Total knee replacement (total knee arthroplasty) is performed to resurface a knee damaged by arthritis and relieve pain in patients with severely damaged knee joints. Total knee arthroplasty (TKA) is associated with severe postoperative pain, and the management of postoperative pain continues to evolve with the advancement of surgical techniques and pharmacological treatments. Femoral, lateral femoral cutaneous nerve and obturator nerve block is provided with suprainguinal fascia iliaca plan block, which is used for postoperative analgesia, especially in hip surgeries. In this way, the investigators think it can be used as a part of multimodal analgesia in total knee arthroplasty surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
70
After the operation is completed, the fascia iliaca will be separated from the iliacus muscle. With ultrasound guidance, the local anesthetic injection will be made between the fascia and the muscle.
A total volume of 80 ml local anesthetic will be applied to the medial and lateral capsule, the medial and lateral meniscus margins, the deep part of the medial ligament, the medial and lateral synovial space, and the patellar ligament and quadriceps tendon.
Ali Ahiskalioglu
Erzurum, Turkey (Türkiye)
Postoperative opioid consumption
First 24 hours total fentanyl consumption with patient controlled analgesia
Time frame: first 24 hours
Visual analog pain score
Post operative pain will be evaluated with a Visual Analogue Scale (between 0-10; 0: no pain, 10:worst pain) score
Time frame: first 48 hours
timed up and go test (TUG)
TUG- evaluation of the time in seconds for the patient to get up from the chair and walk 3 meters and return to the chair again
Time frame: at 24th hour
quadriceps muscle strength
will be evaluated in a scale between 1-5 (1:lowest; 5:normal)
Time frame: at 24th hour
joint range of motion test (ROM)
will be measured with goniometer( between 0-180 degrees)
Time frame: at 24th hour
Five Time Sit to Stand Test (FTSST)
physical assistance of the patient getting up and sitting down 'as fast as possible' five times without
Time frame: at 24th hour
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