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The purpose of this study is to determine efficacy of epidural steroid for postoperative pain control after TKA
Epidural triamsinolone can reduce postoperative pain and longer duration of pain control after TKA
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Epidural lidocaine | Active Comparator | epidural lidocaine: 3 mL of 1% lidocaine with adrenaline and 3 mL of 1% lidocaine without adrenaline into epidural catheter at 48 hr after surgery |
|
| epidural triamsinolone | Experimental | epidural triamsinolone: 40 mg of triamsinolone (1 mL), 2.5 mL of 1% lidocaine with adrenaline and 2.5 mL of 1% lidocaine without adrenaline into epidural catheter at 48 hr after surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| epidural triamsinolone | Drug | add drugs into catheter at 48 hr after surgery |
|
| Measure | Description | Time Frame |
|---|---|---|
| post-operative pain | measured with VAS for pain (VAS at rest and on motion) | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| functional knee score | measured with WOMAC | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| complication of epidural triamcinolone | 2 weeks | |
| range of motion of the knee | 3 months |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Supakit Kanitnate, M.D. | orthopaedic department | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| department of orthopaedic surgery, Faculty of medicine, Thammasat university | Khlong Luang | Changwat Pathum Thani | 066 | Thailand |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| epidural lidocaine | Drug | add into catheter at 48 hr after surgery |
|
|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |