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The Effectiveness of Perioperative Parecoxib Intravenous Administration in the Surgical Fixation of Unstable Ankle Fracture: A Prospective, Double-Blinded, Randomized, Placebo-Controlled Trial.

Phase 3
Completed
Conditions
The patients with unstable ankle fractures who have surgical indications.
Analgesia
Ankle fractures
parecoxib
perioperative
randomised controlled trial
Registration Number
TCTR20210416003
Lead Sponsor
American Orthopaedic Foot & Ankle Society
Brief Summary

Perioperative administration of parecoxib could not significantly provide better postoperative pain control and lower amount of opioid requirement than placebo. Single benefit of perioperative use of parecoxib seemed to be shorter length of hospital stay than placebo.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
40
Inclusion Criteria

The patient with unstable ankle fracture who had the indication for open reduction and internal fixation.

Exclusion Criteria

The contraindication of parecoxib use (1 pateint), thrombocytopenia on preoperative blood work (1 patient), head injury with contraindication for spinal anesthesia (1 patient), and acute on chronic fracture (1 patient).

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Pain and related scores, amount of morphine used Time 0 was recorded when the patients were move to the post-anesthesia care unit (PACU) after surgery. The VNRS and VNRP were recorded at 0, 4, 12, 24 and 48 hours after surgery by trained personnel. verbal numerical rating score, verbal numerical rating percentage, patient subjective rating of the medication, amount of intravenous morphine administered, overall adverse effects
Secondary Outcome Measures
NameTimeMethod
/A N/A N/A
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