Regional Anesthesia in TKA: Impact on Postoperative Joint Motion and Patient Satisfaction
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Regional anethesia.
- Who it may be relevant to
- Registry conditions: Total Knee Arthroplasty, Postoperative Pain, Regional Anesthesia, Knee Range of Motion. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
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
Overview
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.
Interventions
- Procedure Regional anethesia
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), acti
Primary outcome measures
- Postoperative Knee Range of Motion (ROM) [Time frame: Postoperative day 1, day 3, day 7, and day 90 after surgery.]
Secondary outcome measures (5)
- Total Opioid Consumption [Time frame: From the end of surgery to 72 hours postoperatively.]
- Oxford Knee Score (OKS) [Time frame: Preoperatively (baseline) and postoperative day 90.]
- Visual Analog Scale (VAS) Pain Score [Time frame: Postoperative day 1, day 3, and day 7 after surgery.]
- Incidence of Adverse Events Related to Anesthesia or Analgesia [Time frame: Intraoperative period and up to 90 days postoperatively.]
- Patient Satisfaction Score [Time frame: Postoperative day 3 and day 90 after surgery.]
Eligibility criteria
- Minimum Age: 18 Years
- Maximum Age: None
- Sex: All
- Gender Based: No
- Accepts Healthy Volunteers: No
- Inclusion Criteria:
- Scheduled for primary total knee arthroplasty
- Age ≥ 18 years
- American Society of Anesthesiologists (ASA) physical status I-III
- Accepting neuraxial anesthesia
- Exclusion Criteria:
- 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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
Turkey (Türkiye) · 1 center
- Yasin Tire — Konya
Identifiers
NCT: NCT07124494 · Study Epidural