
Study to Reduce Sitting in Older Adults Undergoing Hip or Knee Replacements
Orthopedic DisorderArthropathy of Knee4 moreThe aim of this study is to investigate the feasibility of an intervention to reduce sedentary behaviour in older adults waiting for hip and knee replacements. The study will be a randomised controlled trial design, including 2:1 randomisation into an intervention and usual care group respectively. A target of n=45 patients ≥60 years will be recruited from Russells Hall Hospital, Dudley, UK, approximately 8-10 weeks before surgery, assisted by research nurses. The variable-length intervention, informed by Self-Determination Theory (SDT), will be composed of multiple behaviour change techniques, namely motivational interviewing, individualised feedback on sedentariness, goal-setting, environmental modification, self-monitoring, and social support. Assessments will occur at baseline, 1 week pre-surgery, and 6 weeks post-surgery. The primary outcome will be the feasibility of the trial, assessed quantitatively using study statistics, and with mixed-methods assessment of acceptability, practicality, adaption, satisfaction, and safety via questionnaires given to participants. Exploratory outcomes will include physical function, cardiometabolic biomarkers, measurement of SDT constructs, and both objective and subjective measurement daily activity and sedentariness. The study will last up to 18 weeks per participant.

GetHealthy-OA: A Program to Improve Pain and Function for Patients With Knee Osteoarthritis, Obesity,...
Knee OsteoarthritisObese1 moreThe investigators have previously identified knee osteoarthritis patients with the combination of depression and an unhealthy weight may be an increased risk of more rapid joint degeneration and worsening pain. The GetHealthy-OA program combines a mind-body program with the oral supplement fisetin to potentially reduce the risk for this population by treating psychosocial, mechanical, and inflammatory mechanisms of knee osteoarthritis. This randomized clinical trial will compare the GetHealthy-OA program to minimally-enhanced usual care plus an oral placebo.

Kinematic Alignment vs Mechanical Alignment for Total Knee Arthroplasty
Knee OsteoarthritisKnee Pain ChronicThis is a prospective, randomized, single-blinded, multi-center trial comparing Kinematic Alignment vs Mechanical Alignment in TKA patients using patient reported outcomes, clinical and functional performance tests and radiographic analyses.

Utilization of a Knee Brace With Extension Swing
Osteo Arthritis KneeThe purpose of this research is to help determine if use of the Guardian brace during prehab and post-op rehab after TKA can help improve functional outcomes and reduce the incidence of post-operative flexion contractures which reduce knee range of motion after surgery.

Preliminary Safety and Efficacy of XT-150 in Facet Joint Osteoarthritis
OsteoarthritisSpinePreliminary safety and efficacy of XT-150 in the synovial capsule of osteoarthritic facet joints in the vertebra of the spine.

Meditation and Opioid Consumption in Total Joint Replacement Patients Undergo Primary Total Hip...
Arthropathy of KneeOsteo Arthritis Knee8 moreThe main purpose of this study is to look at whether meditation techniques can help reduce pain and opioid use after surgery.

NSAID Treatment of Patients With Osteoarthritis
Osteoarthritis,KneeThe study investigates associations between pre treatment pain intensity and central pain mechanisms on the effect of 8-week treatment of NSAIDs in patients with knee osteoarthritis.

A Comparison of Two Surgical Techniques Using the Unity Knee™ Total Knee System
OsteoarthritisKnee12 moreA comparison of two Unity Knee™ tissue-balancing techniques by analysing the results from X-rays and patient questionnaires.

European Post-Market Study for Medial Knee Osteoarthritis Treated With the Atlas Knee System for...
Osteoarthritis (OA) of the Medial Knee CompartmentThe objective of this study is to collect post market data on safety and performance of the Atlas Knee System in patients with osteoarthritis (OA) of the medial knee compartment through a 24 months post-operative follow-up period.

Exparel vs Exparel Plus ACB in TKAs
Knee OsteoarthritisPatients will be randomized (like the flip of a coin) to receive Exparel and a nerve block, standard of care for this procedure, or Exparel alone for pain management after surgery. They will also be asked to complete questionnaires before surgery, during their stay at the hospital after surgery, then at 3 months, 6 months and 12 months after surgery to assess pain and/or function levels, as well as the amount of pain medicine patients have used after surgery. Patients' leg strength will be measured immediately after surgery and again at 3, 6 and 12 months after surgery.