Arthritis Knee, Rehabilitation, Total Knee Arthroplasty, Total Knee Replacement, Total Knee Replacement Surgery
Conditions
Brief summary
The goal of this interventional study is to examine whether a pain management technique of combined femoral and popliteal nerve block is effective in total knee arthroplasty patients. The main questions it aims to answer are: Are there differences in postoperative outcomes? Does the nerve block, age, preoperative quadriceps muscle strength and Oxford Knee Score of the patient predict early functional ability? Participants underwent total knee arthroplasty and assessments. Researchers compared pain management techniques to assess effects on postoperative outcomes and identified the importance of preoperative variables a predictors of early functional ability. Further research is required to refine postoperative pain management strategies.
Interventions
PROCEDURECombined Femoral and Popliteal nerve block
Patients who receive a combined femoral and popliteal nerve block during surgery, fill out a questionnaire and undergo a muscle strength test before surgery, undergo functional tests, a muscle strength test and are asked about pain intensity after surgery.
Sponsors
Western Galilee Hospital-Nahariya
University of Haifa
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Over the age of 18 * Electively assigned for primary knee replacement surgery. * The American Society of Anesthesiologists physical status score 1-3.
Exclusion criteria
* Revision surgery. * Patients suffering from chronic pain syndrome or chronic opioid use. * Patients with previous neurological deficits in the lower extremities. * A cognitive state that does not allow signing of consent or understanding simple instructions.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Timed up & go Test | First day after surgery and third or fourth day after surgery | Total time to arise from chair, walk 3 m, turn around, return to chair and sit down. Two trials performed and the faster of the two is recorded to the nearest 10th of a second. |
| Numeric Pain Rating Scale | up to four days after surgery | An 11-point scale scored from 0 to 10: 0 = no pain, 10= the most intense pain imaginable |
| Quadriceps Muscle Strength | A 1 day before the surgery, first day after the surgery and third or fourth day after the surgery . | muscle strength measure by dynamometer (N⋅m) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Surgery Duration | During the surgery | minutes- taken from the patient's file |
| Consumption of Analgesics | At discharge (assessed up to day 10) | taken from the patient's file |
| Elderly Mobility Scale | First day after the surgery and third or fourth day after the surgery | The Elderly Mobility Scale is a 20 point validated assessment tool for the assessment of frail elderly subjects. The The Elderly Mobility Scale is measured on an ordinal scale of 0-20, when Scores under 10 - generally these patients are dependent in mobility maneuvers; require help with basic activity of daily living, such as transfers, toileting and dressing. Scores between 10 - 13 - generally these patients are borderline in terms of safe mobility and independence in activity of daily living i.e. they require some help with some mobility maneuvers. Scores over 14 - Generally these patients are able to perform mobility maneuvers alone and safely and are independent in basic activity of daily living. |
| Oxford Knee Score Questionnaire | A 1 day before the surgery | The Oxford Knee Score is a patient self-completion patient-reported outcome containing 12 questions on activities of daily living. It provides a single summed score which reflects the severity of problems that the respondent has with their knee. The Oxford Knee Score is scored 0-48 when Score 0-19 May indicate severe knee arthritis. Score 20-29 May indicate moderate to severe knee arthritis. Score 30-39 May indicate mild to moderate knee arthritis. Score 40-48 May indicate satisfactory joint function. |
| Occurrence of Falls | At discharge (assessed up to day 10) | throughout the hospitalization- taken from the patient's file |
| 5 Times Sit to Stand Test | First day after the surgery and third or fourth day after the surgery | The score is the amount of time (to the nearest decimal in seconds) it takes a patient to transfer from a seated to a standing position and back to sitting five times. |
| Hospitalization Duration | At discharge (assessed up to day 10) | Number of days of hospitalization after the surgery- taken from the pa... |
Countries
Israel
Outcome results
None listed