Evaluation of the Effects of Regional Anesthesia Methods Applied in Total Knee Arthroplasty on Joint Range of Motion in the Postoperative Period and Patient Satisfaction

Status: Recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

This is a single-center, prospective, randomized controlled trial aiming to evaluate the effects of different regional anesthesia/analgesia techniques on postoperative knee range of motion (ROM) and patient satisfaction following total knee arthroplasty (TKA). Ninety patients undergoing elective TKA under spinal anesthesia will be randomly assigned to one of three groups: 1) spinal anesthesia with epidural catheter, 2) spinal anesthesia followed by adductor canal catheterization, and 3) spinal anesthesia with multimodal intravenous analgesia. The primary outcome is postoperative knee joint ROM measured on postoperative days 1, 2, and 3. Secondary outcomes include patient satisfaction, Oxford Knee Score, postoperative opioid consumption, and VAS scores. The study is conducted at Konya City Hospital and will be completed over a 6-month period.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

⁃ Scheduled for primary total knee arthroplasty

• Age ≥ 18 years

• American Society of Anesthesiologists (ASA) physical status I-III

• Accepting neuraxial anesthesia

Locations
Other Locations
Turkey
Yasin Tire
RECRUITING
Konya
Contact Information
Primary
Yasin Tire
dryasintire@hotmail.com
05055367970
Time Frame
Start Date: 2025-08-05
Estimated Completion Date: 2026-02-19
Participants
Target number of participants: 30
Treatments
Active_comparator: Combined Spinal-Epidural Anesthesia
Postoperative analgesia will be provided via epidural catheter with programmed infusion of bupivacaine .
Active_comparator: Adductor Canal Block
Ultrasound-guided adductor canal catheter placement and continuous infusion of bupivacaine .
Sham_comparator: Multimodal Intravenous Analgesia
Continuous intravenous tramadol infusion with rescue analgesia as required.
Related Therapeutic Areas
Sponsors
Leads: Konya City Hospital

This content was sourced from clinicaltrials.gov