Osteoarthritis both knees OA knee bilateral total knee arthroplasty knee flexion
Conditions
Interventions
After all prosthesis insert and suture knee capsule with barb suture, do deep knee flexion 20 times then close skin layer by layer.
Experimental Procedure/Surgery
Repeat knee flexion after knee capsule closure
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
50 Years to 85 Years
Inclusion criteria
Inclusion criteria: Age 50-85 years. American Society of Anesthesiologists (ASA) Classification 1, 2 or 3. Diagnosed bilateral OA knees (Kellgren & Lawrence classification Grade IV) by orthopaedist. All participants understand and inform consent.
Exclusion criteria
Exclusion criteria: Patients have any infection. Body mass index > 40 kg/m2 Uncontrolled HT ( Systolic BP > 180 mmHg or Diastolic BP > 100 mmHg ) Uncontrolled diabetic mellitus (HbA1C > 8.0 %) Patients with renal insufficiency (creatinine clearance < 30 mL/min) and/or active hepatic disease who could not receive the general perioperative and post-operative pain medicine protocol. Patients unable to undergo a spinal block. Patients with significantly pre-operative stiff knees( flexion < 90 degrees)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| degrees of knee flexion at 12 months after intervention degrees of knee flexion by long arm goniometer | — |
Secondary
| Measure | Time frame |
|---|---|
| postoperative pain each knee postoperative day 1, 2, 3 and 2weeks, 6 weeks visual analog scale | — |
Countries
Thailand
Contacts
Public ContactChatchapol Ongkosit
Nongbua Lamphu Hospital
Outcome results
None listed