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Daycase Hip and Knee Arthroplasty in Møre and Romsdal Trial
Sponsor: Helse Møre og Romsdal HF
Summary
The DART Study is a prospective, multicentre observational cohort study evaluating day-case pathways for patients undergoing primary total hip arthroplasty, total knee arthroplasty, or unicompartmental knee arthroplasty at three hospitals in Møre og Romsdal, Norway (Volda, Ålesund and SNR). All patients scheduled for these procedures will be screened for eligibility for same-day discharge using predefined clinical, functional, and logistical criteria. The primary objective is to determine the proportion of patients who are discharged on the day of surgery. Secondary objectives are to assess recovery, pain, complications, emergency department visits, readmissions, reoperations, and mortality during the first 30 days after surgery. Patient-reported outcomes, including quality of recovery, joint-specific function, quality of life, pain, and awareness of the joint replacement, will be assessed before surgery and during follow-up for up to three months. Clinical and patient-reported data will be collected prospectively. Outcomes for patients discharged on the day of surgery will be compared with those of patients who remain in hospital overnight or longer. The study aims to evaluate the feasibility, safety, and patient experience of implementing standardized day-case hip and knee arthroplasty pathways within routine clinical practice.
Key Details
Gender
All
Age Range
18 Years - 80 Years
Study Type
OBSERVATIONAL
Enrollment
300
Start Date
2026-10-01
Completion Date
2036-07-31
Last Updated
2026-09-22
Healthy Volunteers
No
Interventions
Total Hip Arthroplasty
Total arthroplasty replacement of the hip through anterior or posterior approach. Cemented, hybrid, reverse hybrid or cementless implants. Patients with this procedure will receive Pericapsular Nerve Group Block (PENG) by an aneaesthesiologist.
Total Knee Arthroplasty
Total artrohplasty replacement of the knee with or without patella resurfacing, and with or without tourniquet. Cemented, hybrid, reverse hybrid or cementless implants. Patients with this procedure will receive a femoral triangle block and genicular nerve blocks by an anaesthesiologist.
Unicondylar knee artrhoplasty
Uniconcylar artrohplasty of the knee with or without tourniquet. Cemented, hybrid, reverse hybrid or cementless implants. Patients with this procedure will receive a femoral triangle block and genicular nerve blocks by an anaesthesiologist.
Locations (3)
Ålesund Sjukehus
Ålesund, Møre and Romsdal, Norway
Nordmøre and Romsdal Hospital (SNR) Hjelset
Hjelset, Møre and Romsdal, Norway
Volda Hospital
Volda, Møre and Romsdal, Norway