An interventional study of Group Suprainguinal fascia iliaca block and Group Periarticular Infiltration in Analgesia, sponsored by Ataturk University. Completed at 1 site in Turkey. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2023-06-18.
Sponsored by Ataturk University · Not applicable, Interventional, and Treatment
Total knee replacement (total knee arthroplasty) is performed to resurface a knee damaged by arthritis and relieve pain in patients with severely damaged knee joints.
Total knee arthroplasty (TKA) is associated with severe postoperative pain, and the management of postoperative pain continues to evolve with the advancement of surgical techniques and pharmacological treatments.
Femoral, lateral femoral cutaneous nerve and obturator nerve block is provided with suprainguinal fascia iliaca plan block, which is used for postoperative analgesia, especially in hip surgeries. In this way, the investigators think it can be used as a part of multimodal analgesia in total knee arthroplasty surgery.
Ataturk University is the lead sponsor of 442 studies on the registry; 121 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Suprainguinal fascia iliaca block after the surgery
Other: Group Suprainguinal fascia iliaca block
A local anesthetic will be applied to the medial and lateral capsule, the medial and lateral meniscus margins, the deep part of the medial ligament, the medial and lateral synovial space, and the patellar ligament and quadriceps tendon.
Other: Group Periarticular Infiltration
After the operation is completed, the fascia iliaca will be separated from the iliacus muscle. With ultrasound guidance, the local anesthetic injection will be made between the fascia and the muscle.
A total volume of 80 ml local anesthetic will be applied to the medial and lateral capsule, the medial and lateral meniscus margins, the deep part of the medial ligament, the medial and lateral synovial space, and the patellar ligament and quadriceps tendon.
Postoperative opioid consumption
First 24 hours total fentanyl consumption with patient controlled analgesia
Time frame: first 24 hours
Visual analog pain score
Post operative pain will be evaluated with a Visual Analogue Scale (between 0-10; 0: no pain, 10:worst pain) score
Time frame: first 48 hours
timed up and go test (TUG)
TUG- evaluation of the time in seconds for the patient to get up from the chair and walk 3 meters and return to the chair again
Time frame: at 24th hour
quadriceps muscle strength
will be evaluated in a scale between 1-5 (1:lowest; 5:normal)
Time frame: at 24th hour
joint range of motion test (ROM)
will be measured with goniometer( between 0-180 degrees)
Time frame: at 24th hour
Five Time Sit to Stand Test (FTSST)
physical assistance of the patient getting up and sitting down 'as fast as possible' five times without
Time frame: at 24th hour
Plan to share: Undecided
This study is completed, as verified in Jun 2023. You cannot join it, but the record below documents what was studied.
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Ataturk University