Post operative pain and narcotic consumption
Conditions
Interventions
CAC of the operated knee, given on post operative day 0 upto day 7with or
without effective temperature
.
Sponsors
Zuyderland Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: -Patients scheduled to undergo primary TKA replacement with any of the following indications -Painful and disabled knee joint resulting from osteoarthritis. -High need to obtain pain relief and improve function, -Above 18 years old. -Body-mass-index (BMI)
Exclusion criteria
Exclusion criteria: -Active infection in knee -General infection -Distant foci of infections which may spread to the implant site -Failure of previous joint replacement -Pregnancy -Previous major knee surgery, except for arthroscopic meniscectomy. -Metal near knee joint (MRI-scan not possible) -Not able or willing to undergo MRI-scan or CT-scan -Reumatoid arthritis -Non-correctable varus axis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain sensation of the operated joint, measured with a Numerical Rating Scale (NRS, 0 to 10, 10 being *worst pain*), before TKA and daily on fixed time points in a Pain diary including analgesic use measured as tramadol consumption as equianalgesic amounts. | — |
Secondary
| Measure | Time frame |
|---|---|
| * Knee range of motion (ROM), measured as degrees of active knee flexion and extension evaluated with the use of a handheld goniometer. * Swelling (measured as circumference in millimeters at two fixed points of the knee at the same time of day at different stages postoperatively, 10 cm superior to the patella and 10 cm inferior to the patella and then the average was divided by two and expressed in millimeters) * Visual hematoma (yes/no) * Patient reported outcome measures (PROMS) including WOMAC and Oxford Knee Score. Furthermore, quality of life will be assessed with the EuroQoL-5D questionnaire. | — |
Countries
Netherlands
Outcome results
None listed