Overview
Comparison of clinical outcomes of electrocoagulation and non-electrocoagulation techniques in total hip and knee arthroplasty surgery
Description
- Objectives
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- To evaluate the effectiveness of electrocoagulation:
- To measure the reduction in intraoperative bleeding volume when using electrocoagulation.
- Analyse the impact of electrocoagulation on surgical visibility and accuracy during implant placement.
- Comparison of surgical outcomes:
- Investigate the incidence of intra- and postoperative complications, such as incidental vascular-nerve injury, wound infections, deep vein thrombosis, and implant-related problems, in patients operated on with electrocoagulation versus techniques without electrocoagulation.
- Examine the influence of haemostatic technique on the need for blood transfusion during or after surgery.
- Evaluation of long-term functional outcomes and patient satisfaction, including joint stability and range of motion, in both groups.
- Review of patient recovery and period of hospitalization:
- Analysis of the impact of electrocoagulation on length of hospitalisation, and time to ambulation.
- Assessment of postoperative pain levels and analgesic medication use between the two groups.
- Patients' return to daily activities and overall quality of life after surgery.
- Comparison of data obtained with other studies conducted internationally.
- To evaluate the effectiveness of electrocoagulation:
Eligibility
Inclusion Criteria:
- Patients who have given informed consent to the procedure
- Patients admitted over 18 years of age
- Patients with pathology requiring primary joint replacement (symptomatic gonarthrosis/coxarthrosis, Avascular necrosis (AVN) of the femoral head , femoral neck fractures, etc)
Exclusion Criteria:
- Contraindications for major surgery or anaesthesia
- 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