Arthroplasty Inflammation Prophylaxis With Celecoxib
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ClinicalTrials.gov Identifier: NCT00533247
Recruitment Status : Unknown
Verified September 2007 by Zanbilowicz, Adam, DPM MS. Recruitment status was: Not yet recruiting
This double blinded, placebo controlled, study seeks to determine the efficacy of preoperative anti-inflammatory therapy on the reduction of postoperative pain in knee arthroplasty surgery. Pre-emptive use of NSAIDS has demonstrated only modest reduction in post-operative pain in previous studies. However, the short duration of dosing in those studies did not capitalized on the anti-inflammatory properties of NSAIDS. Short-term use of NSAIDS only provides pain relief and does not address inflammation. Traditional NSAIDS cannot be used preoperatively due to platelet effects. Celecoxib, however, is both an analgesic and anti-inflammatory, but does not interfere with bleeding. It can therefore be safely used before surgery. This study hypothesizes that the use of celecoxib for seven days preoperatively reduces postoperative inflammation and consequently pain. A detailed Medline search has not identified any studies into the preoperative use of an NSAID at a dosing level that achieves anti-inflammatory effects.If effective in reducing postoperative pain, this research could lead to a new understanding of the role inflammation plays in orthopedic procedures and other elective procedures and thus improve patient outcomes in the future.
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Ages Eligible for Study:
Child, Adult, Older Adult
Sexes Eligible for Study:
Accepts Healthy Volunteers:
Healthy patients undergoing knee arthroplasty
Subjects will be excluded from the study for the following reasons:
Allergy to non-steroidal anti-inflammatory medications
Subjects must not be taking another NSAID while the study is conducted
Impaired renal function (serum creatinine >1.2 x upper limit of normal)
Liver Disease (SGPT(ALT) or SGOT(AST) > 1.5x upper limit of normal)
Taking an ACE inhibitor
Taking a diuretic
Must not be taking an NSAID on a daily basis during the study period