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

Last updated: April 28, 2025
Sponsor: Iuliu Hatieganu University of Medicine and Pharmacy
Overall Status: Active - Recruiting

Phase

N/A

Condition

N/A

Treatment

total knee arthroplasty without electrocoagulation

total hip arthroplasty with electrocoagulation

total hip arthroplasty without electrocoagulation

Clinical Study ID

NCT06251869
umfcj002
  • Ages 18-90
  • All Genders

Study Summary

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

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Patients who have given informed consent to the procedure

  • Patients admitted over 18 years of age

  • Patients with pathology requiring primary joint replacement (symptomaticgonarthrosis/coxarthrosis, Avascular necrosis (AVN) of the femoral head , femoralneck fractures, etc)

Exclusion

Exclusion Criteria:

  • 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 influenceoutcomes

  • Patients unable or unwilling to adhere to the required follow-up period

  • Patients who died during the study period

  • Patients with revision prosthesis operations

Study Design

Total Participants: 700
Treatment Group(s): 4
Primary Treatment: total knee arthroplasty without electrocoagulation
Phase:
Study Start date:
March 15, 2024
Estimated Completion Date:
February 15, 2027

Study Description

Objectives:

A. 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.

B. 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.

C. 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.

D. Comparison of data obtained with other studies conducted internationally.

Connect with a study center

  • Clinica Ortopedie-Traumatologie, Secția 2

    Cluj-Napoca, Cluj 400347
    Romania

    Active - Recruiting

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