Osteoarthritis, Total Hip Arthroplasty (THA), Unicompartmental Knee Arthroplasty
Conditions
Keywords
Post-operative pain, Prednisone, Continuous Glucose Monitoring
Brief summary
This study compares the efficacy of a 5-day post-operative oral prednisone regimen (40 mg daily) with the standard intraoperative steroid regimen, focusing on pain, swelling, range of motion, opioid use, and glucose levels monitored continuously.
Interventions
40 mg daily for 5 days
Provides real-time glucose readings for up to 14 days
Temporary medical-grade tattoos that provide real-time monitoring of knee swelling and range of motion
Sponsors
Study design
Eligibility
Inclusion criteria
* Undergoing Primary Unicompartmental Knee Arthroplasty or Total Hip Arthroplasty * Age 18 and above
Exclusion criteria
* Steroid therapy * Narcotic use within past 3 months * History of corticosteroid intolerance * Pregnancy * Uncontrolled diabetes * Doesn't own smart phone Drop Criteria: \- 2nd dose of IV dexamethasone
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain at Rest | 2 weeks | Pain intensity at rest will be measured using the 11-point Numeric Rating Scale (NRS), ranging from 0 (no pain) to 10 (worst imaginable pain). The NRS is a validated and standardized tool for assessing patient-reported pain. |
| Pain with Ambulation | 2 weeks | Pain intensity with ambulation will be measured using the 11-point Numeric Rating Scale (NRS), ranging from 0 (no pain) to 10 (worst imaginable pain). The NRS is a validated and standardized tool for assessing patient-reported pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Swelling | 2 weeks | Knee joint circumference will be measured in centimeters at the joint line. |
| Range of Motion | 2 weeks | — |
| Opioid Consumption | 2 weeks | — |
| Continuous Glucose Levels | 2 weeks | — |
| Adverse Outcomes | 2 weeks | Total number of adverse events related to steroid treatment will be recorded. |
Countries
United States