Suprainguinal Fascia Iliaca Block vs. Periarticular Injection for Total Knee Arthroplasty

Not Applicable

Completed

• Conditions: Analgesia
• Interventions: Other: Group Suprainguinal fascia iliaca block; Other: Group Periarticular Infiltration

• Registration Number: NCT05636449
• Lead Sponsor: Ataturk University

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-11-15
• Study First Submitted QC: 2022-11-23
• Study Start: 2022-11-25
• Study First Posted: 2022-12-05
• Primary Completion: 2023-05-15
• Study Completion: 2023-05-30
• Status Verified: 2023-06
• Last Update Submitted: 2023-06-15
• Last Update Posted: 2023-06-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 70

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group Suprainguinal fascia iliaca block	Group Suprainguinal fascia iliaca block	Suprainguinal fascia iliaca block after the surgery
Group Periarticular Infiltration Group	Group Periarticular Infiltration	A 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.

Primary Outcome Measures

Name	Time	Method
Postoperative opioid consumption	first 24 hours	First 24 hours total fentanyl consumption with patient controlled analgesia

Secondary Outcome Measures

Name	Time	Method
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
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)

Trial Locations

Locations (1)

Ali Ahiskalioglu; 🇹🇷 Erzurum, Turkey