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

Perioperative Vitamin C supplementation following total knee arthroplasty: a double-blind placebo-controlled randomized study

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN40250576
Enrollment
240
Registered
2018-02-08
Start date
2011-07-01
Completion date
Unknown
Last updated
2018-07-30

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

Conditions

Arthrofibrosis Musculoskeletal Diseases

Interventions

Registered patients were randomized to either VC at a daily dose of 1000 mg (two 500 mg tablets) or to matching placebo starting on the preoperative day and continuing for a total of 50 days. Randomiz

Sponsors

Cantonal Hospital St Gallen
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

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

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 10mg/l

Design outcomes

Primary

MeasureTime frame
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

MeasureTime frame
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 2. Vitamin C plasma concentrations measured in µmol/l before surgery and 4 and 7 days after surgery 3. The Western Ontario and McMaster Universities Arthritis Index (WOMAC) measured at 8 weeks and 12 months postoperatively 4. The Forgotten Joint Score-12 (FJS-12) measured at 8 weeks and 12 months postoperatively

Countries

Switzerland

Contacts

Public ContactHenrik Behrend

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 24, 2026