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Outcome of multimodal periarticular injection with corticosteroid for better pain management in total knee arthroplasty: A randomized controlled trial

Completed
Conditions
Post-operative pain after total knee arthroplasty
Pain
VAS
TKA
Steroid
Periarticular injection
Registration Number
TCTR20211216004
Lead Sponsor
none
Brief Summary

The study found significantly lower pain score (VAS) in steroid group compared to control group at postoperative day 1 7am (VAS 1.73 +/-0.63 vs 2.18 +/- 1.09, respectively 95%CI -0.09 to 0.99 p-value 0.099) and postoperative day 3 2pm (VAS 1.59 +/- 0.85 vs 2.23 +/- 0.69, respectively 95%CI 0.17 to 1.11 p-value 0.0093). Steroid group performed faster straight leg raise and ambulation. Shorter hospital stays were observed without any significant adverse outcome.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
22
Inclusion Criteria

patient age 40 - 80 years diagnosed with OA knee and eligible for unilateral primary total knee arthroplasty

Exclusion Criteria

Poor controlled DM HbA1C > 8
ESRD
Other inflammatory arthritis
Immunocompromised host
Allergic to drug in trial

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Pain score post-operative day 1,2 and 3 VAS
Secondary Outcome Measures
NameTimeMethod
Time to straight leg raise, post-operatively post-operative day 1,2 and 3 hour,Time to ambulation, post-operatively post-operative day 1,2 and 3 hour,Adverse outcome of corticosteroid injection 1 month visit percentage of infection or tendon rupture
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