Comparison of the analgesics blocks (femoral, adductor canal and sciatic subgluteal nerve) for total replacement knee surgery.
Adductor canal block shows a beneficial effect for knee surgery. Mainly because he prevent for muscular weakness; adverse effect meet with femoral block and delaying the early active mobilization. The investigators want to compare the efficacy and safety of this block compared to the femoral and sciatic block.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
Analgesic nerve blockade (Ropivacaine) for total knee replacement surgery.
Total knee replacement surgery.
University og Liege, University Hospital
Liège, Belgium
Pain measurement with numeric pain scale : from 0 to 10 (maximal pain) in rest condition
Pain assessment and evolution in postoperative period (passive condition)
Time frame: up to day 7
Pain measurement with numeric pain scale (from 0 to 10) during active motorized mobilization (Kinetic)
Pain assessment and evolution in postoperative period (active condition)
Time frame: up to day 7
Postintervention nausea vomiting
question : present or not
Time frame: at hour 0, at hours 6, at day 1
Patient satisfaction
Questionnaire of patient felling and satisfaction. Choice within gradual felling : bad, middle, good, excellent
Time frame: at day 1
Opioid consumption
doses of piritramid (synthetic opioid) administrated with patient control rescue analgesia device.
Time frame: up to 48 hours
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