yes/No)

    Measured: outcome measure will be taken 6 weeks (± 2 weeks) postoperatively

  30. Use of an ambulatory assistive device

    Use of an ambulatory assistive device (Yes/No)

    Measured: outcome measure will be taken 24 hours postoperatively

  31. Use of an ambulatory assistive device

    Use of an ambulatory assistive device (Yes/No)

    Measured: outcome measure will be taken 48 hours postoperatively

  32. Use of an ambulatory assistive device

    Use of an ambulatory assistive device (Yes/No)

    Measured: outcome measure will be taken 72 hours postoperatively

  33. Use of an ambulatory assistive device

    Use of an ambulatory assistive device (Yes/No)

    Measured: outcome measure will be taken 2 weeks (± 4 days) postoperatively

  34. Use of an ambulatory assistive device

    Use of an ambulatory assistive device (Yes/No)

    Measured: outcome measure will be taken 6 weeks (± 2 weeks) postoperatively

  35. Return to driving

    Return to driving (Yes/No)

    Measured: outcome measure will be taken 2 weeks (± 4 days) postoperatively

  36. Return to driving

    Return to driving (Yes/No)

    Measured: outcome measure will be taken 6 weeks (± 2 weeks) postoperatively

  37. Level of Patient Satisfaction: 5-point Likert scale

    Level of Patient Satisfaction as measured using a 5-point Likert scale

    Measured: outcome measure will be taken at 6 weeks (± 2 weeks) postoperatively.

  38. Level of Patient Satisfaction: 5-point Likert scale

    Level of Patient Satisfaction as measured using a 5-point Likert scale

    Measured: outcome measure will be taken 1 year (± 2 months) postoperatively

  39. Quadriceps Function

    Quadriceps Function as measured in peak force in kilograms by a Hand-held dynamometer (model 01163; Lafayette Instrument Company, Lafayette, Ind., USA)

    Measured: outcome measure will be taken at 2 weeks (± 4 days)

  40. Quadriceps Function

    Quadriceps Function as measured in peak force in kilograms by a Hand-held dynamometer (model 01163; Lafayette Instrument Company, Lafayette, Ind., USA)

    Measured: outcome measure will be taken 6 weeks (± 2 weeks) postoperatively

  41. Quadriceps Function

    Quadriceps Function as measured in peak force in kilograms by a Hand-held dynamometer (model 01163; Lafayette Instrument Company, Lafayette, Ind., USA)

    Measured: outcome measure will be taken 1 year (± 2 months) postoperatively

  42. total length of hospital stay

    total length of hospital stay as defined by number of days from date of surgery to date of discharge

    Measured: outcome measure will be taken at 2 weeks postoperatively

  43. Dates of postoperative exams

    Dates of postoperative exams as defined by dates that subject returns to the P.I.'s office for postoperative exam

    Measured: outcome measure will be taken at 2 weeks (± 4 days) postoperatively

  44. Dates of postoperative exams

    Dates of postoperative exams as defined by dates that subject returns to the P.I.'s office for postoperative exam

    Measured: outcome measure will be taken 6 weeks (± 2 weeks) postoperatively

  45. Dates of postoperative exams

    Dates of postoperative exams as defined by dates that subject returns to the P.I.'s office for postoperative exam

    Measured: outcome measure will be taken 1 year (± 2 months) postoperatively

  46. Incidence of postop transfusion

    Incidence of postop transfusion as defined by one or more transfusions of blood to the subject postoperatively

    Measured: outcome measure will be taken at 2 weeks postoperatively

  47. Change in creatinine level (CKMB)

    Change in CKMB (creatinine level) as defined by the CKMB values recorded in the participant's lab report

    Measured: outcome measures will be taken preoperatively (4-6 weeks prior to date of surgery) and on postoperative day number two.

  48. Change in hemoglobin level (HgB)

    Change in HgB as defined by the HgB values recorded in the participant's lab report

    Measured: outcome measures will be taken preoperatively (4-6 weeks prior to date of surgery) and on postoperative day number two.

  49. Operative Time

    Total Operative Time as defined in minutes

    Measured: outcome measure will be taken at 2 weeks postoperatively

  50. Estimated Blood Loss (EBL)

    Estimated Blood Loss as defined by the amount of intraoperative blood loss measured in cubic centimeters (cc).

    Measured: outcome measure will be taken at 2 weeks postoperatively

Secondary outcomes (1)
  1. Number of Participants with postoperative complications

    Number of Participants with postoperative complications. A postoperative complication is defined as any diagnosis or condition that necessitates a re-operation on the surgical knee

    Measured: outcome measure will be taken at 1 year (± 2 months) postoperatively

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 May 2019
  2. Study start27 Aug 2019
  3. Primary completion17 Dec 2019
  4. Study completion15 Jul 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
101 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03942939
Sponsor's protocol ID
19.0365
Status last verified
Nov 2020
First submitted
3 May 2019
Last updated
4 Nov 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Primary Robotic-Assisted Total Knee Arthroplasty with a short tourniquet time and Primary Robotic-Assisted Total Knee Arthroplasty with the use of a tourniquet in people with Knee Arthropathy, run by University of Louisville at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 4 Nov 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Knee Society Score (time frame: outcome measure will be taken preoperatively (4-6 weeks prior to date of surgery)). The study lists 50 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Nov 2020; AzTrials last refreshed its copy on 8 Nov 2026.

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