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Can perioperative vitamin C supplementation reduce the risk of arthrofibrosis after total knee arthroplasty?

Completed
Conditions
Arthrofibrosis
Musculoskeletal Diseases
Registration Number
ISRCTN40250576
Lead Sponsor
Cantonal Hospital St Gallen
Brief Summary

2018 results in: https://www.ncbi.nlm.nih.gov/pubmed/29955932

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
240
Inclusion Criteria

1. Patients with primary osteoarthritis of knee joint undergoing TKA presenting with grade 3 or 4 osteoarthritis (Kellgren-Lawrence score)
2. Age =18 years
3. Written informed consent, including written consent to participate in the local prosthesis registry of the hospital

Exclusion Criteria

1. History of nephrolitiasis, hematochromatosis, uremia, beta-thalassemia
2. Known intolerance to vitamin C or any of the excipients
3. Dietary vitamin C intake <3 days before intervention
4. CRP values >10mg/l

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Knee joint ROM measured with a goniometer by a trained study nurse who was blinded to the research history, assessed preoperatively, at 8 weeks and 12 months postoperatively
Secondary Outcome Measures
NameTimeMethod
1. Incidence of arthrofibrosis (AF), defined as extension deficit >5° and/or = 100° flexion of the knee, measured at 8 weeks and 12 months postoperatively<br>2. Vitamin C plasma concentrations measured in µmol/l before surgery and 4 and 7 days after surgery<br>3. The Western Ontario and McMaster Universities Arthritis Index (WOMAC) measured at 8 weeks and 12 months postoperatively<br>4. The Forgotten Joint Score-12 (FJS-12) measured at 8 weeks and 12 months postoperatively
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