We hypothesize that Traumeel S is more effective than placebo in reducing 48-hour mean cumulative morphine consumption following Total Knee or Hip Arthroplasty. 224 patients, meeting all inclusion and none of exclusion criteria, will be enrolled in the trial. Patients will be randomized to receive either intraoperative injection and post operative oral Traumeel S Tablets or placebo injection (normal saline) and indistinguishable oral placebo tablets. Baseline measurements of relevant outcome measures will taken preoperatively. In the recovery room, the patient will begin to receive IV Dipyrone (Optalgin) 1000mg, for a total of 4 doses during the first 24 hours postoperatively (1000 mg every 6 hours). Once back in the ward, the patient will be connected to an IV Patient-Controlled Analgesia (PCA) device, enabling the self-administration of morphine at a set dose of 1mg every 8 minutes, should the patient require it. The PCA memory registers the time and dose, and the data will be used later to evaluate post-operative pain.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
224
All patients will receive an intra-operative injection of either Traumeel S or placebo solution. Afterwards, verum or indistinguishable placebo tablets, PO, two tablets five times daily from day 0 to 6 post-operatively, and two tablets three times daily from day 7 until day 21. To the extent possible, administration of tablets should be equally spaced between morning and evening (e.g. every 6 hours) at the same time every day.
All patients will receive an intra-operative injection of either Traumeel S or placebo solution. Afterwards, verum or indistinguishable placebo tablets, PO, two tablets five times daily from day 0 to 6 post-operatively, and two tablets three times daily from day 7 until day 21. To the extent possible, administration of tablets should be equally spaced between morning and evening (e.g. every 6 hours) at the same time every day.
All patients will receive an intra-operative injection of either Traumeel S or placebo solution. Afterwards, verum or indistinguishable placebo tablets, PO, two tablets five times daily from day 0 to 6 post-operatively, and two tablets three times daily from day 7 until day 21. To the extent possible, administration of tablets should be equally spaced between morning and evening (e.g. every 6 hours) at the same time every day.
Dept. of Orthopedic Surgery, Shaare Zedek Medical Center
Jerusalem, Israel
Department of Orthopedics, Meir Medical Center
Kfar Saba, Israel
Cumulative 48-hour postoperative morphine consumption as consumed by the patient via the PCA device
Time frame: 48h
AUC of NRS scores for days 14-17.
Time frame: 14-17d
Cumulative 24-hour postoperative morphine consumption as consumed by the patient via the PCA device
Time frame: 24h
Number of primary oral analgesic tablets ingested between days 14-17
Time frame: 14-17d
ESR and hs-CPR at three and six days and six weeks
Time frame: 6d and 3weeks
IL-6 at three and six days
Time frame: 3 and 6d
Post operative blood loss
Time frame: postoperative period
WOMAC
Time frame: 6 weeks
Safety of post operative treatment
Time frame: 6 weeks
Development of acute confusional state in the postoperative period
Time frame: 14-17d
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