Comparing fast track and standard care for total knee replacement
Official title: Randomised Controlled Study Comparing Fast Track and Standard Care Protocol on the Functional Outcomes and Hospital Stay of Total Knee Arthroplasty
Run by Istituto Ortopedico Rizzoli · NCT03869996 · Data updated 2026-11-12
This study is testing if a quicker recovery plan for knee replacement surgery helps patients feel better and recover faster compared to the usual care.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 78 Years |
| Sex | All |
| Enrollment | 64 (estimated) |
| Sponsor | Istituto Ortopedico Rizzoli Academic / other |
| Locations | 1 site (Bologna) |
| Status | Recruiting |
| Started | February 25, 2019 |
| Main results expected | October 31, 2026 |
| Study ends | November 1, 2026 |
| Registry record updated | May 22, 2026 |
| Trial ID | NCT03869996 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients with knee osteoarthritis who are eligible for primary total knee arthroplasty and meet specific health criteria.
✕Probably not a fit
Patients with psychiatric diseases or those requiring crutches preoperatively may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to evaluate the effectiveness of a fast track protocol for total knee arthroplasty (TKA) compared to standard care. The fast track approach includes preoperative education, oral pain management, and early rehabilitation on the day of surgery, while standard care involves intravenous pain management and physiotherapy starting the day after surgery. The study will assess functional and subjective outcomes, hospital stay duration, transfusion needs, and analgesic consumption between the two groups. By optimizing the recovery process, the study seeks to enhance patient outcomes following knee surgery.
Why it matters
Potential benefit: If successful, this approach could lead to faster recovery times and improved patient satisfaction after total knee arthroplasty.
How similar studies have gone: Previous studies have shown promising results with fast track protocols in orthopedic surgeries, indicating potential for success in this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * patients affected by knee osteoarthritis, eligible for primary total knee arthroplasty * BMI \< 32 * Time up ang go test \</= 12 seconds * American Society of Anesthesiologists physical status classification system (ASA) \</= 2 * preoperative hemoglobin (HB) \>13 g/dl * patients eligible for spinal anesthesia * presence of a care-giver Exclusion Criteria: * psychiatric diseases * preoperative use of crutches * ASA \> 3 * preoperative HB \< 13 g/dl
Where it's running
-
Istituto Ortopedico Rizzli
Bologna, Italy Recruiting
Study contacts
- Principal investigator: Cesare Stagni, MD — Istituto Ortopedico Rizzoli
- Study coordinator: Martina Rocchi, MD
- Email: martina.rocchi@ior.it
- Phone: 00393338705057
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.