The effect of a bracelet on gastrointestinal recovery after unicompartmental knee arthroplasty

ISRCTN ISRCTN70004676
DOI https://doi.org/10.1186/ISRCTN70004676
Secondary identifying numbers 2024ZXKT0009-01, 82104896
Submission date
06/11/2024
Registration date
20/01/2025
Last edited
20/01/2025
Recruitment status
No longer recruiting
Overall study status
Ongoing
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
With the increasing ageing population, the incidence of knee joint degeneration is increasing year by year. Unicompartmental knee arthroplasty (UKA) is surgery used to treat end-stage knee joint diseases, which can significantly relieve pain and correct deformity. Postoperative nausea and vomiting (PONV) and constipation are common complications of UKA. Therefore, reducing the incidence of nausea and vomiting is the focus of attention and research at present. The application of a non-invasive anti-vertigo bracelet can effectively stimulate relevant acupoints, reduce the incidence of PONV and promote the rehabilitation of patients, but it has not been applied to the research in the field of joint replacement. Therefore, this study intends to verify the effect of a non-invasive anti-vertigo bracelet in preventing knee replacement PONV.

Who can participate?
Patients aged 18 - 75 years who need UKA due to end-stage osteoarthritis

What does the study involve?
All patients received the same perioperative management and drug treatment. The incidence of PONV at different timepoints (3, 6, 12 and 24 hours after the operation) was measured, and the curative effect of the bracelet on PONV after the operation was observed and analyzed.

What are the possible benefits and risks of participating?
Possible risks of the surgery include deep venous thrombosis, knee joint stiffness, and acute knee infection. The benefits of participation include a better understanding of the effect of the bracelet on postoperative PONV after joint replacement.

Where is the study run from?
Luoyang Orthopedic Hospital of Henan Province, Orthopedic Hospital of Henan Province (China)

When is the study starting and how long is it expected to run for?
January 2025 to December 2025

Who is funding the study?
1. National Natural Science Foundation of China
2. Project of Science and Technology of Henan Province (China)

Who is the main contact?
Guorui Cao, 13688172272@163.com

Contact information

Dr Guorui Cao
Public, Scientific, Principal Investigator

82 Qiming South Road
Luoyang
471000
China

Phone +86 (0)13258289917
Email 13688172272@163.com

Study information

Study designParallel randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital, Medical and other records
Study typePrevention, Treatment, Efficacy
Participant information sheet Not available in web format, please use the contact details to request a participant information sheet
Scientific titleThe effect of EmeTerm® bracelet on gastrointestinal reaction following unicompartmental knee arthroplasty
Study objectivesThis study aims to evaluate the effect of the EmeTerm® bracelet in preventing nausea, vomiting and constipation in patients undergoing unicompartmental knee arthroplasty
Ethics approval(s)

Approved 01/01/2025, Luoyang Orthopedic Hospital of Henan Province Ethics Committee (82 Qiming South Road, Luoyang, 471000, China; +86 (0)13258289917; hnlc.love@163.com), ref: 2024ZXKT0009-01

Health condition(s) or problem(s) studiedPostoperative nausea, vomiting and constipation in patients undergoing knee replacement
InterventionUsing an acupoint stimulation bracelet (EmeTerm®)

All patients received the same perioperative management and drug treatment. The incidence of PONV at different time points (3, 6, 12 and 24 hours after the operation) was measured, and the curative effect of SDZ-V on PONV after the operation was observed and analyzed.
Intervention typeOther
Primary outcome measureThe incidence of PONV measured using questionnaire at 3, 6, 12 and 24 hours after the operation
Secondary outcome measures1. The severity of nausea and vomiting measured using questionnaire in the 24 hours after the operation
2. First exhaust time and defecation time after the operation, measured using questionnaire
3. Levels of hemoglobin, albumin and electrolyte in blood measured using hospital monitoring system after the operation
4. The incidence of constipation measured using questionnaire at 3 days after the operation
5. Stratified analysis on the basis of anesthesia method and the risk of nausea and vomiting
Overall study start date01/01/2025
Completion date31/12/2025

Eligibility

Participant type(s)Patient
Age groupMixed
Lower age limit18 Years
Upper age limit75 Years
SexBoth
Target number of participants240
Key inclusion criteria1. Patients aged 18 to 75 years who need knee replacement due to end-stage osteoarthritis
2. Patients who voluntarily participate in clinical trials and sign informed consent forms with good compliance
Key exclusion criteria1. Patients undergoing revision and bilateral joint replacement
2. Patients who have received acupuncture treatment within 2 weeks
3. Patients with rheumatoid disease, systemic lupus erythematosus and ankylosing spondylitis
4. Patients with severe deformity of knee joint (knee flexion ≥30 degrees, varus ≥30 degrees or valgus ≥15 degrees)
5. severe hepatic and renal insufficiency
6. Patients with central nervous system or mental illness
7. Those who are experiencing nausea, vomiting, diarrhea or constipation, and those who are taking drugs or non-drugs to treat nausea, vomiting, diarrhea or constipation, and those who are taking drugs that affect gastrointestinal motility
8. Skin allergy, breakage, infection or itching at the test site, etc
Date of first enrolment10/01/2025
Date of final enrolment30/06/2025

Locations

Countries of recruitment

  • China

Study participating centre

Luoyang Orthopedic Hospital of Henan Province
82 Qiming South Road
Luoyang
610041
China

Sponsor information

Luoyang Orthopedic-Traumatological Hospital of Henan Province
Hospital/treatment centre

No 82, Qiming South Road
Luoyang
471000
China

Phone +86 (0)15713792777
Email hnsgkyyhr@126.com
Website https://www.lyzhenggu.cn/
ROR logo "ROR" https://ror.org/05br7cm44

Funders

Funder type

Government

National Natural Science Foundation of China
Government organisation / National government
Alternative name(s)
Chinese National Science Foundation, Natural Science Foundation of China, National Science Foundation of China, NNSF of China, NSF of China, 国家自然科学基金委员会, National Nature Science Foundation of China, Guójiā Zìrán Kēxué Jījīn Wěiyuánhuì, NSFC, NNSF, NNSFC
Location
China

Results and Publications

Intention to publish date31/12/2025
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe datasets generated during the current study will be available upon request from Guorui Cao, 13688172272@163.com

Editorial Notes

06/11/2024: Study's existence confirmed by the Luoyang Orthopedic Hospital of Henan Province Ethics Committee.