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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.
the study measures the efficacy of genicular nerves cooled radiofrequency ablation in enhancing quality of rehabilitation in patients undergoing total knee replacement
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| lumber epidural anesthesia | Experimental | Patients will receive epidural anesthesia intra operative |
|
| lumber Epidural and unilateral genicular nerve ablation: | Experimental | Patient will receive lumber epidural anesthesia and unilateral genicular nerve cooled radio frequency ablation pre-operative |
|
| Epidural and bilateral genicular nerve ablation | Experimental | Patient will receive lumber epidural anesthesia and bilateral genicular nerve cooled radio frequency ablation pre-operative |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| unilateral Radiofrequency | Procedure | unilateral genicular nerve cooled radio frequency ablation pre-operative |
|
| Measure | Description | Time Frame |
|---|---|---|
| o Epidural rescue doses | rescue doses reflects degree of pain control | 1st 48 hours |
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Inclusion Criteria:• Undergoing a scheduled unilateral total knee replacement surgery
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Exclusion Criteria:
• Allergy to any of the drugs used in the study
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Abdallah soudi, M.D. | Contact | +201111228925 | dr.soudi2014@med.asu.edu.eg |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| faculty of medicine Ain Shams University | Recruiting | Cairo | 02 | Egypt |
Data required for interpretation of results will be shared
6 months to 12 months after publication
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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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| ID | Term |
|---|---|
| D007268 | Injections, Epidural |
| ID | Term |
|---|---|
| D007278 | Injections, Spinal |
| D007267 | Injections |
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
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| bilateral Radiofrequency | Procedure | bilateral genicular nerve cooled radio frequency ablation pre-operative |
|
| Epidural | Procedure | Patients will receive epidural anesthesia intra operative and epidural analgesia post-operative |
|
| D012216 |
| Rheumatic Diseases |
| D013812 |
| Therapeutics |