Ischemia reperfusion injury after total knee arthroplasty Circulatory System Ischemia reperfusion injury after total knee arthroplasty
Conditions
Interventions
Total knee arthroplasty is an elective surgical procedure that takes place when medication and/or walking support instruments can no longer relieve severe knee pain. Using a tourniquet is important to
Sponsors
Bern University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Adults aged 18-90 2. Scheduled for elective total knee arthroplasty
Exclusion criteria
Exclusion criteria: 1. Conditions which are known to influence edema formation 2. Trauma 3. Infections
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Shorter tourniquet time – less expected edema of the calf muscle: Measurement of calf circumference 15 cm below knee joint before operation, immediately post OP, 4h, 24h and 48h post operative. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Plasma levels of CK-MM for muscle damage using an ELISA Kit 2. Plasma levels of pro-inflammatory cytokines and markers of the activation of the plasma cascade systems as well as the endothelium using different commercial available kits for each marker 3. Postoperative pain levels as assessed by postoperative use of analgesic (morphine). Assessment of the amount of morphine needed All outcomes assessed at 0, 4, 24 and 48 hours after surgery | — |
Countries
Switzerland
Outcome results
None listed