Total Knee Replacement
Conditions
Keywords
total knee replacement, anesthesia, catheter
Brief summary
The main objective of this study is to show that postoperative Total Knee Replacement (TKR), an analgesic perineural catheter in position under sartorial (KTSS) best preserves motor quadriceps femoral perineural catheter that (KTF) infused with even low doses of local anesthetics, this motor being evaluated by a semi quantitative simple clinical test locking of the knee feasible at the bedside. Patients will be randomized in two arms: * catheter in position under sartorial (experimental group) * femoral catheter (control group)
Interventions
DEVICEunder sartorial catheter
DEVICEfemoral catheter
Sponsors
Centre Hospitalier Departemental Vendee
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* Major Patient (≥ 18 years) * Before tricompartmental benefit from knee replacement (TKR) unilateral, * TKR programmed on one of the first three days of the week (Monday to Wednesday) * Physical status score I-III, * Non septic programmed surgery under general anesthesia * Able to understand the protocol * Written informed consent * Social Insured * Opportunity to be followed under the Protocol
Exclusion criteria
* Age ≥ 85 years * Obesity (BMI ≥ 35) * Revision TKR, * Patients not cooperating or not including the French, * Difficulties in understanding and evaluating the score pain (VAS), * Preoperative cognitive dysfunction making unreliable interrogation * Patient unable to read and / or write (literacy, ...) * Known bleeding disorders, * Vascular surgery for femoral vessels on the operated side, * Neuropathy of the lower limb, * Localized infection at the puncture catheters, * Known allergy to ropivacaine, * Renal and / or severe hepatic impairment, * Taking opioids for more than a month before surgery, * Intolerance to morphine, * Rheumatic inflammatory disease, * Patients receiving immunosuppressive therapy or long-term corticosteroid * Allergy or against-indications to standard treatments administered intraoperative and postoperative * Flexion deformity\> 10 ° or valgus deformity with significant * Refused to participate * Patient trusteeship, guardianship, deprived of liberty * Women premenopausal who become pregnant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| International clinical score Daniels and Worthingham | 2 day after surgery (total knee replacement) | This score measures the driving force of the quadriceps (scale M0: no contraction in M5: normal force) |
Countries
France
Outcome results
None listed