What this Trial Is About

Researchers are comparing two approaches for total knee arthroplasty (TKA) in patients with knee osteoarthritis: a fast-track protocol and standard care. The fast-track protocol aims to reduce surgical stress and improve recovery by using optimized logistics, education, and evidence-based treatments. The study evaluates differences in functional and subjective outcomes, length of hospital stay, number of blood transfusions, and pain medication use. The fast-track care includes a preoperative educational session led by an orthopedic surgeon, anesthesiologist, and physiotherapist to explain the surgery and recovery process. Pain control uses oral medications only, and rehabilitation begins early with the physiotherapist helping the patient stand on the day of surgery. In contrast, the standard care uses intravenous pain medications and starts physiotherapy the day after surgery, without the preoperative education and intensive early rehabilitation. Participants will be monitored for early functional outcomes on the third day after surgery. Researchers will assess recovery progress, hospital stay duration, pain management, and transfusion needs. The study includes adults aged 18 to 78 with knee osteoarthritis undergoing primary TKA, and participation requires a caregiver. The total involvement spans from preoperative preparation through the immediate postoperative period with close observation of functional results.

Total Knee Arthroplasty: Fast Track Protocol is the Future?