Total Knee Arthroplasty Clinical Trial
Official title:
A Pilot Study of the Feasibility of Early Discharge After Total Knee Arthroplasty Using a Femoral Nerve Block
Hospital stays after total joint replacement surgery have been getting shorter over the past
10 years. This is mostly due to new ways to manage pain and early rehabilitation. To be able
to go home safely soon after surgery, patients need to:
- 1) have adequate pain control
- 2) be able to move through activities of daily living on their own (using aids)
Femoral nerve block, in combination with pain medications, is one of the new treatment
strategies that are currently being used at other hospitals in Canada, the United States and
the United Kingdom. Nerve blocks involve a needle filled with local anesthetic into the
nerve that allows the feeling of pain around the knee. With good pain management, patients
will be able to more quickly bend their knee and regain the ability to walk with aids and
move from sitting and lying positions to standing and walking. Once they can do these
activities with adequate pain control, they can be discharged from hospital to continue
recovery at home. The purpose of this study is to examine a new way of managing
postoperative pain and encourage early knee flexion and mobility, while maintaining pain
control for patients after total knee replacement. We believe that patients who receive the
nerve block in addition to the regular pain medication will have more knee flexion at
discharge and experience less pain than patients who only receive usual pain medications.
n/a
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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