Total Knee Arthroplasty (TKA)
Conditions
Interventions
1. Perform various peripheral nerve blocks after induction of general anesthesia in the operating room. (Blinded for patients)
2. General anesthesia is performed by rapid induction with fentanyl and p
Sponsors
Sakai Norihiro
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1.Patients undergoing scheduled TKA at Sogo Daioikai Hospital 2.Causal diseases leading to surgery are limited to osteoarthritis of the knee, rheumatoid knee, and related diseases. 3.Age at the time of consent is 20 years or older. 4.Written consent for participation has been obtained from the patient
Exclusion criteria
Exclusion criteria: 1. Patients without the capacity to consent 2. Patients scheduled to undergo bilateral TKA in one surgery 3. Under 20 years old 4. Patients with allergies to the local anesthetic used (levobupivacaine) 5. Patients with American Society of Anesthesiologist (ASA) physical status over 3 (not including 3) 6. Patients who are regular users of narcotics, including medical narcotics, regardless of the disease. 7. Severe diabetic patients with marked diabetic paresthesia 8. Patients with neurological disorders 9. Patients with infection at the site of block needle puncture 10. Patients with platelet count under 500000/mcl 11. Pregnant, lactating, or possibly pregnant women 12. Other patients for whom peripheral nerve block is not indicated at the time of this surgery 13. Patients deemed by the treating physician to be ineligible for participation in this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The maximum value of the maximum Voluntary Isometric Contraction (MVIC) of ankle joint motion: dorsiflexion and plantar flexion of the ankle joint: preoperative, 6 24 hours postoperative | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Patient background: age, gender, height, weight, ASA Status 2. Preoperative complications and history 3. NRS score at rest at 1, 6, 10, and 24 hours postoperatively and during knee flexion rehabilitation 4. knee joint maximum range of motion (ROM) during rehabilitation on postoperative days 1-3 5. additional analgesic requirement at 72 hours postoperatively 6. successful upright raising (SLR) test at 1, 6, 24, and 72 hours postoperatively 7. frequency of postoperative side effects, including postoperative nausea/vomiting, falls, and pruritus 8. Maximam Voluntary Isometric Contraction (MVIC) of ankle joint motion: dorsiflexion and plantar flexion of the ankle joint: preoperative, 1, and 24 hours postoperative | — |
Contacts
Public ContactNorihiro Sakai
Daiyukai General Hospital
Outcome results
None listed