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Evaluation of the safety and effectiveness of reducing the anticoagulant dose for perioperative DVT prevention in enhanced-recovery hip and knee arthroplasty

Evaluation of the safety and effectiveness of reducing the anticoagulant dose for perioperative DVT prevention in enhanced-recovery hip and knee arthroplasty

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2400091009
Enrollment
Unknown
Registered
2024-10-18
Start date
2024-09-01
Completion date
Unknown
Last updated
2024-10-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Bone and joint disease

Interventions

Half dose DVT prophylactic drug group:NA
Full dose DVT prophylactic drug group:NA

Sponsors

West China Hospital of Sichuan University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 80 Years

Inclusion criteria

Inclusion criteria: 1) Age 18-80 years old, gender is not limited; 2) Patients diagnosed with primary or secondary hip and knee diseases that have failed conservative treatment; 3) Patients who were assessed by the investigators to require initial unilateral total hip or total knee replacement surgery; 4) The subjects fully understand the benefits and risks of perioperative anticoagulation and are willing to participate in and sign the informed consent for the use of anticoagulation drugs.

Exclusion criteria

Exclusion criteria: 1) Body mass index (BMI)>35kg/m^2; 2) Patients with heart, lung and other important organ failure; 3) Abnormal liver and kidney function (ALT and AST> 1.5 times normal value, blood BUN>8.3 mmoll, blood Scr>115 umol/L); 4) Patients with diabetes and poorly controlled blood glucose levels who are judged by researchers to be at risk of infection; 5) Combined with consciousness disorder or mental illness; 6) Neuromuscular dysfunction affecting lower limb function; 7) Patients with severe coagulation disorder; 8) Combined with serious internal and surgical diseases or physical weakness, unable to tolerate surgery; 9) There is an active infection in the body (systemic or local infection lesions); 10) Preoperative inflammatory indicators for non-inflammatory diseases were more than 2 times the upper limit of normal; 11) Preoperative inflammatory indicators for inflammatory diseases exceed the upper limit of normal by 3 times; 12) Have serious osteoporosis, metabolic bone disease, radiation bone disease, tumor; 13) Women with family planning, lactation and pregnancy throughout the clinical study period; 14) Participants who have participated in other clinical trials within 3 months; 15) Participants who are not considered suitable to participate in this clinical trial for other reasons.

Design outcomes

Primary

MeasureTime frame
deep venous thrombosis;

Secondary

MeasureTime frame
Total blood loss;hospital stays;womac index;

Countries

China

Contacts

Public ContactWang Haoyang

West China Hospital of Sichuan University

414378748@qq.com+86 189 8060 5081

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026