Total Knee Arthroplasty Total knee arthroplasty Tibial nerve block Popliteal plexus block Infiltration between popliteal artery and posterior capsule of the knee Continuous Adductor canal block
Conditions
Interventions
guided single shot tibial nerve block was performed by injecting of 0.25% levobupivacaine 10 ml.,Ultrasound-
guided single shot infiltration between popliteal artery and posterior capsule of the knee was performed by injecting of 0.25% levobupivacaine 20 ml and adrenaline (1:200,
000).,Ultrasound-
000).
Tibial Nerve Block,upper iPACK,lower iPACK
Sponsors
none
Eligibility
Sex/Gender
All
Age
18 Years to 79 Years
Inclusion criteria
Inclusion criteria: Patient who was scheduled for total knee arthroplasty at King Chulalongkorn Memorial Hospital ASA class 1 to 3 ASA class 1 A normal healthy patient. ASA class 2 A patient with mild systemic disease Mild diseases only without substantive functional limitations. ASA class 3 A patient with severe systemic disease but not threaten to life. Body mass index (BMI) between 18 to 40 kg/m2
Exclusion criteria
Exclusion criteria: refuse to participate this study allergy to any drug in this study contraindication to neuraxial anesthesia eg.coagulopathy contraindication to NSAIDs (Dynastat and Celebrex in this study) chronic opioids use or diagnosed of neuropathic pain unable to performed Time up and go test
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| common peroneal nerve motor blockade Preoperative and Postoperative 24 hours Rehabilitation after surgery,Posterior knee pain Pre op, Post op day0/1/2 Visual Analog Scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Sensory and Motor Function of Tibial Nerve Postoperative 6 hours Plantar Flexion and Cold Sensation at Plantar aspect,Sensory and Motor Function of Common Peroneal Nerve Postoperative 6 hours Dorsiflexion and Cold Sensation at Dorsum aspect (included area between great and second toe,Postoperative Morphine Consumption Postoperative 12, 24 and 48 hours Milligram of Morphine Consumption,Postoperative Pain Score Postoperative 0, 0.5, 1, 2, 4, 8, 12, 24, 36, 48 and 60 hours, 2 weeks, 6 weeks, 12 weeks Visual Analog Scale,Quadriceps Strength Postoperative 0, 1, 2, 3 Days and 3 Months Maximum voluntary isometric contraction,Cumulated Ambulation Score Postoperative 0, 1, 2, 3 Days Rehabilitation after surgery,Postoperative Complication Postoperative 0, 1, 2, 3 Days Postoperative Nausea Vomiting, Fall, Sleep disturbance,Timed up and go test Postoperative 3 Months Rehabilitation after surgery,Degree of knee flexion (active and passive) Postoperative 0, 1, 2, 3 Days and 3 Months Degree of range of motion | — |
Countries
Thailand
Contacts
Public ContactWirinaree Kampitak
Faculty of medicine, Chulalongkorn University
Outcome results
None listed