Total Knee Replacement
Conditions
Keywords
surgery
Brief summary
Comparison of the analgesics blocks (femoral, adductor canal and sciatic subgluteal nerve) for total replacement knee surgery.
Detailed description
Adductor canal block shows a beneficial effect for knee surgery. Mainly because he prevent for muscular weakness; adverse effect meet with femoral block and delaying the early active mobilization. The investigators want to compare the efficacy and safety of this block compared to the femoral and sciatic block.
Interventions
Analgesic nerve blockade (Ropivacaine) for total knee replacement surgery.
Total knee replacement surgery.
Sponsors
Study design
Eligibility
Inclusion criteria
* patients scheduled for total knee replacement surgery.
Exclusion criteria
* refusal to study, * coagulation disorder, * infection at the puncture site, * preexisting neuropathy, * allergy to local anesthetics, * renal or hepatocellular insufficiency, * context of chronic pain, * drugs abuse, * pregnant patient.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain measurement with numeric pain scale : from 0 to 10 (maximal pain) in rest condition | up to day 7 | Pain assessment and evolution in postoperative period (passive condition) |
| Pain measurement with numeric pain scale (from 0 to 10) during active motorized mobilization (Kinetic) | up to day 7 | Pain assessment and evolution in postoperative period (active condition) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postintervention nausea vomiting | at hour 0, at hours 6, at day 1 | question : present or not |
| Patient satisfaction | at day 1 | Questionnaire of patient felling and satisfaction. Choice within gradual felling : bad, middle, good, excellent |
| Opioid consumption | up to 48 hours | doses of piritramid (synthetic opioid) administrated with patient control rescue analgesia device. |
Countries
Belgium