Status:

NOT_YET_RECRUITING

Study of the Prognostic Value of the Coagulolytic Balance Dependent on Circulating Microvesicles in the Occurrence of Thrombotic Events After Total Knee Replacement in Orthopedic Surgery.

Lead Sponsor:

Assistance Publique Hopitaux De Marseille

Conditions:

Knee Prosthesis

Eligibility:

All Genders

18-85 years

Phase:

NA

Brief Summary

This is a prospective multicenter cohort study to evaluate the prognostic value of new biological markers in predicting thrombotic events after orthopedic surgery. According to the inclusion and non-i...

Detailed Description

Recruitment and follow-up of patients will be carried out in 3 hospitals by the respective orthopedic teams. Three hundred and eighty-seven patients will be included in the study, over a period of 36 ...

Eligibility Criteria

Inclusion

  • Subject, male or female, aged 18 to 85 years (upper age limit classically used in the literature of PTG79-81)
  • First-line TKP (knee native to any prosthesis) performed to treat primary or secondary osteoarthritis.
  • In case of contralateral PTG, a delay of 12 months between the 2 prostheses will be respected according to the habits of the inclusion centers.
  • ASA score \<4 (American Society of Anesthesiologists)
  • No contraindication to prophylactic treatment with low molecular weight heparin (LMWH)
  • Subject not taking anticoagulant or antiaggregant therapy at therapeutic dose
  • Subject who has signed the informed consent form
  • Subject affiliated to the social security system

Exclusion

  • Subjects with a history of sepsis, tumor or trauma in the considered joint
  • Subject with sepsis or acute infection
  • Immunocompromised subject (HIV, transplant, chemotherapy, leukemia, glucocorticoids \>3 months)
  • Subjects with severe respiratory, circulatory or cardiac pathologies involving anticoagulant treatment likely to influence the coagulolytic balance.
  • Subject with severe renal insufficiency (creatinine clearance \< 30ml/min)
  • Subject refusing to participate in the study or not signing the informed consent or unable to adhere to the study procedures
  • Subjects who are minors, pregnant or breastfeeding, not affiliated with the social security system, or deprived of liberty
  • Subject already included in an interventional trial (which may alter the results of that study)

Key Trial Info

Start Date :

June 1 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2026

Estimated Enrollment :

387 Patients enrolled

Trial Details

Trial ID

NCT05387694

Start Date

June 1 2023

End Date

December 1 2026

Last Update

April 21 2023

Active Locations (1)

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Assistance Publique Hopitaux de Marseille

Marseille, Bouches Du Rhône, France, 13354