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Do Intraoperative Periarticular Injections Improve Postoperative Pain Control in Patients Receiving Duramorph (Preservative Free) During Total Knee Arthroplasty? A Prospective, Double-Blind, Randomized Controlled Trial
This study will evaluate the use of a local injection around the knee (periarticular) during total knee replacement (TKR) surgery to see if it reduces postoperative pain levels. The injection is a combination of various medications which are thought to reduce pain levels. Approximately 128 patients will participate in this study, half of the patients will receive this injection during surgery and the other half will receive a saline (salt water) injection. Pain scores after the surgery will be compared between the two groups. All patients will also receive a long-acting (24 hours) morphine injection during surgery. The hypothesis is that those participants receiving intrathecal Duramorph and local periarticular injections will have improved pain scores and reduced narcotic use when compared with intrathecal Duramorph alone at 48 hours postoperatively.
Details
| Lead sponsor | Virginia Commonwealth University |
|---|---|
| Phase | Phase 4 |
| Status | TERMINATED |
| Enrolment | 64 |
| Start date | 2015-10 |
| Completion | 2021-02-11 |
Conditions
- Osteoarthritis, Knee
Interventions
- Ropivacaine
- Ketorolac
- Clonidine
- Epinephrine
- 0.9% sodium chloride
Primary outcomes
- Universal Pain Assessment Tool (UPAT) — 3 days after surgery
Patient's pain scores will be measured with the UPAT scale which ranges from 0 (no pain) to 10 (severe pain) This is measured hourly while the patient is awake after the surgery. - Narcotic Use During Hospitalization — 0-24 hours post surgery period, 24 - 48 hours post surgery period, and Full 48 hours post surgery period
The amount of narcotic pain medication needed for patient to be comfortable. This is measured in morphine equivalents since there are many pain medications other than morphine.
Countries
United States