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Cryocompression After Total Knee Arthroplasty

Not Applicable
Completed
Conditions
Cryotherapy Effect
Interventions
Device: Game Ready cryocompression
Registration Number
NCT05395273
Lead Sponsor
University of Applied Sciences and Arts of Southern Switzerland
Brief Summary

The overall aim of this study is to evaluate the effectiveness of a cryocompression device after total knee arthroplasty (TKA) compared to standard therapy.

Detailed Description

The aim of this study is to investigate the effect of cryocompression after total knee arthroplasty (TKA) compared to a control group without cryocompression. The effect on the following parameters will be evaluated: knee and osteoarthritis outcome score (KOOS), patient satisfaction, knee girth, skin temperature, knee range of motion, morphine consumption, pain perception, the length of stay, the 10-metre walk test and the timed-up-and-go.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Signed Informed Consent
  • Diagnosed Arthritis of the Knee
  • Planned implantation of a primary total knee arthroplasty by the Regionalspital Surselva AG
Exclusion Criteria
  • Decompensated hypertension in the affected area
  • Acute inflammatory phlebitis in the affected area
  • Patients with acute paroxysmal cold hemoglobinuria, or cryoglobulinemia
  • Significant vascular disruption in the affected area
  • History of pulmonary embolism or risk factors for deep vein thrombosis or pulmonary embolism in the affected area
  • No increased venous or lymphatic return in the affected leg is desired due to e.g. carcinoma
  • Raynaud's disease
  • Hypersensitivity to cold
  • Fear of cold/compression

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Cryocompression + standard therapyGame Ready cryocompressionParticipants received daily crycompression by the patient to their comfort level beside the standard therapy.
Primary Outcome Measures
NameTimeMethod
Consumption of morphine6 weeks after surgery

Consumption of morphine in number of pills

Change from Baseline (preoperatively) Knee and Osteoarthritis Outcome Score (KOOS) at postoperatively (4th day) and 6 weeks after surgerypreoperatively, postoperatively (4th day) and 6 weeks after surgery

A knee-specific instrument, developed to assess the patients' opinion about their knee and associated problems

Change from Baseline (preoperatively) Skin temperature at postoperatively (4th day) and 6 weeks after surgerypreoperatively, postoperatively (4th day) and 6 weeks after surgery

Skin temperature of the knee

Change from Baseline (preoperatively) Range of motion at postoperatively (4th day) and 6 weeks after surgerypreoperatively, postoperatively (4th day) and 6 weeks after surgery

Range of motion of the knee

Change from Baseline (preoperatively) Girth at postoperatively (4th day) and 6 weeks after surgerypreoperatively, postoperatively (4th day) and 6 weeks after surgery

Knee girth

Change from Baseline (preoperatively) Timed up and Go at postoperatively (4th day) and 6 weeks after surgerypreoperatively, postoperatively (4th day) and 6 weeks after surgery

A general physical performance test used to assess mobility, balance and locomotor performance

Change from Baseline (preoperatively) Visual analogue scale at postoperatively (4th day) and 6 weeks after surgerypreoperatively, postoperatively (4th day) and 6 weeks after surgery

To measure the intensity of pain

Change from Baseline (preoperatively) 10 Metre Walk Test at postoperatively (4th day) and 6 weeks after surgerypreoperatively, postoperatively (4th day) and 6 weeks after surgery

To assess walking speed in meters per second over 10 metres

Length of stay6 weeks after surgery

Length of stay in the hospital in days

Change from Baseline (first day postperatively) Patient satisfaction at each day of hospitalisationeach day of hospitalisation

To measure the patient satisfaction of the cryocompression therapy from 0 to 10

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Fachhochschule Südschweiz

🇨🇭

Landquart, GR, Switzerland

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