Do Corticosteroid Injections During Total Knee Replacement Improve Early Clinical Results?
Recruitment status was Recruiting
Prior to surgery, a pharmacist will randomly assign participating patients to one of two groups. One group will get an injection in the knee during surgery that contains medications to limit pain and an antibiotic. A second group will get an injection in the knee during surgery that contains the same pain medications and antibiotic along with a corticosteroid to control inflammation. Corticosteroids are anti-inflammatory medications, not to be confused with muscle-building anabolic steroids you may have heard about in the news. Each patient will have an equal chance of being in either of the two groups. This study will test the safety and efficacy of methylprednisolone acetate in the treatment of pain and inflammation following total knee replacement.
|Study Design:||Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Primary Purpose: Supportive Care
|Official Title:||Peri-Articular Injections Containing a Corticosteroid During Total Knee Arthroplasty|
- Length of hospital stay [ Time Frame: days after surgery ]
- Knee range of motion [ Time Frame: baseline (preoperative), 6 weeks, 3 months, and one year postoperative ]
- Knee Society Scores [ Time Frame: Baseline (preoperative), 6 weeks, 3 months, and 1 year postoperative ]
- Complications such as manipulations under anesthesia, revision surgeries, infections, etc. [ Time Frame: within the first postoperative year ]
- Amount of pain medication taken per day [ Time Frame: during hospital stay ]
- Patient satisfaction [ Time Frame: 6 weeks, 3 months, and 1 year postoperative ]
|Study Start Date:||March 2006|
|Estimated Study Completion Date:||June 2009|
Information collected during your office visits:
The patient will be asked for a brief medical history so that we may determine if the patient can participate in the study. A member of our research team will ask the patient a series of questions about his/her knee. The patient will be asked to answer this series of questions a total of 4 times over the course of 1 year. Also, we will record how well the patient can bend and straighten your knee at these 4 office visits. We will have the patient rate the pain in his/her knee and ask the patient if he/she is satisfied with the surgery. If the patients have any complications, those will also be recorded. The patient will also have X-rays taken of the knee at the postoperative follow-up visits. This is the normal routine following total knee replacement. The X-rays will be read by the surgeon to help determine the success of the surgery.
Injection during total knee replacement surgery:
All patients will receive an injection containing bupivicaine HCl, morphine, epinephrine, clonidine, cefuroxime, and normal saline that will be placed directly into the knee during surgery. In addition, approximately half of the patients in the study will also receive methylprednisolone acetate as part of the injection.
Information being collected during your hospital stay:
During the hospital stay, information will be gathered for this study. A physical therapist will measure how well the patient can bend and straighten the knee. The amount of pain medication that was taken at the hospital will be recorded, and the number of days spent in the hospital will also be recorded.
|Contact: Cale A Jacobs, PhD||(859)firstname.lastname@example.org|
|United States, Kentucky|
|Lexington Clinic Sports Medicine Center||Recruiting|
|Lexington, Kentucky, United States, 40504|
|Contact: Cale A Jacobs, PhD 859-258-8560 email@example.com|
|Principal Investigator: Cale A Jacobs, PhD|
|Principal Investigator: Christian P Christensen, MD|
|Principal Investigator:||Cale A Jacobs, PhD||New Lexington Clinic|
|Principal Investigator:||Christian P Christensen, MD||New Lexington Clinic|