Actively Recruiting

Age: 18Years - 90Years
All Genders
ID06251869

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

Led by Iuliu Hatieganu University of Medicine and Pharmacy · Updated on 2025-05-01

700

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are comparing two surgical techniques—electrocoagulation and traditional cold knife cutting—in patients undergoing total hip and knee joint replacement. The study aims to evaluate how electrocoagulation affects bleeding during surgery, surgical visibility, accuracy of implant placement, complications like nerve or vascular injuries, infection, blood clots, and implant problems. It also explores patient recovery, pain levels, hospital stay length, time to walk again, and overall quality of life after surgery. Participants receive either total hip or knee arthroplasty using electrocoagulation or the traditional scalpel and pean method for hemostasis and incision. Four study groups include hip surgery with electrocoagulation, hip surgery with scalpel, knee surgery with electrocoagulation, and knee surgery with scalpel. The research includes measuring various clinical outcomes and comparing these approaches based on effectiveness and safety. During the study, participants undergo multiple assessments including knee and hip function scores, pain evaluations, and joint motion measurements before surgery and at several points up to one year after surgery. Blood tests monitor hemoglobin, white blood cells, and platelets during the hospital stay and follow-up visits. Researchers also track complications, patient mobility, hospital stay duration, and patient satisfaction. The study spans up to one year to assess long-term functional outcomes and quality of life.

CONDITIONS

Brief Title

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

Who Can Participate

Age: 18Years - 90Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients who have given informed consent to the procedure
  • Patients aged 18 to 90 years
  • Patients with pathology requiring primary joint replacement such as symptomatic gonarthrosis, coxarthrosis, avascular necrosis of the femoral head, or femoral neck fractures
Not Eligible

You will not qualify if you...

  • Contraindications for major surgery or anesthesia
  • 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

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

1
2
3
+1

Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Surgery and Immediate Post-operative Care

Duration - Hospital stay of approximately 4 to 7 days

Participants undergo total hip or knee arthroplasty using either electrocoagulation or traditional scalpel techniques.

Daily visits during hospital stay

Post-operative Follow-up

Duration - Up to 1 year post-operation

Participants have assessments of recovery, joint function, pain levels, and blood markers over time to monitor surgical outcomes and complications.

Visits at 2 weeks, 6 weeks, 3 months, 6 months, and 1 year post-operation

Trial Site Locations

Total: 1 location

1

Clinica Ortopedie-Traumatologie, Secția 2

Cluj-Napoca, Cluj, Romania, 400347

Actively Recruiting

Loading map...

Research Team

C

Cicio Dennis

C

Ciornei Vladimir, MD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

4

Similar Trials

A Randomized Controlled Evaluation of a Compassion-course Wi...

Psychological Stress

Actively Recruiting

1 location

Effectiveness of a Contemplative Practice on Psychological W...

Mental Health

Actively Recruiting

2 locations

Learning to Care: Exploring Empathy and Compassion Using Dig...

Mental Disorders, Severe

Actively Recruiting

1 location

Frequently Asked Questions

Have more questions? Get in touch with our team for quick support

Not the Right Trial for You?

Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.

Already have an account? Log in here

Published Research Related To This Trial

Scalpel can achieve better clinical outcomes compared with electric cautery in primary total knee arthroplasty: a comparison study.

Wei Lin, Yike Dai, Jinghui Niu...

https://pubmed.ncbi.nlm.nih.gov/32600294

The "forgotten joint" as the ultimate goal in joint arthroplasty: validation of a new patient-reported outcome measure.

Henrik Behrend, Karlmeinrad Giesinger, Johannes M Giesinger...

https://pubmed.ncbi.nlm.nih.gov/22000572

Electric cautery does not reduce blood loss in primary total knee arthroplasty compared with scalpel only surgery a double-blinded randomized controlled trial.

Nattapol Tammachote, Supakit Kanitnate

https://pubmed.ncbi.nlm.nih.gov/29968137