Ultra Sound Guided Genicular Nerves Cooled Radiofrequency Ablation in Total Knee Replacement Surgeries
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Ain Shams University
- Enrollment
- 66
- Locations
- 1
- Primary Endpoint
- o Epidural rescue doses
Study Overview
Brief Summary
Total Knee Replacement surgery is common procedure that is usually done for patients suffering from persistent pain with limitation of movement. Unfortunately, they do suffer after the operation as it is associated still with significant pain that affect the rehabilitation plan, hospital length of stay, life style and patient satisfaction. New approaches are rising every day to add to the multimodal management plan. Genicular nerves cooled radiofrequency ablation is a new approach that can be simply done U.S. guided with little side effects, if any, and great results.
Detailed Description
the study measures the efficacy of genicular nerves cooled radiofrequency ablation in enhancing quality of rehabilitation in patients undergoing total knee replacement
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 21 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Undergoing a scheduled unilateral total knee replacement surgery
Exclusion Criteria
- •• Allergy to any of the drugs used in the study
- •Alcohol or drug abuse
- •Psychiatric disease
Arms & Interventions
lumber Epidural and unilateral genicular nerve ablation:
Patient will receive lumber epidural anesthesia and unilateral genicular nerve cooled radio frequency ablation pre-operative
Intervention: unilateral Radiofrequency (Procedure)
lumber epidural anesthesia
Patients will receive epidural anesthesia intra operative
Intervention: Epidural (Procedure)
lumber Epidural and unilateral genicular nerve ablation:
Patient will receive lumber epidural anesthesia and unilateral genicular nerve cooled radio frequency ablation pre-operative
Intervention: Epidural (Procedure)
Epidural and bilateral genicular nerve ablation
Patient will receive lumber epidural anesthesia and bilateral genicular nerve cooled radio frequency ablation pre-operative
Intervention: bilateral Radiofrequency (Procedure)
Epidural and bilateral genicular nerve ablation
Patient will receive lumber epidural anesthesia and bilateral genicular nerve cooled radio frequency ablation pre-operative
Intervention: Epidural (Procedure)
Outcomes
Primary Outcomes
o Epidural rescue doses
Time Frame: 1st 48 hours
rescue doses reflects degree of pain control
Secondary Outcomes
- WOMAC score(baseline preoperative, and the at 2, 6 and 12 weeks postoperative)
- Knee range of motion(Assessed weekly for 3 weeks postoperatively (Weeks 1, 2, and 3))
- Postoperative inflammatory signs assessed by clinical examination(Assessed weekly for 3 weeks postoperatively (Weeks 1, 2, and 3).)