ESPB and ACB in Knee Arthroplasty

Not Applicable

Completed

• Conditions: Post Operative Pain
• Interventions: Procedure: Erector Spinae Plane Block; Procedure: Adductor Canal Block

• Registration Number: NCT05613101
• Lead Sponsor: Istanbul Medeniyet University

Brief Summary

Total knee arthroplasty surgery is preferred in the treatment of osteoarthritis and causes severe postoperative pain. In this study, we aimed to investigate the effects of lumbar erector spina plan block and adductor canal block on postoperative pain and quadriceps muscle strength in patients who underwent total knee arthroplasty with spinal anesthesia.

Detailed Description

In a prospective, randomized study; Medeniyet University Faculty of Medicine Göztepe Prof. Dr. Forty patients who underwent total knee arthroplasty surgery at Süleyman Yalçın City Hospital were divided into two groups. After the surgery was completed, erector spina plane block was applied to Group E (n=20) patients with 20 ml of 0.25% bupivacaine from the operated side L3-L4 level, while in Group A (n=20) patients, in the area where the sartorius muscle crosses the adductor magnus muscle, it was lateral to the superficial femoral artery. Adductor canal block was applied to the adductor canal with 20 ml of 0.5% bupivacaine. All patients were administered 1 gr paracetamol and 75 mg diclofenac sodium when their pain started in the orthopedic ward. Numerical pain score and quadriceps muscle strength were evaluated during the 48-hour follow-up of the patients. When the pain score was 4 and above, 50 mg pethidine hydrochloride was administered.

Study Timeline

• Study Start: 2021-12-15
• Primary Completion: 2022-06-15
• Study Completion: 2022-08-30
• Study First Submitted: 2022-10-06
• Status Verified: 2022-11
• Study First Submitted QC: 2022-11-10
• Last Update Submitted: 2022-11-10
• Study First Posted: 2022-11-14
• Last Update Posted: 2022-11-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• patients who underwent total knee arthroplasty surgery
• ASA I-III patients

Exclusion Criteria

• Patients with coagulopathy
• Patients history with local anesthetic allergy or toxicity
• Patients with long hospital stay
• Patients with advanced organ failure
• Mental retarded patients
• Presence of infection at the injection site

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Erector Spinae Plane Block	Erector Spinae Plane Block	Erector Spina Plane Block was performed to the patients after coplition of total knee arthroplasty operation for postopetaive pain.
Adductor Canal Block	Adductor Canal Block	Adductor Canal Block was performed to the patients after coplition of total knee arthroplasty operation for postopetaive pain.

Primary Outcome Measures

Name	Time	Method
Postoperative pain 48. hour	48. hour	Visual anolog score (1-10)
Postoperative pain 1. hour	1. hour	Visual anolog score (1-10)
Postoperative pain 30 minute	30. min.	Visual anolog score (1-10)
Postoperative pain 2. hour	2. hour	Visual anolog score (1-10)
Postoperative pain 6. hour	6. hour	Visual anolog score (1-10)
Postoperative pain 12. hour	12. hour	Visual anolog score (1-10)
Postoperative pain 24. hour	24. hour	Visual anolog score (1-10)
Postoperative pain 36. hour	36. hour	Visual anolog score (1-10)

Secondary Outcome Measures

Name	Time	Method
Opioid consuption 30. min.	30. min.	Petidine (mg)
Opioid consuption 6. hour	6. hour	Petidine (mg)
Opioid consuption 12. hour	12. hour	Petidine (mg)
Opioid consuption 36. hour	36. hour	Petidine (mg)
Opioid consuption 1. hour	1. hour	Petidine (mg)
Opioid consuption 2. hour	2. hour	Petidine (mg)
Opioid consuption 24. hour	24. hour	Petidine (mg)
Opioid consuption 48. hour	48. hour	Petidine (mg)

Trial Locations

Locations (1)

Istanbul Medeniyet University Goztepe Suleyman Yalcın City Hospital; 🇹🇷 Istanbul, Turkey