Ultra Sound Guided Genicular Nerves Cooled Radiofrequency Ablation in Total Knee Replacement Surgeries
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 66
- 试验地点
- 1
- 主要终点
- o Epidural rescue doses
研究概览
简要总结
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.
详细描述
the study measures the efficacy of genicular nerves cooled radiofrequency ablation in enhancing quality of rehabilitation in patients undergoing total knee replacement
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 21 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Undergoing a scheduled unilateral total knee replacement surgery
排除标准
- •• Allergy to any of the drugs used in the study
- •Alcohol or drug abuse
- •Psychiatric disease
研究组 & 干预措施
lumber Epidural and unilateral genicular nerve ablation:
Patient will receive lumber epidural anesthesia and unilateral genicular nerve cooled radio frequency ablation pre-operative
干预措施: unilateral Radiofrequency (Procedure)
lumber epidural anesthesia
Patients will receive epidural anesthesia intra operative
干预措施: 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
干预措施: Epidural (Procedure)
Epidural and bilateral genicular nerve ablation
Patient will receive lumber epidural anesthesia and bilateral genicular nerve cooled radio frequency ablation pre-operative
干预措施: 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
干预措施: Epidural (Procedure)
结局指标
主要结局
o Epidural rescue doses
时间窗: 1st 48 hours
rescue doses reflects degree of pain control
次要结局
- 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).)