qaudriceps muscle power recovery, walking time, visual analog pain scale and functional knee score after total knee replaement periarticular corticosteroid, intravenous corticosteroid, total knee replacement, quadriceps muscle power, pain
Conditions
Interventions
receive
- periarticular injection with triamcinoline 40 mg + 0.5% marcaine 20 ml + ketorolac 30 mg + NSS up to 40 ml,receive
- periarticular injection with 0.5% marcaine 20 ml + ketorolac 30 mg + N
Experimental Drug,Active Comparator Drug
periarticular group,intravenous group
Sponsors
Faculty of medicine, Ramathibodi Hospital
Eligibility
Sex/Gender
All
Age
40 Years to 85 Years
Inclusion criteria
Inclusion criteria: 1. end-stage OA knee 2. preoperative quadriceps muscle at least grade 4 3. preoperative independent walking ability
Exclusion criteria
Exclusion criteria: 1. revision knee surgery 2. needed metal augmentation 3. contra indication to NSAID 4. contra indication to corticosteroids
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| quadriceps muscle power preop, post op Day3, 2 week, 6 week, 3 month hand held dynamometer | — |
Secondary
| Measure | Time frame |
|---|---|
| ESR preop, post op day1, day3, 2 week serology,CRP preop, post op day1, day3, 2 week serology,Visual analog pain scale preop, day 3, 2 week, 6 weeks, 3 month patient report pain scale,WOMAC knee score preop, 6 week, 3 month questionnaire ,knee society score preop, 6 week, 3 month physical examination and questionnaire ,morphine consumption peri-operative period, in admission amount of morphine request during admission,POC glucose preop, post-op day1-day2-day3 and 2 week blood examination,nausea and vomit peri-operative period, in admission amount of ondansetron request during admission,wound complication day3 , 2week and 3 month wound discharge, wound dehiscence, surgical site infection ,time up and go test preop, day 3, 2 week, 6 week, 3 month second | — |
Countries
Thailand
Contacts
Public Contactkulapat chulsomlee
Faculty of Medicine Ramathibodi Hospital
Outcome results
None listed