Total knee arthroplasty or replacement (TKA), a commonly performed surgery for osteoarthritis of the knee, is a painful procedure and requires a multimodal analgesic approach. A method for analgesia is local infiltration analgesia (LIA), where a mixture of drugs is injected around the knee joint. Adductor canal block (ACB) is an alternative regional anaesthesia technique which has been shown to result in minimal thigh weakness. The investigators aim to study if the analgesia provided by ACB is superior to LIA while preserving quadriceps strength.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
40
Changi General Hospital
Singapore, Singapore
Morphine consumption in the first 24 hours
morphine consumption in the first 24 hours (including morphine administered in recovery and via PCA).
Time frame: 24 hours
Pain Scores
Pain scores are recorded at 1, 6, 12, 24 and 48 hours post-operatively, assessed using a visual analog scale (0-100mm) at rest and during 45 degree passive flexion of knee.
Time frame: 1, 6, 12, 24 hours; up to 48 hours postoperative
Morphine Consumption
The balance usage after primary outcome
Time frame: At 48 hours
Postoperative Nausea and Vomiting
Presence/absence of nausea and vomiting, and total number of episodes of vomiting
Time frame: Up to 48 hours
Sedation Scores
Time frame: Up to 48 hours
Quadriceps Strength
Time frame: at 24 and 48 hours
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