N/A
N=80
Femoral Triangle and Adductor Canal Blocks Versus Femoral Nerve Block for Total Knee Arthroplasty
Total Knee Arthroplasty
Bottom Line
View on ClinicalTrials.gov: NCT03645954 ↗Enrolled (actual)
80
Serious AEs
0.0%
Results posted
Jan 2021
Primary outcome: Primary: Extent of Motor Blockade — 18; 29; 13; 5 Participants — p=<0.01
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Femoral Nerve Block (Procedure); Femoral Triangle & Adductor Canal Blocks (Procedure)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Lithuanian University of Health Sciences
- Primary completion
- May 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Extent of Motor Blockade |
18; 29; 13; 5; 1; 1 | <0.01 sig |
| PRIMARY Postoperative Pain Intensity and Pain Control |
1.22; 0.45; 1.27; 1.45; 2.00; 2.10 | >0.05 |
| SECONDARY Ability of Early Ambulation After Surgery |
53.6; 53.7; 47.3; 36.9 | >0.05 |
| SECONDARY Number of Participants Needing Additional Opioids |
5; 3; 8; 13; 27; 23 | >0.05 |
| SECONDARY Rate of Patients Satisfaction |
8.8; 8.9; 8.5; 8.8; 8.1; 8.4 | >0.05 |
| SECONDARY Number of Participants With Nausea or Vomiting |
1; 1; 0; 0; 36; 39 | >0.05 |
Summary
This prospective, double-blinded, randomized controlled study evaluates effects of femoral triangle and adductor canal blocks in comparison with femoral nerve block for primary total knee arthroplasty. Patients undergoing primary total knee arthroplasty will be randomly assigned to receive either femoral triangle and adductor canal blocks or femoral nerve block. Comparison of these two groups of patients will be based on the effects on postoperative pain control, extent of motor blockade, ability of early ambulation, patients satisfaction rates over the time of clinical recovery and the length of hospitalization.
To the investigator's knowledge, no comparison has been made between femoral triangle and adductor canal blocks and femoral nerve block or any other block. Consequently, we hypothesized that femoral triangle and adductor canal blocks and femoral nerve block provide similar effects on postoperative pain control, but femoral triangle and adductor canal blocks are superior to femoral nerve block in terms of early postoperative mobilization.
Eligibility Criteria
Inclusion Criteria
- Patients undergoing primary unilateral total knee arthroplasty under the spinal anesthesia.
- Age 18 - 90 years.
- Patients conformed to American Society of Anesthesiologists (ASA) physical status I-III in preoperative assessment.
- Ability to follow the study protocol.
Exclusion Criteria
- Inability or refusal to follow the study protocol.
- American Society of Anesthesiologists (ASA) physical status classification of IV or higher.
- Coagulopathy.
- Pre-existing lower extremity neuromuscular disorders.
- Local infection over the injection site.
- Allergy or contraindications to the drugs used in the study (local anesthetics, NSAIDs, opioids).
- Chronic opioid use.
- Other type of anesthesia.
Data sourced from ClinicalTrials.gov (NCT03645954). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.