ovel Application of Cooled Radiofrequency Ablation for Pain Management after Total Knee Arthroplasty.
- Conditions
- OsteoarthritisMusculoskeletal - Osteoarthritis
- Registration Number
- ACTRN12619000970145
- Lead Sponsor
- orth Sydney Orthopaedic and Sports Medicine Centre
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 12
Elective primary unilateral TKR surgery performed by A/Prof Leo Pinczewski
- Age 50-80 years
- Male or female gender
- ASA grade of <4
- Willingness and ability to give informed consent and willingness to participate in and comply with the study
- BMI >35
- Any contraindication to routine analgesic medication (paracetamol, meloxicam, opiates)
- Neuropathic pain pre-operatively
- Subjects taking steroid or opiate mediation pre-operatively
- Subjects with a coagulopathy or taking anti-coagulate medication pre-operatively
- History of neurological, sensory or motor deficit to the operated lower limb
- Cardiac pacemaker
- Failed previous spinal anaesthetic
- Previous major knee surgery (such as osteotomy)
- Bilateral TKR surgery
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Patient reported pain scores using the 0-10 Visual Analogue Scale for Pain (VAS Pain) [First 6 weeks after TKR surgery. The frequency of assessment will be daily post surgery for 3-5 days and then weekly until the 6 week post-operative mark. ];Opioid (morphine) use. A researcher will record the opioid intake from the previous 24 hours at the same time each day for the first 3-5 days after surgery. This will be documented in the patients medication chart. Morphine equivalent dosing will be calculated to determine the cumulative intake of opioid drug use for the previous 24 hours. Participants will also be asked to record their opioid intake in a pain medication table each week after surgery until the 6 week post-operative mark and this information will be recorded in the patients electronic file. [First 6 weeks after TKR surgery. The frequency of assessment will be daily post surgery for 3-5 days and then weekly until the 6 week post-operative mark. ]
- Secondary Outcome Measures
Name Time Method