Total Knee Prosthesis With Continuous Block of Adductor Canal and Outcome

Summary

Aim of this study is to evaluate the effects of the adductor canal block on the early and medium term ( 1 month) rehabilitation compared to the continuous femoral block commonly used in the knee prosthesis.

Conditions

• Total Knee Arthroplasty

Interventions

PROCEDURE

Adductor canal

Perinervous catheter (stimulong sono- Pajunk, Germany) will be insert in adductor canal through tuohy needle (18G, 100mm length) under ultrasound guidance.

PROCEDURE

Femoral

Perinervous catheter (stimulong sono- Pajunk, Germany) will be insert between femoral nerve and femoral artery through tuohy needle (18G, 100mm length) under ultrasound guidance.

PROCEDURE

Spinal Anesthesia

Spinal anesthesia will be perform at L3-L4 or L4-L5 level. Levobupivacaine 0,5% 12mg will be injected.

PROCEDURE

Local anesthetic infusion

Continuous infusion of levobupivacaine 0,125% at 8ml/h rate through perinervous catheter until 5th postoperative day.

PROCEDURE

Intravenous analgesia

Ketorolac 30mg 3 times/day and morphine Patients Control Analgesia (1mg/h, max 4mg/h) administered.

DRUG

Ropivacaine 0,75%

DRUG

Levobupivacaine 0,5%

DRUG

Levobupivacaine 0,125%

DRUG

Ketorolac 30mg

DRUG

Morphine

DEVICE

stimulong sono, Pajunk, Germany

Sponsors & Collaborators

• ASST Gaetano Pini-CTO

  lead OTHER

Principal Investigators

• Gianluca Cappelleri, M.D. · ASST Gaetano Pini-CTO

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2014-03-31

Primary Completion

2015-09-30

Completion

2016-03-31

Countries

• Italy

Study Locations