Post operative pain management in total knee arthroplasty after the patient was discharged from hospital. Post operative pain management in total knee arthroplasty Pain after discharge Post operative pain management
Conditions
Interventions
Patients undergoing MIS-TKA performed by one of four experienced orthopedic surgeons specializing in hip and knee arthroplasty and receiving multimodal analgesia as pain management protocol.
- Spinal
Experimental Drug,No Intervention No treatment
Intervention group,Control group
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
50 Years to 90 Years
Inclusion criteria
Inclusion criteria: 1. Patients diagnosed with primary osteoarthritis undergoing primary unilateral total knee arthroplasty (TKA). 2. Age more than 50 years old 3. The patient receive multimodal analgesia as pain management protocol.
Exclusion criteria
Exclusion criteria: 1. History of steroid allergy. 2. Impaired gait or balance. 3. Coexisting conditions involving the spine, hip, ankle, or other conditions affecting TKA outcomes. 4. Communication impairment preventing questionnaire responses.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of pain with a severity greater than 3 on the Numerical Rating Scale (NRS) at POD 5 Post operative day 5 Pain score using Numerical Rating Scale (NRS) | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain levels at rest and during activity in both patient groups preoperative and POD 1 day to 2 weeks (daily), and 3 weeks to 8 weeks (weekly), using the Numerical Rating Scale (NRS). Pre operative until 8 weeks post operative Pain score using Numerical Rating Scale (NRS),Range of motion Pre operative, 1 day, 2 days , 2 weeks, 6 weeks post operative Direct measurement by goniometer,WOMAC score Pre operative, 1 day, 2 days , 2 weeks, 6 weeks post operative Patient reported outcome using a questionnaire interview,KOOS-12 score Pre operative, 1 day, 2 days , 2 weeks, 6 weeks post operative Patient reported outcome using a questionnaire interview,5 time sit-to-stand test Pre operative, 1 day, 2 days , 2 weeks, 6 weeks post operative Functional test performed by patient,Time up-and-go test Pre operative, 1 day, 2 days , 2 weeks, 6 weeks post operative Functional test performed by patient,Complication Pre operative until 8 weeks post operative Observed by research team,Opioid consumption Post operative day 0,1, and 2 Recorded by staff | — |
Countries
Thailand
Contacts
Public ContactKanitsorn Pakdeethitipaibul
King Chulalongkorn Memorial Hospital
Outcome results
None listed