Use of human surgical sealant during total knee replacement and if this affects knee movement for the 1st year after surgery. MedDRA version: 13.1 Level: LLT Classification code 10057129 Term: Revision of total knee arthroplasty System Organ Class: 10042613 - Surgical and medical procedures MedDRA version: 13.1 Level: LLT Classification code 10044094 Term: Total knee replacement System Organ Class: 10042613 - Surgical and medical procedures
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria - Primary total knee replacement - Aged 18 years or over; no upper age limit - Male and female participants - Able to provide written informed consent and comply with study procedures Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Exclusion criteria - Abnormal clotting screen pre operatively - Taken warfarin within 7 days of the TKR - Known to need warfarin post-operatively - Known bleeding disorders - Complex primary total knee replacement or revision knee replacement - Inflammatory joint disease - Pre operative haemoglobin levels less than 11 g/dL before surgery - Dementia or other significant cognitive impairment - Known anaphylaxis or severe systemic reaction to human blood products - Pregnant or breast feeding - Participation in another clinical trial or planned during the study - Inability to comply or non-compliance with protocol - Inability to consent for themselves due to mental or physcial incapacity - Excessive bleeding during surgery that warrants the use of a surgical sealant (EvicelTM or another) would prevent the subject from being able to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: What is the effect of a human surgical sealant (Evicel) on range of motion following total knee replacement measured at discharge, at 6 weeks, 3 months and 1 year.;Secondary Objective: The secondary outcome measures are: 1. Hopsital length of stay post-operatively 2. Knee circumference using a tape measure referenced from a set bony landmark 3. Post-operative knee function using the Oxford Knee Score and American Knee Society Score 4. Estimated total blood loss, measured using: estimated blood loss from operative swabs and suction; drop in haemoglobin and haematocrit in relation to body weight and height, according to the formula described by Gross (as clinical estimation alone is less accurate); and drainage from the knee drain at 24 hours. 5. Number of blood transfusions; the use of blood transfusion products will be based on individual clinical need according to the British Orthopaedic Association Blue Book Transfusion Guidelines;Primary end point(s): Range of Motion of the knee after TKR | — |
Countries
United Kingdom