Regional Anesthesia in TKA: Impact on Postoperative Joint Motion and Patient Satisfaction
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
Konya City Hospital
30 participants
Aug 5, 2025
INTERVENTIONAL
Conditions
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
Inclusion Criteria9
- Minimum Age: 18 Years
- Maximum Age: None
- Sex: All
- Gender Based: No
- Accepts Healthy Volunteers: No
- Scheduled for primary total knee arthroplasty
- Age ≥ 18 years
- American Society of Anesthesiologists (ASA) physical status I-III
- Accepting neuraxial anesthesia
Exclusion Criteria10
- Skin infection at the planned injection site
- Sepsis
- Coagulopathy
- Refusal of neuraxial anesthesia
- Severe hypovolemia
- Demyelinating central nervous system disease
- Age under 18 years
- Illiterate in Turkish
- Non-cooperative patients
- Known allergy or hypersensitivity to bupivacaine
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Interventions
This single-center, prospective, randomized controlled trial aims to compare the effects of three different postoperative analgesia techniques following spinal anesthesia in patients undergoing total knee arthroplasty (TKA). The study will assess the impact of combined spinal-epidural anesthesia, adductor canal block, and multimodal intravenous analgesia on postoperative knee range of motion (ROM). Secondary outcomes include patient satisfaction, opioid consumption, Oxford Knee Score (OKS), activity levels, and visual analog scale (VAS) pain scores.
Locations(1)
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NCT07124494