Comparison of the Analgesic Effect of Femoral Nerve Block, Intraarticular Infiltration or a Combination of Both in the Control of Pain in Total Knee Arthroplasty
Overview
- Phase
- Phase 4
- Intervention
- ropivacaine
- Conditions
- Pain
- Sponsor
- Jose Antonio Bernia Gil
- Enrollment
- 137
- Locations
- 1
- Primary Endpoint
- postoperative pain
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
The purpose of this study is to compare the analgesic effectiveness of three techniques: the femoral nerve block, intraarticular infiltration or a combination of both in the control of pain in total knee arthroplasty (KA). The hypothesis to be tested in this study is that the performance multimodal postoperative pain KA combining two analgesic techniques to obtain better analgesia than when applied separately.
Investigators
Jose Antonio Bernia Gil
PhD,MD
Consorci Sanitari de Terrassa
Eligibility Criteria
Inclusion Criteria
- •intervention program for total knee arthroplasty
- •ASA I, II, III
- •over 65 years old
Exclusion Criteria
- •ASA \> III
- •patients who refuse the realization of technical loco-regional anesthesia
- •presence of coagulopathy or impaired hemostatic function
- •BMI \> 35
- •Serious intraoperative complications
- •patients undergoing bypass and aortic-femoral or femoro popliteal bypass operated leg
- •patients treated for chronic pain diagnosed processes, different knee osteoarthritis
Arms & Interventions
femoral block
Intervention: ropivacaine
local infiltration + femoral nerve block
Combination of local infiltration with drugs and femoral nerve block
Intervention: morphine ,ketorolac
several drugs local infiltration
Intervention: ropivacaine,morphine chloride,epinephrine,ketorolac
Outcomes
Primary Outcomes
postoperative pain
Time Frame: 48 hours postoperatively
Is measured at the time of starting rehabilitation, postoperatively 48 hours using visual analog scale, numerical and categorical verbal pain scale at 12,24 and 48 hours