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Patient function & pain control after total knee replacement: Is it improved by use of peri-articular or intra-articular infiltration ?

Phase 4
Completed
Conditions
pain following total knee replacement surgery
Surgery - Surgical techniques
Anaesthesiology - Pain management
Musculoskeletal - Osteoarthritis
Registration Number
ACTRN12615000488505
Lead Sponsor
Fremantle Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
142
Inclusion Criteria

adult patients waitlisted for primary total knee replacement for osteoarthritis.

Exclusion Criteria

allergy or intolerance to study drugs, known inability to receive spinal anaesthesia, and planned bilateral knee surgery.

secondary exclusion criteria: history of regular opioid use, concurrent psychiatric illness, serious medical comorbidities that might prolong hospital admission, and coagulation disorders

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
opioid consumption, assessed by patient medical charts and converted into standardised morphine equivalents.[during first 24 hrs postoperative];opioid consumption, assessed by patient medical charts and converted into standardised morphine equivalents.[over total inpatient admission];postoperative pain using a visual analogue scale[during postoperative day 1 and at discharge]
Secondary Outcome Measures
NameTimeMethod
oxford knee score[6 weeks postoperatively];knee flexion as assessed by doctor or physiotherapist on physical examination (no goniometer used)[at discharge, and at 6 weeks postoperatively];length of stay[from time of admission to hospital discharge.];haemoglobin drop, based on difference from routine preadmission preoperative blood test measurement to day 1 postoperative haemoglobin blood test measurement.[postoperative day 1]
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