Analgesia
Conditions
Brief summary
Total knee replacement (total knee arthroplasty) is performed to resurface a knee damaged by arthritis and relieve pain in patients with severely damaged knee joints. Total knee arthroplasty (TKA) is associated with severe postoperative pain, and the management of postoperative pain continues to evolve with the advancement of surgical techniques and pharmacological treatments. Femoral, lateral femoral cutaneous nerve and obturator nerve block is provided with suprainguinal fascia iliaca plan block, which is used for postoperative analgesia, especially in hip surgeries. In this way, the investigators think it can be used as a part of multimodal analgesia in total knee arthroplasty surgery.
Interventions
OTHERGroup Suprainguinal fascia iliaca block
After the operation is completed, the fascia iliaca will be separated from the iliacus muscle. With ultrasound guidance, the local anesthetic injection will be made between the fascia and the muscle.
OTHERGroup Periarticular Infiltration
A total volume of 80 ml local anesthetic will be applied to the medial and lateral capsule, the medial and lateral meniscus margins, the deep part of the medial ligament, the medial and lateral synovial space, and the patellar ligament and quadriceps tendon.
Sponsors
Ataturk University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* American Society of Anesthesiologist's physiologic state I-III patients * Total knee arthroplasty
Exclusion criteria
* BMI\>35 * liver, kidney, and advanced heart failure, * routine use of analgesics and * having used analgesics in the last 24 hours, * having neuropathic pain, * refusal to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative opioid consumption | first 24 hours | First 24 hours total fentanyl consumption with patient controlled analgesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| timed up and go test (TUG) | at 24th hour | TUG- evaluation of the time in seconds for the patient to get up from the chair and walk 3 meters and return to the chair again |
| quadriceps muscle strength | at 24th hour | will be evaluated in a scale between 1-5 (1:lowest; 5:normal) |
| joint range of motion test (ROM) | at 24th hour | will be measured with goniometer( between 0-180 degrees) |
| Visual analog pain score | first 48 hours | Post operative pain will be evaluated with a Visual Analogue Scale (between 0-10; 0: no pain, 10:worst pain) score |
| Five Time Sit to Stand Test (FTSST) | at 24th hour | physical assistance of the patient getting up and sitting down 'as fast as possible' five times without |
Countries
Turkey (Türkiye)
Outcome results
None listed