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CompassionevsNCT06251869

Electrocoagulation vs. Cold Knife Cutting in Joint Arthroplasty (Electrocoagulation vs Scalpel)

An observational study of Compassion, run by Iuliu Hatieganu University of Medicine and Pharmacy at 1 site in Romania.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Comparison of clinical outcomes of electrocoagulation and non-electrocoagulation techniques in total hip and knee arthroplasty surgery Read more about this study

Who is it for?
Ages 18 to 90 years
Conditions the study is for
Compassion
What is being tested?
total hip arthroplasty with electrocoagulation, total hip arthroplasty without electrocoagulation and total knee arthroplasty with electrocoagulation
Type of treatment
Surgery or procedure
How many people
700 participants
Where
1 siteRomania
Study dates
15 Mar 2024to 15 Feb 2027
Phase
Observational
Are there results?
Not yet: the study is under way

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 18 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: anyone who needs a hip/knee replacemnt

Who may be able to join

  • Patients who have given informed consent to the procedure
  • Patients admitted over 18 years of age
  • Patients with pathology requiring primary joint replacement (symptomatic gonarthrosis/coxarthrosis, Avascular necrosis (AVN) of the femoral head , femoral neck fractures, etc)

Who cannot join

  • Contraindications for major surgery or anaesthesia
  • Patients with active infections that could interfere with outcome assessment
  • Patients unable to give informed consent for psychological or cognitive reasons
  • Severe medical conditions such as coagulopathies that may significantly influence outcomes
  • Patients unable or unwilling to adhere to the required follow-up period
  • Patients who died during the study period
  • Patients with revision prosthesis operations

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Ciornei Vladimir, MD contact

0748083163 ext. +4

Romania1 site, 1 recruiting
  • Clinica Ortopedie-Traumatologie, Secția 2

    Cluj-Napoca, Cluj, 400347

    BENEA R HOREA, MD, 0724528188 ext. +40, beneahorea@yahoo.com

    BENEA R HOREA, MD

    Recruiting

Other trials in Romania

About this study

Official title: Electrocoagulation vs. Cold Knife Cutting in Joint Arthroplasty: A Comparative Analysis in Knee and Hip Replacement

Comparison of clinical outcomes of electrocoagulation and non-electrocoagulation techniques in total hip and knee arthroplasty surgery

Read the detailed description

Objectives:

  1. 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.
  1. 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.
  1. 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.
  1. Comparison of data obtained with other studies conducted internationally.
Conditions
Compassion
Being tested
total hip arthroplasty with electrocoagulation, total hip arthroplasty without electrocoagulation, total knee arthroplasty with electrocoagulation, total knee arthroplasty without electrocoagulation
Keywords
electrocoagulation, cold knife, scalpel, joint arthroplasty, knee replacement, hip replacement, comparative analysis, surgical techniques, orthopedics, outcome assessment
Medical subject headings
Hyperthermia

What participants receive

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

  • total hip arthroplasty with electrocoagulationProcedure or surgery

    using normal technique

  • total hip arthroplasty without electrocoagulationProcedure or surgery

    using only scalpel and pean as hemostasis and incision

  • total knee arthroplasty with electrocoagulationProcedure or surgery

    using normal technique

  • total knee arthroplasty without electrocoagulationProcedure or surgery

    using only scalpel and pean as hemostasis and incision

Study groups in NCT06251869
Study groupRoleWhat they receive
hip electrocoagulationgroup subjected to the use of electrocoagulation
Receives: Procedure: total hip arthroplasty with electrocoagulation
hip scalpelgroup subjected to the use of traditional hemostatic technique
Receives: Procedure: total hip arthroplasty without electrocoagulation
knee electrocoagulationgroup subjected to the use of electrocoagulation
Receives: Procedure: total knee arthroplasty with electrocoagulation
knee scalpelgroup subjected to the use of traditional hemostatic technique
Receives: Procedure: total knee arthroplasty without electrocoagulation

What is being measured

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

  1. Knee 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

    Measured: 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

  2. 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 .

    Measured: 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

  3. 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 .

    Measured: 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

  4. Harris Hip Score

    to objectify the recovery, score is on a scale, higher values mean a better outcome, scale 0-100 .

    Measured: 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

  5. 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 .

    Measured: 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

  6. Forgotten Joint Score

    to objectify the recovery, score is on a scale, higher values mean a worse outcome, scale 0-48 .

    Measured: 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

Secondary outcomes (12)
  1. hemaglobin levels

    for blood loss objectification .

    Measured: 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

  2. leucocyte levels

    for infection objectification .

    Measured: 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

  3. thrombocyte levels

    for blood loss objectification .

    Measured: 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

  4. 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. .

    Measured: through hospital stay of patient approximatively 4-7 days

  5. joint hyperextension angle

    to objectify the recovery, the measurement will be done with a measuring angle during objective evaluation. .

    Measured: 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

  6. joint flexion angle

    to objectify the recovery, the measurement will be done with a measuring angle during objective evaluation. .

    Measured: 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

  7. genu flexum angle

    to objectify the recovery, the measurement will be done with a measuring angle during objective evaluation. .

    Measured: 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

  8. joint external rotation angle

    to objectify the recovery, the measurement will be done with a measuring angle during objective evaluation. .

    Measured: 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

  9. joint internal rotation angle

    to objectify the recovery, the measurement will be done with a measuring angle during objective evaluation. .

    Measured: 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

  10. joint abduction angle

    to objectify the recovery, the measurement will be done with a measuring angle during objective evaluation. .

    Measured: 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

  11. joint adduction angle

    to objectify the recovery, the measurement will be done with a measuring angle during objective evaluation. .

    Measured: 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

  12. Number of participants with complications

    to objectify the superiority of one technique over the other, higher number signifies a worse outcome .

    Measured: through study completion, an average of 1 year

Timeline

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

  1. First posted9 Feb 2024
  2. Study start15 Mar 2024
  3. Primary completion15 Feb 2027 (estimated)
  4. Study completion15 Feb 2027 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Prospective
Enrolment
700 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06251869
Sponsor's protocol ID
umfcj002
Acronym
evs
Status last verified
Apr 2025
First submitted
14 Dec 2023
Last updated
1 May 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Sonntag R, Gibmeier J, Pulvermacher S, Mueller U, Eckert J, Braun S, Reichkendler M, Kretzer JP. Electrocautery Damage Can Reduce Implant Fatigue Strength: Cases and in Vitro Investigation. J Bone Joint Surg Am. 2019 May 15;101(10):868-878. doi: 10.2106/JBJS.18.00259.

    PubMed 31094978
  • Lacitignola L, Desantis S, Izzo G, Staffieri F, Rossi R, Resta L, Crovace A. Comparative Morphological Effects of Cold-Blade, Electrosurgical, and Plasma Scalpels on Dog Skin. Vet Sci. 2020 Jan 12;7(1):8. doi: 10.3390/vetsci7010008.

    PubMed 31940962
  • Lin W, Dai Y, Niu J, Yang G, Li M, Wang F. Scalpel can achieve better clinical outcomes compared with electric cautery in primary total knee arthroplasty: a comparison study. BMC Musculoskelet Disord. 2020 Jun 29;21(1):409. doi: 10.1186/s12891-020-03457-1.

    PubMed 32600294
  • Behrend H, Giesinger K, Giesinger JM, Kuster MS. The "forgotten joint" as the ultimate goal in joint arthroplasty: validation of a new patient-reported outcome measure. J Arthroplasty. 2012 Mar;27(3):430-436.e1. doi: 10.1016/j.arth.2011.06.035. Epub 2011 Oct 13.

    PubMed 22000572
  • Cadeddu JA. Re: Lateral temperature spread of monopolar, bipolar and ultrasonic instruments for robot-assisted laparoscopic surgery. J Urol. 2015 Jan;193(1):129. doi: 10.1016/j.juro.2014.10.014. Epub 2014 Oct 12. No abstract available.

    PubMed 25523661
  • Tammachote N, Kanitnate S. Electric cautery does not reduce blood loss in primary total knee arthroplasty compared with scalpel only surgery a double-blinded randomized controlled trial. Int Orthop. 2018 Dec;42(12):2755-2760. doi: 10.1007/s00264-018-4048-y. Epub 2018 Jul 3.

    PubMed 29968137
  • Ozturk K, Kaya I, Turhal G, Ozturk A, Gursan G, Akyildiz S. A comparison of electrothermal bipolar vessel sealing system and electrocautery in selective neck dissection. Eur Arch Otorhinolaryngol. 2016 Nov;273(11):3835-3838. doi: 10.1007/s00405-016-3999-0. Epub 2016 Mar 23.

    PubMed 27007131
  • Groot G, Chappell EW. Electrocautery used to create incisions does not increase wound infection rates. Am J Surg. 1994 Jun;167(6):601-3. doi: 10.1016/0002-9610(94)90106-6.

    PubMed 8209936

Questions about this trial

What is this clinical trial studying?

An observational study of Compassion, run by Iuliu Hatieganu University of Medicine and Pharmacy at 1 site in Romania.

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 3 inclusion and 7 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: looking for participants now, as of the sponsor's last update on 1 May 2025. 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 Romania. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Cicio Dennis (0752457783 ext. +4, ciciodennis@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Knee Injury and Osteoarthritis Outcome Score (KOOS) knee subjective score (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). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06251869, which also lists 8 linked publications.

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 1 May 2025; AzTrials last refreshed its copy on 30 Oct 2026.

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