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Effect of Oral Corticosteroid on the Pain Levels of Patients Following Knee Joint Replacement Surgery

Investigating the Effect of Low-Dose Systemic Corticosteroid Therapy on Pain Intensity and Knee Function in Patients After Unilateral Total Knee Arthroplasty: A Randomized Controlled Clinical Trial

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
IRCT
Registry ID
IRCT20221228056952N2
Enrollment
102
Registered
2025-03-01
Start date
2024-01-25
Completion date
Unknown
Last updated
2025-07-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Knee osteoarthritis. Unilateral primary osteoarthritis of knee

Interventions

Intervention 1: Intervention group: During the surgery and before prosthesis placement, patients in intervention group receive treatment by injecting a cocktail mixture of 10 cc Marcaine 5% and two am

Sponsors

Mashhad University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 80 Years

Inclusion criteria

Inclusion criteria: Patients with knee osteoarthritis indicated to undergo unilateral primary Total Knee Arthroplasty (TKA ) Between 18 to 80 years Informed consent to participate in this study Preoperative American Society of Anesthesiologists (ASA) classification ranging from I to III, indicating low to moderate risk before the surgery

Exclusion criteria

Exclusion criteria: Not consent to participate in the study Revision TKA Bilateral TKA Substance abuse (drugs/alcohol) Active gastrointestinal ulcer Individuals diagnosed with rheumatoid arthritis Corticosteroid use in the three months prior to surgery Steroid sensitivity Patients with cancer, heart diseases, kidney failure, diabetic neuropathy, rheumatoid arthritis, neurological or psychiatric disorders impacting pain perception Immunocompromised patients Pregnant women Age under 18 years old

Design outcomes

Primary

MeasureTime frame
Pain intensity. Timepoint: Before surgery, and then at one week, two weeks, four weeks, twelve weeks, and twenty-four weeks after surgery. Method of measurement: Pain score using Visual analogue scale (VAS), a 10-point visualization scale.;Knee function. Timepoint: Before surgery, and then at one week, two weeks, four weeks, twelve weeks, and twenty-four weeks after surgery. Method of measurement: The scoring questionnaires specific to knee joint replacement surgery include KSS (Knee Society Score) and Oxford score.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactDr. Mohammad Hossein Ebrahimzadeh

Mashhad University of Medical Sciences

Ebrahimzadehmh@mums.ac.ir+98 51 3801 2638

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026