RecruitingPhase 4NCT04432012

A Study to Compare Different Ways of Steroid Administration After Total Knee Implantation

Comparison of Perioperative Intravenous vs Periarticular Dexamethasone vs no Steroid Supplementation in Terms of Post-operative Pain, Function, Nausea, Hospitalization Length, and Risk of Complications in Patients Undergoing Primary Total Knee Arthroplasty for Knee Osteoarthritis - A Randomized Controlled Trial Clinical Study Protocol


Sponsor

Christian Candrian

Enrollment

159 participants

Start Date

Jul 1, 2020

Study Type

INTERVENTIONAL

Conditions

Summary

We are going to evaluate the difference between perioperative intravenous steroid supplementation, perioperative periarticular steroid supplementation, and standard anaesthesia protocols. We'll evaluate the outcome of patients with knee osteoarthritis who are undergoing Total Knee Arthroplasty to understand which of the three treatments give more benefits to the patient.


Eligibility

Min Age: 50 YearsMax Age: 85 Years

Inclusion Criteria4

  • Patients undergoing unilateral primary TKA at the Ospedale Regionale di Lugano.
  • Patients with a BMI \>18.5 and \<35.
  • Patients able to provide informed consent and follow all the study procedures as indicated by the protocol.
  • Informed Consent as documented by signature (Appendix Informed Consent Form).

Exclusion Criteria11

  • Contraindications to steroids.
  • Revision TKA.
  • Active steroid therapy.
  • Women who are pregnant or breast feeding.
  • Presence of other clinically significant concomitant disease states (ASA IV).
  • Uncontrolled diabetes mellitus
  • Known or suspected non-compliance, drug or alcohol abuse.
  • Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia, etc. of the participant.
  • Participation in another study with investigational drug within the 30 days preceding and during the present study.
  • Previous enrolment into the current study.
  • Enrolment of the investigator, his/her family members, employees and other dependent persons.

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Interventions

DRUGDexamethasone Sodium Phosphate 4 mg/ml intravenous

Perioperative intravenous injection of 3 ml of solution (9mg of dexamethasone)

DRUGDexamethasone Sodium Phosphate 4 mg/ml intra-articular

Perioperative intra-articular injection of 3 ml of solution (9mg of dexamethasone)


Locations(1)

Ospedale Regionale di Lugano Civico e Italiano

Lugano, Switzerland

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NCT04432012


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