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Changes in Physical Activity, Sleep and Knee Function After Same-Day Discharge Knee Arthroplasty

Recruitingn/aAges any - 80 YearsAllTurku University Hospital
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In plain words

What the trial is, and whether it could suit you

The goal of this observational study is to examine changes in physical activity, sleep quality, knee extension and flexion strength, knee range of motion, and patient-reported outcomes before and after same-day discharge knee arthroplasty (SDD-KA). The study will also investigate whether these changes are associated with each other and with patient satisfaction. As a prespecified secondary aim, researchers will compare these outcomes between patients undergoing medial unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA). The main questions it aims to answer are: * How do physical activity, sleep quality, knee extension and flexion strength, knee range of motion, and patient-reported outcomes change following SDD-KA? * Are changes in these outcomes associated with each other and with patient satisfaction? * Are these outcomes different between patients undergoing m

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: \- Primary knee osteoarthritis: medial or lateral Kellgren Lawrence grade 3-4 for TKA and antero-medial grade 3-4 for UKA. Patient criteria for outpatient knee arthroplasty (UKA or TKA): * Full overnight support by an adult at home after discharge * At most mild, well-controlled, comorbidities (e.g. hypertension, hypothyroidism, epilepsy, asthma) * ASA-class 1-2 * Age \<80 years * BMI \<35 kg/m2 Exclusion Criteria: * Post-traumatic osteoarthritis * Neurological disorder aVecting walking or muscle strength * Inability or unwillingness to use a smartphone or to participate in the study Exclusion criteria for outpatient surgery: * History of cardiac or cerebrovascular events * Conditions affecting consciousness (e.g. syncope of cardiac origin) * Untreated or central sleep apnoea * Heart failure * Diabetes mellitus type 1 * Cognitive impairment or dementia * History of substance abuse * Chronic strong opioid therapy or severe pain disorder * Antithrombotic therapy (e.g. Xarelto, Pradaxa, Plavix or ASA for secondary prevention) * History of venous thromboembolism or known coagulopathy
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What it tests

  • Medial unicompartmental knee arthroplasty (UKA)
  • Total knee arthroplasty (TKA)
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Where

2 sites
The UKK Institute for Health Promotion Research
Tampere, Finland
Turku University Hospital
Turku, Finland
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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