Postoperative ibuprofen increased bleeding complications in hospital and did not improve pain or physical function at 6–12 months after total hip replacement
- arthroplasty (replacement, hip)
- anti-inflammatory agents (non-steroidal)
- ibuprofen
- pain (postoperative)
- ossification (heterotopic)
Q In patients having total hip replacement surgery, does 14 days of postoperative ibuprofen (as prophylaxis for ectopic bone formation) reduce pain and improve physical function 6–12 months after surgery? What are the effects on bleeding complications?
METHODS
Design:
randomised, placebo controlled trial (HIPAID).
Allocation:
concealed.
Blinding:
blinded {patients, healthcare providers, data collectors, outcome assessors, data analysts, and monitoring committee}.*
Follow up period:
6–12 months after surgery {median 7.8 mo}.*
Setting:
20 hospitals in Australia and New Zealand.
Patients:
902 patients (mean age 66 y, 54% men) who were identified within 24 hours of elective total hip replacement surgery. Exclusion criteria were indication for or contraindication to non-steroidal anti-inflammatory drugs (NSAIDs), use of an NSAID (other than low dose aspirin) 48 hours before surgery, or …
