Assessing Function and Pain After Total Knee Arthroplasty With Combined Femoral and Popliteal Nerve Block
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Total Knee Arthroplasty
- Sponsor
- University of Haifa
- Enrollment
- 34
- Locations
- 1
- Primary Endpoint
- Numeric Pain Rating Scale
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The goal of this interventional study is to examine whether a pain management technique of combined femoral and popliteal nerve block is effective in total knee arthroplasty patients. The main questions it aims to answer are:
Are there differences in postoperative outcomes? Does the nerve block, age, preoperative quadriceps muscle strength and Oxford Knee Score of the patient predict early functional ability? Participants underwent total knee arthroplasty and assessments. Researchers compared pain management techniques to assess effects on postoperative outcomes and identified the importance of preoperative variables a predictors of early functional ability. Further research is required to refine postoperative pain management strategies.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Over the age of 18
- •Electively assigned for primary knee replacement surgery.
- •The American Society of Anesthesiologists physical status score 1-3.
Exclusion Criteria
- •Revision surgery.
- •Patients suffering from chronic pain syndrome or chronic opioid use.
- •Patients with previous neurological deficits in the lower extremities.
- •A cognitive state that does not allow signing of consent or understanding simple instructions.
Outcomes
Primary Outcomes
Numeric Pain Rating Scale
Time Frame: up to four days after surgery
An 11-point scale scored from 0 to 10: 0 = no pain, 10= the most intense pain imaginable
Quadriceps Muscle Strength
Time Frame: A 1 day before the surgery, first day after the surgery and third or fourth day after the surgery .
muscle strength measure by dynamometer (N⋅m)
Timed up & go Test
Time Frame: First day after surgery and third or fourth day after surgery
Total time to arise from chair, walk 3 m, turn around, return to chair and sit down. Two trials performed and the faster of the two is recorded to the nearest 10th of a second.
Secondary Outcomes
- Surgery Duration(During the surgery)
- Occurrence of Falls(At discharge (assessed up to day 10))
- Elderly Mobility Scale(First day after the surgery and third or fourth day after the surgery)
- Consumption of Analgesics(At discharge (assessed up to day 10))
- 5 Times Sit to Stand Test(First day after the surgery and third or fourth day after the surgery)
- Hospitalization Duration(At discharge (assessed up to day 10))
- Oxford Knee Score Questionnaire(A 1 day before the surgery)