Total Knee Replacement surgery is common procedure that is usually done for patients suffering from persistent pain with limitation of movement. Unfortunately, they do suffer after the operation as it is associated still with significant pain that affect the rehabilitation plan, hospital length of stay, life style and patient satisfaction. New approaches are rising every day to add to the multimodal management plan. Genicular nerves cooled radiofrequency ablation is a new approach that can be simply done U.S. guided with little side effects, if any, and great results.
the study measures the efficacy of genicular nerves cooled radiofrequency ablation in enhancing quality of rehabilitation in patients undergoing total knee replacement
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
66
unilateral genicular nerve cooled radio frequency ablation pre-operative
bilateral genicular nerve cooled radio frequency ablation pre-operative
Patients will receive epidural anesthesia intra operative and epidural analgesia post-operative
faculty of medicine Ain Shams University
Cairo, Egypt
o Epidural rescue doses
rescue doses reflects degree of pain control
Time frame: 1st 48 hours
WOMAC score
assessment of the functional state of the patient and degree of pain and limitation of movement
Time frame: baseline preoperative, and the at 2, 6 and 12 weeks postoperative
Knee range of motion
Time to achieve full knee range of motion will be assessed by measuring active knee flexion and extension in degrees (°) using a universal goniometer during weekly postoperative assessments. The outcome will be reported as the number of days or weeks required to achieve full range of motion, as defined in the study protocol.
Time frame: Assessed weekly for 3 weeks postoperatively (Weeks 1, 2, and 3)
Postoperative inflammatory signs assessed by clinical examination
Postoperative inflammatory signs, including redness (erythema), local warmth, and swelling around the operated knee, will be assessed by clinical examination. Each sign will be recorded as present or absent. The outcome will be reported as the number of participants with each inflammatory sign at each assessment.
Time frame: Assessed weekly for 3 weeks postoperatively (Weeks 1, 2, and 3).
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