Total knee arthroplasty (TKA) is the most common joint replacement surgery and its incidence is expected to increase 673% to 3.48 million procedures annually by 2030. After more than 20 years of follow-up data, TKA is confirmed to be an effective treatment for knee osteoarthritis, however, postoperative pain management continues to be a challenge despite advances in surgical techniques and anesthetic practice to minimize discomfort and enhance recovery. This acute post-surgical pain caused by extensive tissue damage and inflammation in TKA leads to restricted post-operative knee range of motion (ROM) and ability to mobilize.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
100mg CLARIX FLO
Saline
Orange Park Medical Center
Orange Park, Florida, United States
Difference in Pain at 2 weeks: visual analog scale
Pain assessed using 100mm visual analog scale (0 to 100 worst possible pain)
Time frame: 2 weeks
Difference in Pain at 5-7 days: visual analog scale
Pain assessed using 100mm visual analog scale (0 to 100 worst possible pain)
Time frame: 5-7 days
Difference in Patient Satisfaction: Questionnaire
Questionnaire ranging from 1 (Very satisfied), 2 (Satisfied), 3 (Neither satisfied nor dissatisfied, 4 (Dissatisfied), and 5 (Very dissatisfied).
Time frame: 2 weeks
Difference in Quality of Life: SF-36
Assessed by SF-36 (0-100 scale with 100 representing no disability)
Time frame: 2 weeks
Difference in Subjective Outcome
Oxford Knee Scale (score 0 most severe symptoms to 48 least symptoms)
Time frame: 2 weeks
Difference in pain medication consumption
opioid consumption (morphine equivalents)
Time frame: 2 weeks
Difference in range of motion between baseline and 2 weeks
degrees the knee joint can move
Time frame: 2 weeks
Length of Hospital Stay
Time frame: 5 days
Difference in Number of Readmissions
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Time frame: 2 weeks