Effectiveness of Pain Relief Between Adductor Canal Block and Femoral Nerve Block in Total Knee Arthroplasty in General Anesthesia
试验速览
- 阶段
- 不适用
- 入组人数
- 100
- 主要终点
- Changes in Visual pain scale
研究概览
简要总结
This study aims to compare the effectiveness of adductor canal block and femoral nerve block in total knee arthroplasty in general anesthesia. Two block techniques were proved safe and effective in pain control after total knee arthroplasty. But some authors insist that quadriceps muscle power was decreased by femoral nerve block. The study design is a double-blind randomized controlled trial. Fifty patients planed to undergo simultaneously bilateral total knee arthroplasty are randomised to receive ultrasound-guided femoral nerve block on one leg and adductor canal block on the other, in addition to combined general anaesthesia. The primary outcome was comparative postoperative pain in either extremity at four, eight, 12, 24, 72 hours and 7days postoperatively. Secondary comparative outcomes included motor strength by cybex test.
详细描述
Total knee arthroplasty(TKA) is very popular in nowadays. But almost patients complained of postoperative pain and it affect the delay of early mobilization which prevent knee stiffness, lessens hospital stay and improves overall patient satisfaction and outcome of TKA. Intravenous patient-controlled analgesia (PCA) or epidural analgesia is a conventional postoperative analgesia. Recently other block techniques like a adductor canal block and femoral nerve block were known for good methods of pain relief after TKA. However, femoral nerve block reduces quadriceps muscle strength thereby potentially compromising postoperative mobilization. Therefore, it is necessary to evaluate the effectiveness of pain treatment and the preservation of muscle function after the procedure of adductor canal block and femoral nerve block.
The present study aimed to determine and compare the efficacy of adductor canal block and femoral nerve block combined with general anesthesia on (1) postoperative pain control, (2) early patient ambulation and functional recovery and (3) change of muscle power after total knee arthroplasty.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 19 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients for total knee arthroplasty having medicare insurance
排除标准
- •Alcohol, drug abuser Narcotics addiction
研究组 & 干预措施
Femoral nerve block
Femoral nerve block will be performed just one time after total knee arthroplasty in general anesthesia state
干预措施: Sono guided nerve block (Procedure)
Adductor canal block
Adductor canal block will be performed just one time after total knee arthroplasty in general anesthesia state
干预措施: Sono guided nerve block (Procedure)
结局指标
主要结局
Changes in Visual pain scale
时间窗: Changes from the baseline visual pain scale to 1 week after surgery
次要结局
- Changes in Quadriceps muscle power and strength by cybex muscle testing(1 week postoperatively compared to baseline)
研究者
Yong In
Professor
The Catholic University of Korea