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A clinical trial to study the efficacy of two different types of pain killers in patients undergoing total knee replacement

Recruiting
Conditions
osteoarthritis knee joint
Registration Number
CTRI/2018/01/011364
Lead Sponsor
AV GURAVA REDDY
Brief Summary

Pain management in total knee arthroplasty is aimed to minimize postoperative pain andimprove functional outcomes in patients. Although there are many methods used for controlling the painthere has been no consensus on most appropriate or the best protocol. Adductor canal block (ACB) hasthe unique advantage of providing localized analgesia but it doesn’t provide pain relief to the posteriorcapsule, it has been postulated that IPACK (interspace between the popliteal artery and the capsule of theknee) combined with ACB will provide better pain relief than ACB alone.

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
All
Target Recruitment
126
Inclusion Criteria
  • Age18-90years(adultsandelderly) 2.
  • TheAmericanSocietyofAnesthesiologists(ASA)PhysicalStatus1-3 3.
  • Eithergender 4.
  • patients undergoing primary unilateral total knee arthroplasty 5.
  • serum creatinine below 1.5.
Exclusion Criteria
  • Age <18or >90years 2.
  • Useofgeneralanaesthesia duringtheoperativeprocedure 3.
  • Ifindicationofsurgeryisforrheumatoidarthritis,inflammatoryarthropathy,bilateralTKA orrevisionofTKA 4.
  • Anycontraindicationstoregionalblockageorropivacaineincludingbutnotlimitedto • Patient’s refusalto usageof regionalblockade • Infectionatthesiteofneedleinsertion • Systemicinfection • Bleedingdiathesisorcoagulopathy(asdiagnosedbyhistoryorlaboratory evaluation).

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Theefficacyofpain management will assessedbyaVAS(VisualAnalogueScale)thatmeasures10cm.The assessments will be done on post-operative days 1,2 and 3 by a single assessor
Secondary Outcome Measures
NameTimeMethod
range of movement using goniometerRange of movement was measured on Day 1 after the dressing
distance walked on day 1Number of steps walked by the patient on post operative Day 1 morning was

Trial Locations

Locations (1)

Department of Orthopaedics, arthroplasty division, SUNSHINE HOSPITAL , SECUNDERABAD

🇮🇳

Hyderabad, ANDHRA PRADESH, India

Department of Orthopaedics, arthroplasty division, SUNSHINE HOSPITAL , SECUNDERABAD
🇮🇳Hyderabad, ANDHRA PRADESH, India
AV GURAVA REDDY
Principal investigator
04044550000
guravareddy@sunshinehospitals.com

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