Osteoarthritis Clinical Trial
Official title:
Comparison of the Analgesic Efficacy of Continuous Femoral Nerve Block and Adductor Canal Block With Steroid Adjuvant in Patients Undergoing Total Knee Arthroplasty
We hypothesize continuous adductor canal block with steroid adjuvant would offer no inferior analgesics and rehabilitation ability than continuous femoral nerve block for postoperative patients receiving total knee arthroplasty.
A total of 80 patients who will undergo total knee arthroplasty will be randomized into two
groups:
Treatment groups Treatment details Femoral Group (40 patients) Continuous femoral nerve
block (bolus: 0.5% Ropivacaine 10-15 ml ; infusion of 0.15 % Ropivacaine 4-6ml/h) Adductor
Group (40 patients) Adductor canal block with steroid adjuvant (bolus: 0.5% Ropivacaine
10-15ml; Dexamethasone 4mg) (Total 80 patients will be recruited)
- All patients will receive single shot tibial nerve block with local anaesthetics (0.5%
Ropivacaine 5-8ml) before surgery for analgesia of posterior knee.
- All patients will receive the same preemptive and postoperative multimodal medications
for perioperative analgesia.
- All groups will receive standardized method of spinal anaesthesia and standardized
method of intraoperative sedation for the surgery.
- Intravenous patient controlled analgesia (PCA) with morphine will be given for 48h to
patient as rescue analgesia.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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