Health Condition 1: M179- Osteoarthritis of knee, unspecified Health Condition 2: M171- Unilateral primary osteoarthritisof knee
Conditions
Interventions
Intervention1: Dual subsartorial Block (DSB)in TKR patients: Dual Subsartorial Block (DSB) will be given immediately postoperatively in TKR patients.
It involves two injection: First in the Distal fe
Group B (20/10): 20 ml volume of LA in the Distal femoral triangle + 10 ml volume of LA in the Adductor canal
Control Intervention2: Group B: Dual Subsartorial Block with Volume 10 + 20 with Dexa 4 +
Sponsors
Ganga Medical Centre and Hospital Private Limited
Eligibility
Inclusion criteria
Inclusion criteria: ASA I/II Unilateal TKR Varus TKR Mild Valgus TKR
Exclusion criteria
Exclusion criteria: Patient Refusal ASA III/IV patient, Severe Valgus knee Bilateral TKR Acute/Chronic kidney disease Allergic to LA Age below 25 and above 75 yrs Neurological deficit Cognitive dysfuntion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1) To observe analgesic efficacy of dual subsartorial block 2) To measure post block quadriceps strength 3) Post Block Opioid ( Fentanyl) ConsumptionTimepoint: 1) Post Block VAS score (0-10) at 30min, 60min, 90min,120 min, 4 hr, 6 hr, 8 hr, 10 hr,12 hr, 18 hr, 24 hr, 36 hr, 48 hr, 72 hr and at Discharge 2) Grading 0/5 to 5/5 at 6 hr, 12 hr, 18 hr, 24 hr, 36 hr, 48 hr, 72 hr and at discharge 3) post block Opioid ( Fentanyl) consumption till discharge | — |
Secondary
| Measure | Time frame |
|---|---|
| Depth of Target injection Timepoint: in cm;Active knee extensionTimepoint: knee extension in degrees 0,15,30,45,90 at 6 hr,12 hr,18 hr,24 hr,36 hr,48 hr,72 hr and at Discharge;Most common location of Nerve to vastus medialis and saphenous Nerve during ultrasound scanningTimepoint: In Distal Femoral triangle and Adductor canal between surrounding muscles;Patient Satisfaction scoreTimepoint: 1- Unsatisfied, 2- Satisfied, 3- Fully Satisfied at POD 0 till Discharge;Patientââ?¬â?¢s Overall Experience Score After dischargeTimepoint: (0-5) 0-Worst,1-very bad, 2- Bad, 3- Good, 4- Very Good, 5- Best;Post Block Satisfaction scoreTimepoint: 1-3 (1-unsatisfied, 2-Satisfied, 3-Fully Satisfied);Quality of SonoimageTimepoint: Best/Average/Poor;Total Stay in HospitalTimepoint: in days post admission and Post Surgery | — |
Countries
India
Contacts
Public ContactDr Kartik Sonawane
Ganga Medical Centre and Hospital Private Limited
Outcome results
None listed