Lower Extremity Swelling after Total Knee Arthroplasty
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients who need primary unilateral TKA surgery due to severe knee osteoarthritis; 2. Aged 18 to 80 years; 3. The preoperative American Society of Anesthesiologists (ASA) classification (anesthesia risk assessment) is grade I-III; 4. Use a tourniquet, within 90 minutes of the operation time, use 20-25mg tranexamic acid to stop bleeding.
Exclusion criteria
Exclusion criteria: 1. Patients with heart, lung and other important organ failure; 2. Abnormal liver and kidney function (ALT, AST> 1.5 times the normal value, blood BUN> -8.3 mmol/L, blood Scr> 115 umol/L); 3. Diabetic patients with poor control of blood sugar levels, who are judged by the researchers to be at risk of infection; 4. Combined with disturbance of consciousness or mental illness; 5. Neuromuscular dysfunction affects lower extremity function; 6. Patients with severe coagulation disorders; 7. Combined with severe medical and surgical diseases or weak constitution, unable to tolerate surgery; 8. Severely unstable and incurable with ligament-preserving TKA; 9. There are active infection foci in the body (systemic or local infection lesions); 10. Women in family planning, lactation and pregnancy during the entire clinical research period; 11. Those who have participated in other clinical trials within 3 months; 12. The investigator believes that it is not suitable to participate in this clinical trial due to other reasons; 13. Knee flexion deformity >=30° or varus deformity >=30°; 14. Those who are allergic to the drugs used in this study; 15. Opioid addicts; 16. Language barriers and inability to complete the pain digital grading scale (Visual analogue scale, VAS); 17. Patients with venous system disease or venous insufficiency; 18. Patients with BMI > 40 kg/m2.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Swelling of lower limbs after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative VAS score;Knee HSS Score;Postoperative inflammation indicators;Complication rate;Joint range of motion; | — |
Countries
China
Contacts
West China Hospital of Sichuan University