Metal Staple Removal After Total Knee Replacement
Conditions
Keywords
Total Knee Replacement, Stitch, Removal, Pain
Brief summary
Lidocaine patch is a safe and effective topical anesthetic agent for removal of metal staples after total knee replacement
Detailed description
This is a double-blind randomised control trial. After informed consent, the patients who undergoes primary total knee replacement will be assigned to either control group or experimental group randomly. The effectiveness and complication will be analysed. If the patients are not medically fit for the study (including contraindications for lidocaine), they will be excluded.
Interventions
Lidocain patch will be applied around the surgical wound about 20 minutes before removal of staples.
Placebo patch will be applied around the surgical wound about 20 minutes before removal of staples.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Males and females, aged 50-100 years 2. The patients who undergo primary total knee replacement (performed by the same surgeon, Dr.Jiang) 3. Clear consciousness 4. No contraindication for staple removal on the post-operative day 7
Exclusion criteria
1. Allergy to lidocaine 2. Patient with second or third degree atrio-ventricular block 3. Patients with severe Sinoatrial node block 4. Patients taking class I antiarrhythmia drugs 5. Pregnant patients 6. Patients undergoing revision total knee replacement 7. Contraindication for removal of staples on post-operative day 7
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual analog scale for pain | 30min | The person who removes the staples evaluated the pain intensity. The pain intensity is evaluated with visual analog scale for pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Complication rate of lidocaine patch | Two weeks | The incidence of related complications after application of lidocaine patch |
Countries
Taiwan