Continuous Saphenous Block Versus Continuous Femoral Block for Total Knee Arthroplasty
Recruitment status was Not yet recruiting
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Purpose
Strength of the Quadriceps Muscle is key to recover from Total Knee Arthroplasty. In this study we compare two techniques for pain control after total knee arthroplasty in terms of preserving the motor function (the strength of the quadriceps muscles of the thigh) which will facilitate the rehabilitation and accelerate the hospital discharge. We will use ultrasound guided technique to block either the femoral nerve in the control group or the saphenous nerve in the experimental group. The primary outcome is the functional capacity and the impact of each block on the ability to walk by measuring the distance patients are able to walk in two minutes in post operative day one in the two groups. The secondary outcome is the morphine consumption in the two groups.
| Condition | Intervention |
|---|---|
|
Total Knee Arthroplasty Secondary to Osteoarthritis |
Procedure: continuous femoral nerve block Procedure: continuous saphenous nerve block |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Outcomes Assessor) |
| Official Title: | Continuous Saphenous Block Vs. Continuous Femoral Block for Total Knee Arthroplasty: Prospective, Randomized, Double Blind Study. |
- to assess the functional capacity and the impact of each block on the ability to walk by measuring the distance (the 2 minute walk test) in post op day one in the two groups. [ Time Frame: post op day one ] [ Designated as safety issue: No ]
- the morphine consumption in the two groups. [ Time Frame: post op day one ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 40 |
| Study Start Date: | January 2011 |
| Estimated Study Completion Date: | December 2011 |
| Estimated Primary Completion Date: | August 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: femoral block |
Procedure: continuous femoral nerve block
ultrasound guided femoral nerve catheter insertion.
|
| Experimental: saphenous block |
Procedure: continuous saphenous nerve block
ultrasound guided saphenous nerve catheter insertion
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Subject age over 18 years coming for total knee arthroplasty secondary to osteoarthritis
Exclusion Criteria:
- ASA 4-5
- Abnormal liver enzymes, hepatic failure, renal failure and cardiac failure if they become contraindication for the use of regional anesthesia
- Contraindications for spinal anesthesia
- Morbid obesity
- Organ transplant
- Neuropathic pain
- History of stroke or major neurological deficit
- Sensory and motor disorders in the operated limb
- Previous drug dependency
- Chronic use of opioids
- Allergy to local anesthetics
- Inability to comprehend pain assessment
Contacts and Locations| Contact: JF Asengo, MD | (514) 934-1934 ext 43261 | jfasenjog@yahoo.com |
| Canada, Quebec | |
| Montreal General Hospital | Not yet recruiting |
| Montreal, Quebec, Canada, H3A 1A1 | |
| Contact: JF Asenjo, MD 514) 934-1934 ext 43261 jfasenjog@yahoo.com | |
| Principal Investigator: JF Asenjo, MD | |
| Principal Investigator: | JF Asenjo, MD | McGill University Health Center |
More Information
No publications provided
| Responsible Party: | JF Asenjo, MUHC |
| ClinicalTrials.gov Identifier: | NCT01250041 History of Changes |
| Other Study ID Numbers: | 10-153-SDR |
| Study First Received: | November 26, 2010 |
| Last Updated: | November 29, 2010 |
| Health Authority: | Canada: MUHC |
Additional relevant MeSH terms:
|
Osteoarthritis Arthritis Joint Diseases Musculoskeletal Diseases Rheumatic Diseases |
ClinicalTrials.gov processed this record on May 16, 2013