Arthroplasty, Replacement, Knee Clinical Trial
Official title:
Reducing Posterior Knee Pain Following Total Knee Arthroplasty Using an Intraoperative Posterior Cruciate Ligament (Transcruciate) Injection
his study is being done because total knee replacements can leave patients with considerable
pain after surgery. Therefore, many studies have been done to find the best ways to control
knee pain after the surgery. Currently, a popular approach is to use many different
techniques to control the pain. This includes injecting freezing (local anesthetic) into the
spinal column (spinal anesthetic), injecting freezing close to the nerves of the knee and
using various kinds of medications (e.g. narcotics and anti-inflammatory medications).
Studies have shown using this a combination of techniques can reduce pain and allow earlier
discharge from the hospital. However, one downside to this approach is it does not usually
control the pain in the back of the knee. One new technique has been used to try and
overcome this. This technique is called a "posterior cruciate ligament block" or "PCL
block". It involves injecting a drug into the back of the knee which will block the nerves
in this area. Sometimes the investigators refer to this as "freezing".
The purpose of our study is to determine whether this "PCL Block" will improve pain after
the total knee replacement surgery. The investigators will also determine whether this
technique will improve movement in the knee and lessen narcotic usage after the surgery.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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