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This prospective clinical study was approved by the institutional ethics committee on September 27, 2023, and patient enrollment started in October 2023. the study aimed to evaluate the contribution of anterior femoral cutaneus nerve block to postoperative analgesia in total knee artroplasty.
The goal of this clinical trial is to compare analhesia effects of adductor canal blockade versus distal adductur canal blockade added anterior cutaneus nerve block in total knee arthroplasty.
The main questions it aims to answer are:
Patients with American Society of Anesthesiologists classification status I-III scheduled for elective primary TKA using standard spinal anesthesia enroll for this trial. After surgery patient divided two groups: 1- adductor canal blockade 2- distal adductor canal blockade + anterior femoral cutaneus nerve blockade. At postoperative 3th, 10th, 24th hour VAS (visuel analouge scale), VAS move, incision plase pain-for top and down of patella, drain place pain, motor strenght for femoral nerve and siyatic nerve, first analjesic requirement time, opioid consumption, total analcesic requirement will be recorded.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Adductor canal block | Active Comparator | Usg guidance adductor canal block with %0.25 Bupivacaine 20 ml |
|
| Distal adductor canal block with anterior cutaneus nerve block | Active Comparator | Usg guidance distal adductor canal block (%0.25 Bupivacaine 20 ml) with anterior cutaneus nerve block (%0.25 Bupivacaine 10 ml) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Adductor canal blockade | Procedure | VAS, VAS move, incision place pain for up and down to patella, drain place pain, motor strenght for femoral nerve and siyatic nerve muscles, side effects, first analgesic requirement time, opioid requirement, other analgesics |
| Measure | Description | Time Frame |
|---|---|---|
| VAS (visuel analouge scale) | for postoperative pain evaluation after TKA surgery. The visual analogue scale (VAS) uses a 10 cm line with endpoint descriptors such as 'no pain' marked at the left end of the line and 'worst pain imaginable' marked at the right end. | postblock 3 hour,10 hour, 24 hour |
| drain place pain | do you have any pain on drain place? yes or no | postblock 3 hour,10 hour, 24 hour |
| Measure | Description | Time Frame |
|---|---|---|
| VAS movement | Postoperative pain with knee moves evaluate with VAS, The visual analogue scale (VAS) uses a 10 cm line with endpoint descriptors such as 'no pain' marked at the left end of the line and 'worst pain imaginable' marked at the right end. | postblock 3 hour,10 hour, 24 hour |
| motor strenght |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Derya Ozkan | Study Principal Investigator Ankara Etlik City Hospital | Study Director |
| Müge Çakırca, doctor | Study Principal Investigator Ankara Etlik City Hospital | Principal Investigator |
| Funda Atar, doctor | Study Principal Investigator Ankara Etlik City Hospital | Study Chair |
| Serhan ünlü, doctor | Study Principal Investigator Ankara Etlik City Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ankara Etlik City Hospital | Ankara | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31826920 | Background | Bjorn S, Nielsen TD, Moriggl B, Hoermann R, Bendtsen TF. Anesthesia of the anterior femoral cutaneous nerves for total knee arthroplasty incision: randomized volunteer trial. Reg Anesth Pain Med. 2019 Dec 10:rapm-2019-100904. doi: 10.1136/rapm-2019-100904. Online ahead of print. |
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| Distal adductor canala blockade and anterior cutaneus nerve blockade | Procedure | VAS, VAS move, incision place pain for up and down to patella, drain place pain, motor strenght for femoral nerve and siyatic nerve muscles, side effects, first analgesic requirement time, opioid requirement, other analgesics |
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leg elevation and plantar flexion |
| postblock 3 hour,10 hour, 24 hour |