ESPB and ACB in Knee Arthroplasty

NCT05613101 | Completed

• 1 other identifier: IstanbulMUG
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Total knee arthroplasty surgery is preferred in the treatment of osteoarthritis and causes severe postoperative pain. In this study, we aimed to investigate the effects of lumbar erector spina plan block and adductor canal block on postoperative pain and quadriceps muscle strength in patients who underwent total knee arthroplasty with spinal anesthesia.

Conditions

Post Operative Pain

Keywords

Erector Spinae Plane Block; Adductor Canal Block; Total Knee Arthroplasty

Outcome Measures

Primary Outcomes (8)

• Postoperative pain 30 minute

  Visual anolog score (1-10)

  30. min.

• Postoperative pain 1. hour

  Visual anolog score (1-10)

  1. hour

• Postoperative pain 2. hour

  Visual anolog score (1-10)

  2. hour

• Postoperative pain 6. hour

  Visual anolog score (1-10)

  6. hour

• Postoperative pain 12. hour

  Visual anolog score (1-10)

  12. hour

• Postoperative pain 24. hour

  Visual anolog score (1-10)

  24. hour

• Postoperative pain 36. hour

  Visual anolog score (1-10)

  36. hour

• Postoperative pain 48. hour

  Visual anolog score (1-10)

  48. hour

Secondary Outcomes (8)

• Opioid consuption 30. min.

  30. min.

• Opioid consuption 1. hour

  1. hour

• Opioid consuption 2. hour

  2. hour

• Opioid consuption 6. hour

  6. hour

• Opioid consuption 12. hour

  12. hour

Study Arms (2)

Erector Spinae Plane Block

ACTIVE COMPARATOR

Erector Spina Plane Block was performed to the patients after coplition of total knee arthroplasty operation for postopetaive pain.

Procedure: Erector Spinae Plane Block

Adductor Canal Block

ACTIVE COMPARATOR

Adductor Canal Block was performed to the patients after coplition of total knee arthroplasty operation for postopetaive pain.

Procedure: Adductor Canal Block

Interventions

Erector Spinae Plane Block PROCEDURE

After the necessary asepsis and antisepsis procedures, the linear ultrasound probe was placed parasagittally 2-3 cm lateral to the spinous process at the L3 or L4 level and the transverse process was visualized. The peripheral block needle (85 mm B Braun Stimuplex A) was advanced in plane up to the transverse process and 10 ml 0.5% bupivacaine hydrochloride 10 ml 0.9% isotonic NaCl mixture was applied on the erector spina muscle.

Erector Spinae Plane Block

Adductor Canal Block PROCEDURE

After the necessary asepsis and antisepsis procedures, the linear ultrasound probe was placed in the middle between the medial condyle and the SIAS, and the superficial femoral artery (FSA) was visualized under the sartorius muscle. By following the FSA distally, the point where the sartorius muscle crosses the adductor magnus muscle, which is the beginning of the adductor canal, was found and the saphenous nerve was visualized hyperechoic in the anterolateral aspect of the FSA. 20 cc 0.5% bupivacaine hydrochloride was applied

Adductor Canal Block

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• patients who underwent total knee arthroplasty surgery
• ASA I-III patients

You may not qualify if:

• Patients with coagulopathy
• Patients history with local anesthetic allergy or toxicity
• Patients with long hospital stay
• Patients with advanced organ failure
• Mental retarded patients
• Presence of infection at the injection site

Sponsors & Collaborators

• Istanbul Medeniyet University: lead

Study Sites (1)

Istanbul Medeniyet University Goztepe Suleyman Yalcın City Hospital

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pain, Postoperative

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Medical Doctor

Model Details: Erector Plane Block Adductor Canal Block

Study Record Dates

• First Submitted: October 6, 2022
• First Posted: November 14, 2022
• Study Start: December 15, 2021
• Primary Completion: June 15, 2022
• Study Completion: August 30, 2022
• Last Updated: November 14, 2022

Record last verified: 2022-11

Locations

TU (1)