Medrol Dosepak for Outpatient Total Knee Arthroplasty

Description

The purpose of this study is to evaluate the efficacy of an oral methylprednisolone taper on acute postoperative pain, function, opioid consumption, nausea, and complications following outpatient total knee arthroplasty (TKA). We hypothesize that administration of an oral methylprednisolone taper starting on postoperative day 1 (POD 1) following TKA will be associated with improved pain and decreased opioid use, nausea, and complications at POD1-7, as compared to similar patients who receive placebo. Additionally, those taking methylprednisolone will report decreased pain and greater objective functional outcomes at 3 and 6 weeks postoperatively as compared to controls.

Conditions

Total Knee Arthroplasty

Study Overview

Study Details

Study overview

The purpose of this study is to evaluate the efficacy of an oral methylprednisolone taper on acute postoperative pain, function, opioid consumption, nausea, and complications following outpatient total knee arthroplasty (TKA). We hypothesize that administration of an oral methylprednisolone taper starting on postoperative day 1 (POD 1) following TKA will be associated with improved pain and decreased opioid use, nausea, and complications at POD1-7, as compared to similar patients who receive placebo. Additionally, those taking methylprednisolone will report decreased pain and greater objective functional outcomes at 3 and 6 weeks postoperatively as compared to controls.

An Oral Methylprednisolone Taper Within a Multimodal Analgesic Regimen After Total Knee Arthroplasty: a Double-Blind Randomized Placebo-Controlled Trial

Medrol Dosepak for Outpatient Total Knee Arthroplasty

Condition
Total Knee Arthroplasty
Intervention / Treatment

-

Contacts and Locations

Oak Brook

Rush Oak Brook Outpatient Center, Oak Brook, Illinois, United States, 60523

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Any patient undergoing primary TKA with a diagnosis of osteoarthritis
  • * Willingness to undergo randomization
  • * Reported chronic corticosteroid or opiate use
  • * Suspected or confirmed periprosthetic joint infection
  • * Revision TKA
  • * Primary diagnosis other than osteoarthritis, including avascular necrosis, fracture, or post-traumatic arthritis
  • * American Society of Anesthesiologists (ASA) score ≥ 4
  • * Reported history of liver disease, renal disease, or diabetes mellitus
  • * Current systemic fungal infection or other local infection
  • * Immunocompromised or immunosuppressed
  • * Current peptic ulcer disease
  • * History of hypothyroidism, psychosis, heart failure, myasthenia gravis, ocular herpes simplex virus, or systemic sclerosis
  • * Women with reported current pregnancy
  • * Known hypersensitivity to methylprednisolone
  • * Inability to take oral medications
  • * Unable to provide consent

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

Yes

Collaborators and Investigators

Rush University Medical Center,

Craig Della Valle, MD, PRINCIPAL_INVESTIGATOR, Rush University Medical Center

Study Record Dates

2025-12