Acute Pain
Conditions
Brief summary
Acute Pain is the most common early complication after total knee arthroplasty that caused delayed mobilization, demands of morphine, and higher operative cost. There were many researches that had been done in analgesia method to find the most effective analgesia, lowest side effect, and easy to apply. Preemptive analgesia of combined celecoxib and pregabalin were reported to give a promising outcome. In a randomized, double blind controlled clinical trial, 30 subjects underwent surgery for total knee arthroplasty using 15-20mg bupivacaine 5% epidural anesthesia. All subjects were divided into three groups. First group was given celecoxib 400mg and pregabaline 150mg 1 hour before operation, second group was given celecoxib 200mg and pregabaline 75mg twice daily started from 3 days before operation, and the last group was given placebo. The outcome was measured with VAS, knee ROM, and post-operative mobilization
Interventions
DRUGCelecoxib and Pregabaline
Single dose versus repetition dose
OTHERPlacebo
Placebo
Sponsors
Fakultas Kedokteran Universitas Indonesia
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)
Eligibility
Sex/Gender
ALL
Age
55 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* 55-80 years old patients who come to orthopaedic polyclinic * underwent TKA procedure * have osteoarthritis * consumed pain killer and anti inflamatory drugs routinely
Exclusion criteria
* psychiatric disorder * have history of renal disease * histroy of chronic neurophatic * have genu arthritis that caused by rheumatid arthritis and infection * diabetic and obesity * coagulopathy * patients with severe pain that needed immediate analgesia regimen
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total Morphine Consumption | Third day post-operative | In this study, morphine is given by patient control analgesia (PCA). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post-operative Pain | every morning [daily], up to 3 days | Measured and evaluated by Visual Analogue Scale (VAS). VAS score of 1-10. With the maximal of 10. Ranging from no pain to unbearable pain. Worst pain is in score 10. |
| Knee functional outcome | every morning [daily], up to 3 days | Measured by active knee range of motion using goniometer. The outcome scale is in degree range of motion. The knee range of motion is 0 degree (total extension) to 135 degree (full flexion). The more range of motion degree, the better the result. |
| Mobilization | on the first day, standing on the second day, and walking on the third day | The patient is expected to be able to do sitting motion |
Outcome results
None listed