Use of Perioperative Photograph as a Motivation for Increasing Range of Motion After Primary Total Knee Arthroplasty

NCT ID: NCT03075319

Last Updated: 2017-03-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-03-01

Study Completion Date

2016-02-29

Brief Summary

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Total knee arthroplasty (TKA) is recognized as a successful procedure for treating osteoarthritis (OA) of the knee. One important factor that make the successful surgery is the degree of knee flexion. Providing more range of motion after TKA impact on the convenience of daily of life such as climbing stairs, sitting on the floor particularly in Asian cultures which require a lot of ground activities. Data are limited on the added benefits of perioperative photograph as motivation for increasing range of motion after TKA.

Half of participants received perioperative photograph as motivation, while the other half did not after total knee arthroplasty.

Detailed Description

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All participants received spinal anesthesia, multimodal local anesthetic infiltration and patient controlled analgesia (PCA) for 24 hours post surgery. The surgical techniques, postoperative medications and rehabilitation protocols were identical in both groups. Perioperative knee range of motion (ROM) were measured with long arm goniometer immediately after close the wound. Perioperative knee photographs in full flexion and extension positions were taken and were given to experimental group in the day after surgery. Postoperative knee ROM were recorded at day 3, 6 week, 3 month and 6 month. The outcome assessors were blinded to treatment groups during the study period.

Conditions

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Osteoarthritis, Knee

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Received perioperative photograph

Perioperative knee range of motion (ROM) were measured with long arm goniometer immediately after close the wound. Perioperative knee photographs in full flexion and extension positions were taken and gave to experimental group in the day after surgery.

Group Type EXPERIMENTAL

Received perioperative photograph

Intervention Type PROCEDURE

All participants in experimental group were adviced to see periopertive knee photograph before rehabilitation everyday.

Postoperative knee ROM were recorded at day 3, 6 week, 3 month and 6 month. Flexion and extension angle were measured with long arm goniometer.

The outcome assessors were blinded to treatment groups.

Didn't receive perioperative photograph

Perioperative knee range of motion (ROM) were measured with long arm goniometer immediately after close the wound. Perioperative knee photographs in full flexion and extension positions were taken but participants in this group didn't receive perioperative photographs.

Group Type ACTIVE_COMPARATOR

Didn't receive perioperative photograph

Intervention Type PROCEDURE

All participants in active comparator group didn't receive perioperative knee photograph.

Postoperative knee ROM were recorded at day 3, 6 week, 3 month and 6 month. Flexion and extension angle were measured with long arm goniometer.

The outcome assessors were blinded to treatment groups.

Interventions

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Received perioperative photograph

All participants in experimental group were adviced to see periopertive knee photograph before rehabilitation everyday.

Postoperative knee ROM were recorded at day 3, 6 week, 3 month and 6 month. Flexion and extension angle were measured with long arm goniometer.

The outcome assessors were blinded to treatment groups.

Intervention Type PROCEDURE

Didn't receive perioperative photograph

All participants in active comparator group didn't receive perioperative knee photograph.

Postoperative knee ROM were recorded at day 3, 6 week, 3 month and 6 month. Flexion and extension angle were measured with long arm goniometer.

The outcome assessors were blinded to treatment groups.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Primary OA of the knee, aged less than 80 years old, and able to understand and comply with the study procedures.

Exclusion Criteria

* Knee range of motion less than 90 degrees
* Psychotic disorders
* History of stroke
* Inability to undergo a spinal block
Minimum Eligible Age

55 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boontanapibul, Krit, M.D.

INDIV

Sponsor Role collaborator

Thammasat University

OTHER

Sponsor Role lead

Responsible Party

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piya pinsornsak

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Piya Pinsornsak

Role: PRINCIPAL_INVESTIGATOR

Faculty of Medicine, Thammasat university

References

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Ritter MA, Campbell ED. Effect of range of motion on the success of a total knee arthroplasty. J Arthroplasty. 1987;2(2):95-7. doi: 10.1016/s0883-5403(87)80015-3.

Reference Type RESULT
PMID: 3612145 (View on PubMed)

Miner AL, Lingard EA, Wright EA, Sledge CB, Katz JN; Kinemax Outcomes Group. Knee range of motion after total knee arthroplasty: how important is this as an outcome measure? J Arthroplasty. 2003 Apr;18(3):286-94. doi: 10.1054/arth.2003.50046.

Reference Type RESULT
PMID: 12728419 (View on PubMed)

Meneghini RM, Pierson JL, Bagsby D, Ziemba-Davis M, Berend ME, Ritter MA. Is there a functional benefit to obtaining high flexion after total knee arthroplasty? J Arthroplasty. 2007 Sep;22(6 Suppl 2):43-6. doi: 10.1016/j.arth.2007.03.011. Epub 2007 Jul 26.

Reference Type RESULT
PMID: 17823014 (View on PubMed)

Kurosaka M, Yoshiya S, Mizuno K, Yamamoto T. Maximizing flexion after total knee arthroplasty: the need and the pitfalls. J Arthroplasty. 2002 Jun;17(4 Suppl 1):59-62. doi: 10.1054/arth.2002.32688.

Reference Type RESULT
PMID: 12068407 (View on PubMed)

Fisher DA, Dierckman B, Watts MR, Davis K. Looks good but feels bad: factors that contribute to poor results after total knee arthroplasty. J Arthroplasty. 2007 Sep;22(6 Suppl 2):39-42. doi: 10.1016/j.arth.2007.04.011. Epub 2007 Jul 26.

Reference Type RESULT
PMID: 17823013 (View on PubMed)

Harvey IA, Barry K, Kirby SP, Johnson R, Elloy MA. Factors affecting the range of movement of total knee arthroplasty. J Bone Joint Surg Br. 1993 Nov;75(6):950-5. doi: 10.1302/0301-620X.75B6.8245090.

Reference Type RESULT
PMID: 8245090 (View on PubMed)

Ritter MA, Harty LD, Davis KE, Meding JB, Berend ME. Predicting range of motion after total knee arthroplasty. Clustering, log-linear regression, and regression tree analysis. J Bone Joint Surg Am. 2003 Jul;85(7):1278-85. doi: 10.2106/00004623-200307000-00014.

Reference Type RESULT
PMID: 12851353 (View on PubMed)

Dennis DA, Komistek RD, Stiehl JB, Walker SA, Dennis KN. Range of motion after total knee arthroplasty: the effect of implant design and weight-bearing conditions. J Arthroplasty. 1998 Oct;13(7):748-52. doi: 10.1016/s0883-5403(98)90025-0.

Reference Type RESULT
PMID: 9802659 (View on PubMed)

Sharma L, Sinacore J, Daugherty C, Kuesis DT, Stulberg SD, Lewis M, Baumann G, Chang RW. Prognostic factors for functional outcome of total knee replacement: a prospective study. J Gerontol A Biol Sci Med Sci. 1996 Jul;51(4):M152-7. doi: 10.1093/gerona/51a.4.m152.

Reference Type RESULT
PMID: 8680997 (View on PubMed)

Bonnin M, Laurent JR, Parratte S, Zadegan F, Badet R, Bissery A. Can patients really do sport after TKA? Knee Surg Sports Traumatol Arthrosc. 2010 Jul;18(7):853-62. doi: 10.1007/s00167-009-1009-4. Epub 2009 Dec 24.

Reference Type RESULT
PMID: 20033676 (View on PubMed)

Naylor JM, Ko V, Adie S, Gaskin C, Walker R, Harris IA, Mittal R. Validity and reliability of using photography for measuring knee range of motion: a methodological study. BMC Musculoskelet Disord. 2011 Apr 18;12:77. doi: 10.1186/1471-2474-12-77.

Reference Type RESULT
PMID: 21496347 (View on PubMed)

Gogia PP, Braatz JH, Rose SJ, Norton BJ. Reliability and validity of goniometric measurements at the knee. Phys Ther. 1987 Feb;67(2):192-5. doi: 10.1093/ptj/67.2.192.

Reference Type RESULT
PMID: 3809242 (View on PubMed)

Other Identifiers

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MTU-EC-OT-6-049/56

Identifier Type: -

Identifier Source: org_study_id

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