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Clinical effect of intermittent multiple IPICK blocking on TKA for knee osteoarthritis with flexion contracture between 5 ° and 10 °
From October 2020 to January 2021, 40 knee osteoarthritis patients with flexion contracture between 5 ° and 10 ° total knee arthroplasty are enrolled in this study. 20 patients are treated with Adductor Canal Block + Infiltration between the Popliteal Artery and Capsule of the Knee, and 20 patients are treated with Adductor Canal Block alone.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| study group | Experimental | The first 20 patients received Continue Adductor Canal Block + Infiltration between the Popliteal Artery and Capsule of the Knee |
|
| control group | Sham Comparator | The second 20 patients received Continue Adductor Canal Block alone |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CACB+IPACK | Procedure | continue adductor canal block plus Infiltration between the Popliteal Artery and Capsule of the Knee |
|
| Measure | Description | Time Frame |
|---|---|---|
| evaluation of pain | Visual Analog Score for pain at rest, straightening, flexion at 45 ° and walking, the minimum and maximum values are 0 to 10, higher scores mean a worse outcome. | 6 hours after surgery |
| evaluation of pain | Visual Analog Score for pain at rest, straightening, flexion at 45 ° and walking, the minimum and maximum values are 0 to 10, higher scores mean a worse outcome. | postoperative day 1 |
| evaluation of pain | Visual Analog Score for pain at rest, straightening, flexion at 45 ° and walking, the minimum and maximum values are 0 to 10, higher scores mean a worse outcome. | postoperative day 2 |
| evaluation of pain | Visual Analog Score for pain at rest, straightening, flexion at 45 ° and walking, the minimum and maximum values are 0 to 10, higher scores mean a worse outcome. | postoperative day 3 |
| extension angle | degree of the extension of knee | before surgery |
| extension angle | degree of the extension of knee | 0 hour after surgery |
| extension angle | degree of the extension of knee | 6 hour after surgery |
| extension angle |
| Measure | Description | Time Frame |
|---|---|---|
| range of motion | degree of range of motion from extension to flexion of knee | 6 hour after surgery |
| range of motion | degree of range of motion from extension to flexion of knee |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Hospital of Jilin University | Changchun | China |
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| ID | Term |
|---|---|
| D020370 | Osteoarthritis, Knee |
| ID | Term |
|---|---|
| D010003 | Osteoarthritis |
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| CACB | Procedure | continue adductor canal block |
|
degree of the extension of knee |
| postoperative day 1 |
| extension angle | degree of the extension of knee | postoperative day 2 |
| extension angle | degree of the extension of knee | postoperative day 3 |
| postoperative day 1 |
| range of motion | degree of range of motion from extension to flexion of knee | postoperative day 2 |
| range of motion | degree of range of motion from extension to flexion of knee | postoperative day 3 |
| opioid consumption | total opioid consumption measured by milliliter. | through hospitalization, an average of 7 days |
| nerve block related symptoms | the incidence of numbness of the nerve related skin | through hospitalization, an average of 7 days |
| postoperative acute pain | number of cases whose Visual Analog Score for pain was more than 5 | through hospitalization, an average of 7 days |
| D012216 |
| Rheumatic Diseases |