Clinical trial Recruiting at 1 site Observational

How blood loss varies in orthopedic prosthetic surgery with different techniques

Official title: Influence of Perioperative Strategies on the Extent of Total Blood Loss in Orthopaedic Prosthetic Surgery

Run by I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio · NCT07500350 · Data updated 2026-11-12

This study looks at how much blood patients lose during prosthetic joint surgery and whether factors like anesthesia, surgical method, or recovery practices influence that loss.

Quick facts

Study typeObservational
SexAll
Enrollment1683 (estimated)
SponsorI.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio
Academic / other
Locations1 site (Milan, Milan)
StatusRecruiting
StartedJuly 8, 2026
Main results expectedDecember 2026
Study endsMarch 2028
Registry record updatedSeptember 21, 2026
Trial IDNCT07500350 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (any ASA I–III) undergoing their first prosthetic joint implantation

Probably not a fit

Patients not receiving tranexamic acid prophylaxis or those undergoing reinterventions may not reflect the majority experience and may not benefit from the findings.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a retrospective observational study evaluating blood loss in prosthetic orthopedic surgeries over a year. It analyzes preoperative hemoglobin and hematocrit, then tracks values on days 1–3 and day 7 after surgery. The study also looks at how intraoperative techniques and perioperative practices relate to bleeding, recovery, and complications. Primary goal is to understand the extent and variability of blood loss compared with published literature. Secondary outcomes include postoperative course, transfusion needs, and any complications related to bleeding or recovery.

Why it matters

Potential benefit: If successful, it could identify factors associated with reduced blood loss and better recovery after prosthetic joint surgery.

How similar studies have gone: Previous work has extensively studied blood loss in shoulder, hip, and knee replacements; this study adds a broader retrospective analysis within a single center.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion criteria:

\- Adult patients in ASA Class I-II-III undergoing prosthetic surgery, as a first-time implant

Exclusion criteria:

* Patients who did not receive tranexamic acid prophylaxis (pre-operative and post- operative doses) and are therefore not comparable with the vast majority of cases.
* Reintervention, as bleeding depends on a variable that is not constant, namely the initial implant

Where it's running

  • I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio
    Milan, Milan, Italy
    Recruiting

Study contacts

  • Principal investigator: Giorgio Oriani, P.I. — IRCCS Laleazzi Sant Ambrogio Site San Siro Institute
  • Study coordinator: Giorgio Oriani, Principal Investigator
  • Email: gorian@alice.it
  • Phone: +39335225452

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.